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Patient Intake Specialist - Pre-Reg/Scheduling

Company: Eisenhower Medical Center
Location: Rancho Mirage
Posted on: June 6, 2021

Job Description:

  • Job Objective: A brief overview of the position.
  • The position is responsible for patient scheduling, accurate registrations, insurance verification, authorization/pre-certification, financial responsibility, financial aid, point of service collections, cash pay quotes and customer service.

  • Reports to
  • Supervisor, Manager, Director

  • Supervises
  • N/A

  • Ages of Patients
  • Adult

  • Geriatric

  • Blood Borne Pathogens
  • Minimal/ No Potential

  • Qualifications
  • Education
  • Preferred: Some college hours

  • Licensure/Certification
  • N/A

  • Experience
  • Required: 1-2 years of hospital/physician scheduling, admitting, registration or billing

  • Preferred: Previous experience in Healthcare setting and prior Customer Service Experience

  • Essential Responsibilities
  • Schedules patients with accurate information , including appropriate follow-up on call-backs, faxed orders, orders submitted through order facilitator, etc..

  • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.

  • Properly identifies patients by using proper method of retrieving patient history/information, avoiding creation of duplicate Medical Records for additional patient visits.

  • Registers patients and maintains compliance according to departmental benchmark guidelines. Verifies and accurately enters and updates patient information while registering as per departmental guidelines.

  • Reviews insurance eligibility, updates account with accurate information obtained from the health plan and releases the insurance based upon verification process.

  • Identifies and collects co-pays/deductibles based on insurance eligibility information and/or EMC uninsured Cash Discount quotes for, outpatient services, and inpatient admissions.

  • Ensure that all HIPAA regulation information is completed appropriately.

  • Prepares all appropriate Medicare Advanced Beneficiary Notice (ABN) and (LMRP) program requirements, including patient notification and signature requirements at time of service.

  • Completes the Medicare Screening Form for all Medicare patients and adheres to completion per Medicare requirements.

  • Ensures that all required insurance authorization/pre-certification has been attained to ensure correct payment from the health plan.

  • Ensures that patients are aware of the insurance benefit coverage and their financial responsibility.

  • Provides patients who qualify for uninsured discount with a cash quote.

  • Provides patient and/or family with all available linkage programs for financial assistance.

  • Displays knowledge of and adheres to Admitting department Policy and Procedures.

  • Attends and participates in all staff meetings.

  • All other duties, as assigned.

  • Successfully completes Admitting training orientation program(s).

  • Maintains registration error accuracy rate of 95% or higher. Demonstrates and maintain all other departmental accuracy and productivity standards.

  • Successfully completes all required training courses.

  • Demonstrates an advanced knowledge of insurances, including eligibility, benefit coverage, authorization/pre-certification, and other relevant information.

  • Demonstrates proficiency and expertise with various uninsured patient linkage programs.

Keywords: Eisenhower Medical Center, Palm Springs , Patient Intake Specialist - Pre-Reg/Scheduling, Other , Rancho Mirage, California

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