Patient Intake Specialist - Pre-Reg/Scheduling

Company: Eisenhower Medical Center
Location: Rancho Mirage
Posted on: March 17, 2023

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
* Required: High School Diploma or GED




* Licensure/Certification
* N/A




* Experience
* Preferred: Previous experience in Healthcare setting and/or Customer Service Experience


* Preferred: Medical terminology, payment processing, Hospital based Federal Rules, Regulations and procedures, safety practices






* 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