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
Manages expected reimbursement to ensure appropriate patient portion is collected prior to service
Develops strategy for partnering with business office to ensure estimates & transparency are accurate
Analyzes estimate variances to understand where/why deviations occurred
Identifies trends and reports potential significant and recurring issues along with possible solutions to leadership
Communication
Effectively communicates information to staff, internal and external customers
Creates strong customer service orientation and collaboration
Provides excellent customer service to all internal and external customers
Liaison
Contacts insurance companies, patients, and providers regarding authorizations, medical necessity, and financial responsibility
Serves as liaison between payers and hospital departments/physician offices or patients in resolving front end errors which would result in denials
Reporting
Assists in preparation of monthly error reports and other error reports as requested
Assists in preparation of monthly collections reports and other collection reports as requested
Knowledge Skills and Abilities.
Working knowledge of Registration systems, Medicare/Medicaid/Third Party Liability/Workers Compensation requirements
Proficient in Microsoft Office (Word, Excel, and Outlook)
Knowledge of applicable state and federal regulations relating to registering accounts and collecting at point of service
Excellent negotiating and analytical skills
Strong verbal and written communication skills;
Excellent interpersonal skills;
Effectively and efficiently prioritizes and organizes tasks
Provides supervision to direct reports
Develops, implements/evaluates projects (timely & efficient manner)
Evaluates and provides coaching for all employees within the scope of responsibility
Ensures accurate and timely collection of all appropriate patient estimates
Ensures effective monetary management of Deposits
Ensures timely and accurate processing of accounts in accordance with best practices, defined workflow, procedures, and applicable legislature/ regulations
Gathers and relays information with knowledge, tact, and diplomacy
Experiences daily contact with co-workers, patients, payers, and other NMHS/NMMC staff members
Exhibits strong written and verbal communication skills
Reflects a positive, caring attitude toward clients, patients, staff, and the public we serve
Evaluates and coaches reporting employees to accomplish major goals and objectives
Develops, implements/evaluates projects in a timely & efficient manner
Physical Demands
A thorough completion of this section is needed for compliance with legal standards such as the Americans with Disabilities Act. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Standing. Constantly
Walking. Frequently
Sitting. Rarely
Lifting/Carrying. Frequently 50 lbs
Pushing/Pulling. Frequently
Climbing. Occasionally
Balancing. Occasionally
Stooping/Kneeling/Bending. Frequently
Reaching/Over Head Work. Frequently
Grasping. Frequently
Speaking. Occasionally
Hearing. Constantly
Repetitive Motions. Constantly
Eye/Hand/Foot Coordination. Frequently
Salary Range
$16.62-$20.78
Education
High School Diploma, GED, or Project Search Graduate | Required
Certifications
