Associate Risk Management Jobs in Mobile, AL (NOW HIRING)

USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA Health is changing how medical care, education, and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists, and researchers provides the region's most advanced medicine at multiple facilities, campuses, clinics, and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall well-being of our community.

• Calls patients to remind them of scheduled appointments, to reschedule 'no show' appointments and to verify demographic information for billing purposes
• Prepares charts and encounter tickets for scheduled clinics in accordance with written policies and guidelines
• Register patients accurately and maintains demographic information in the electronic health record (EHR).
• Greet patients and visitors professionally and courteously.
• Schedule, reschedule, and confirm patient appointments.
• Collaborate with providers, nursing staff, and other departments to ensure seamless patient access and care coordination.
• Obtains demographic and insurance information
• Verify insurance eligibility, benefits, and prior authorization requirements.
• Obtains insurance and medical records release authorization in accordance with HCFA guidelines and Risk Management policies
• Checks patients into clinic
• Notifies patients of non-covered services being rendered
• Checks patients out of clinic
• Reviews encounter tickets for completeness and accuracy of CPT and ICD9 codes and follows up with provider when appropriate codlng end documents are not available
• Keys all charges into computerized billing system
• Collects patients co-payments or balances due on account and enters payments into the system
• Answers patients' inquiries regarding fees and payments
• Prints bills on demand for patients requesting them at time of service
• Tracks encounter tickets daily to ensure that all clinical activities are posted, that a 'no show' and 'canceled' patients are correctly recorded on both the information system and medical records for compliance purposes, and that charges, payments and deposits balance;
• Schedules patient appointments for faculty and other medical providers in accordance with written policies and guidelines
• Answers telephone inquiries and provides basic information regarding physician qualifications, available appointment times, directions and billing requirements
• Screens telephone calls and connects patients to staff most qualified to handle inquiries deemed outside the scope of this position (I.e. medical, legal, compliance issues) in accordance with policies and procedures
• Verifies referral authorizations for clinical activities
• Generates, referral authorization requests to other specialists following written policies and procedures
• Maintains medical records
• Files clinical data, referrals, inpatient records and test results daily
• Processes all medical records requests, disability forms and subpoenaed records according to HIPAA and Risk Management guidelines and policies
• Utilizes health network information system for patient registration, scheduling appointments, checking patients in and out and
• Collect copayments, deductibles, and other patient financial responsibilities following appropriate cash handling policies and procedures
• Maintain confidentiality of patient information in accordance with HIPAA regulations.
• Completes all mandatory department, educational and hospital requirements
• Adheres to current Infection Control and Safety Standards
• Regular and prompt attendance
• Ability to work schedule as defined and overtime as required
• Related duties as assigned

Employees must be in a regular position, working 20 hours or more per week (.50 FTE or greater) to qualify for benefits.

• High School Diploma or equivalent and 1 year of clerical experience in an access center, customer service, or healthcare setting. Required
• Experience with Electronic Medical Records Preferred
• Comparable combination of education and experience may substitute for the above requirements.

Knowledge, Skills, and Abilities

• Excellent customer service and communication skills. Excellent customer service and communication skills.
• Strong organizational and multitasking abilities. Strong organizational and multitasking abilities.
• Knowledge of medical terminology and healthcare workflows. Knowledge of medical terminology and healthcare workflows.
• Understanding of insurance verification and authorization processes. Understanding of insurance verification and authorization processes.
• Proficiency with Microsoft Office and healthcare software applications. Proficiency with Microsoft Office and healthcare software applications.
• Ability to maintain confidentiality and professionalism. Ability to maintain confidentiality and professionalism.
• Strong problem-solving and conflict-resolution skills. Strong problem-solving and conflict-resolution skills.
• Ability to work effectively in a fast-paced healthcare environment. Ability to work effectively in a fast-paced healthcare environment.