Patient Intake Specialist - Pre-Reg/Scheduling
Company: Eisenhower Medical Center
Location: Rancho Mirage
Posted on: March 17, 2023
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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
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