Overview
Receptionist Guest Relations position at WH Wheeling Hospital Inc., located in Wheeling, WV, United States. This opportunity is in the Administrative field. Bachelor Degree required for this role.
Responsibilities
- Greets and receives patients into the health care facility. Processes patient demographics and insurance information accurately and in a timely manner.
- Communicates and supports hospital departments using the scheduling system as appropriate.
- Obtains electronic signatures for consent to treat and patient financial obligations.
- Provides excellent customer service with strong written and verbal communication.
- Serves as the first impression of WVU Healthcare to the patient.
- Maintains patient confidentiality according to policy and HIPAA when interacting with patients, families, co-workers and the public.
- Provides information concerning insurance, payment of bills and hospital procedures; maintains knowledge of major payer provisions.
- Answers phone calls professionally and uses the phone system correctly.
- Schedules, reschedules, or cancels patients in accordance with hospital workflows.
- Checks for order completeness and validates orders against scheduled service.
- Supports hospital departments using the scheduling system.
- Follows hospital, state, and federal guidelines to ensure a safe environment and compliance with regulations.
- Complies with Notices of Privacy Practices and Patient Rights and Responsibilities; cooperates with corporate compliance.
- Interacts professionally with clients, families, visitors, physicians, departmental and hospital staff.
- Participates in processes to assess and improve services and regulatory compliance.
Minimum Qualifications
Education, Certification, and/or Licensure
- High School diploma or equivalent.
Preferred Qualifications
Education, Certification, and/or Licensure
- Associate degree in a related medical field such as medical assisting or medical office administration.
Experience
- Experience in a medical office setting.
Core Duties and Responsibilities
The following describes the general nature of work performed by people assigned to this position. They are not intended to be an all-inclusive list of duties. Other duties may be assigned.
- Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into registration/billing systems; scans insurance cards and photo identification.
- May complete managed care responsibilities for pre-certifications and authorizations.
- Prepares standard consent forms and notices; presents to patient/family/legal guardian for signatures; obtains electronic signature for consent to treat and patient financial obligations.
- Collects deposits, co-payments, deductibles, and patient liability payments; provides receipts and documents in the systems.
- Directs patients needing financial assistance to a Financial Counselor.
- Prepares armband for patient identification.
- Balances daily receipts and cash drawer as needed.
- Follows up on accounts as indicated by system flags.
- Initiates auto accident liability coverage and documents pertinent information in the systems.
- Initiates ESRD screening and documents coverage information.
- Initiates Veterans Administration eligibility screening and coordinates admission/treatment with VA.
- Initiates Black Lung SSI screening and documents in the systems.
- Initiates Workers Compensation screening and assists with related paperwork.
- Initiates MSPQ (Medicare secondary payer questionnaire) and documents required information.
- Maintains confidentiality per policy and HIPAA.
- Provides information about insurance and hospital procedures; keeps current knowledge of major payer provisions.
- Performs medical necessity checks and completes Advance Beneficiary Notice as needed.
- Answers calls professionally and uses the phone system correctly.
- Schedules, reschedules, or cancels appointments per workflow.
- Checks order completeness and validates against scheduled services.
- Supports hospital departments using scheduling systems.
- Ensures safety and compliance with hospital, governmental, and insurance regulations.
- Complies with privacy notices and patient rights and cooperates with corporate compliance.
- Communicates professionally with clients, families, visitors, physicians, departments, and staff.
- Participates in processes to assess and improve services and regulatory compliance.
Working Environment and Physical Requirements
Physical requirements: Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling; normal visual acuity; ability to lift up to 50 pounds occasionally and up to 25 pounds frequently; manual dexterity for keyboards and office equipment; ability to move throughout the work area; ability to sit or stand for extended periods; reading and comprehension ability.
Working environment: High volume, fast-paced environment; exposure to communicable disease; interactions with patients and staff daily; ability to handle frequent interruptions and work within a confined office space.
Skills and Abilities
- Ability to use computer software and equipment for access processing; follows downtime procedures.
- Knowledge to report and document unsafe conditions, incidents, and defective equipment in compliance with policy.
- Ability to perform repetitious duties and manage multiple tasks.
- Attention to detail, organizational skills, and ability to multitask.
- Ability to memorize and reference information as needed.
- Understanding of medical insurance requirements for payment and basic knowledge of covered services.
- Ability to work with diverse personality types and education levels; professional diplomacy with physicians, patients, and families.
- Excellent written and verbal communication skills.
- Basic knowledge of medical terminology and third-party payers preferred.
- Knowledge of time-of-service collection procedures preferred.
- Ability to follow established computer downtime procedures and understand written and oral communication.
Additional Information: Scheduled Weekly Hours: 40
Shift: Non-Exempt
Company: WH Wheeling Hospital Inc.
Cost Center: 414 WH Guest Services
Address: 1 Medical Park Drive, Wheeling, WV