Employment Type:
Full timeShift:
Day Shift
Description:
POSITION PURPOSE
Responsible for scheduling, pre-registering patients for outpatient radiology exams. Electronically verifying insurance eligibility & accurately identifying & collecting patient financial responsibility. This is a key position that begins the overall patient experience and initiates the billing process for any services provided by the hospital.
As a mission-driven innovative health organization, we will become the national leader in improving the health of our communities and each person we serve. By demonstrating reverence, commitment to those who are poor, justice, stewardship, and integrity, our organization will continue to provide better health, better care, at lower costs.
ESSENTIAL FUNCTIONS
Responsible for pre-registration, scheduling, electronically verifying insurance eligibility & accurately identifying & collecting patient financial responsibility. Handles complex scheduled events, including high dollar testing, associated studies & those with study specific instructions & communicates effectively to service delivery areas to maximize patient flow & customer service. Begins the overall patient experience & initiate the billing process for any services provided by the hospital.
Analyzes patient insurance(s), identifies the correct insurance plan, selects appropriately from HIS insurance and plan selections and documents correct insurance order. Applies recurring visit processing according to protocol.
Verifies patient information with third party payers. Collects insurance referrals and documents within HIS. Communicates with patients and physician/offices regarding authorization/referral requirements. Identifies potential need for financial responsibility forms or completed electronic forms with patients as necessary. Escalates accounts appropriately in accordance with department Defer/Delay policy to manager.
Screens outpatient visits for medical necessity and issues Advanced Beneficiary Notice as appropriate for Medicare primary outpatients. Provides cost estimates. Collects and documents Medicare Secondary Payer Questionnaire (MSPQ) and obtains information from the patient if third party payers need to be billed (i.e., worker's compensation, motor vehicle accidents and any other applicable payer).
Maintains operational knowledge of regulatory requirements and guidelines as outlined in the hospital and department Compliance Plans. Ensures Meaningful Use requirements are met as appropriate.
Screens all patients self-pay & out of network patients using approved technology. Provides information for follow up and referral to the RHM Medicaid Vendor and/or Financial Counselor as appropriate. Initiates payment plans and obtains payment. Informs and explains all applicable government and private funding programs and other cash payment plans or discounts to the patient and/or family. Incorporates point of service (POS) collection processes into daily functions.
Must possess the ability to comply with Trinity Health policies and procedures. Must be comfortable operating in a collaborative, shared leadership environment.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
Other duties as assigned by manager.
Hourly pay range: $17.1538 - $25.7307
Remote Work Opportunity
Hours: M-F, 9:30am-6:00pm CST/10:30am-7:00pm EST/8:30am-5:00pm MST
MINIMUM QUALIFICATIONS
High School Diploma or equivalent.
Two (2) to Five (5) years experience in area of expertise such as scheduling, financial clearance, or patient access.
National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
Must be proficient in the use of Patient Registration/Patient Accounting systems & related software systems.
Additional Qualifications (nice to have)
Associates Degree, preferred.
Comprehensive knowledge of scheduling with mastery in at least three (3) or more modalities & insurance verification processes with three (3) years scheduling experience in an acute care setting
Experience in complex facility based ancillary testing across multiple facilities/states
Strong knowledge of third-party & government payer billing & reimbursement guidelines as well as department performance standards & policies & procedures
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
This position operates remote in an in-home environment or in an onsite typical office environment. The area is well lit, temperature controlled and free from hazards.
Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues.
Manual dexterity is needed to operate a keyboard. Hearing is needed for extensive telephone and in person communication.
The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions.
Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.
Ability to thrive in a fast-paced, multi-customer environment, with conflicting needs which some may find stressful. May warrant varied and/or extended hours, with changes in workload and priorities to keep pace with the industry and advance strategic priorities.
Must possess the ability to comply with Trinity Health policies and procedures.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
