Obtains and/or verifies patient demographics, insurance information/eligibility, and benefits
Responsible for informing patients and/or clinical staff of the proper preparation and instructions for the tests ordered
Notifies patient of the location of the appointment date & time, test, and/or procedure
Patient Experience
Obtains crucial confidential patient identification information including patient records, signatures, and payment information repeatedly and ensures HIPAA guidelines are enforced
Effectively communicates NMHS’ organizational revenue cycle and financial policies including estimates, charity plans and payment options to patients and patient representatives
Provides bedside registration to obtain consent form signatures, collect insurance, and other confidential information pertinent information to ensure accurate medical record data entry that aligns with CMS and other regulatory agencies
Collections & Financial Arrangements
Ensures team members are providing estimates to guarantors for elective procedures and collection attempted at the point of pre-registration or point of service
Ensures team members are administering ABNs when necessary
Ensures accounts are financially secure prior to service
Ensures timely and accurate processing of accounts in accordance with best practices, defined workflow, procedures, and applicable legislation/regulations
Denials Management
Corrects front end errors real time to minimize denial throughput
Develops strategy for consistently obtaining accurate, timely, and beneficial patient demographic information
Review post service denials to assist in developing front end strategies to reduce denial inflow
Identifies trends and reports potential significant and recurring issues along with possible solutions to leadership
Takes proactive, corrective action through systematic and procedural development to reduce incoming denials
Contract Management
Maintains familiarity with payer methodologies to ensure accurate estimates are communicated with patients & system variances are communicated with leadership
