REQUIRED QUALIFICATIONS:

• High School Diploma/GED (or higher)
• 1+ years of experience in a hospital, office setting, customer service setting, or phone support role
• Ability to work onsite in the Emergency Department at 1 Atwell Rd Cooperstown, NY
• Ability to work any of our 8-hour shift schedules during our normal business hours including rotating weekends
• Must be 18 years of age or older

PREFERRED QUALIFICATIONS:

• Experience with Microsoft Office products
• Experience in a Hospital Patient Registration Department, Physician office or any medical setting
• Experience in insurance reimbursement and financial verification
• Experience in requesting and processing financial payments
• Working knowledge of medical terminology
• Understanding of insurance policies and procedures
• Ability to perform basic mathematics for financial payments

SOFT SKILLS:

• Strong interpersonal, communication and customer service skills

PRIMARY RESPONSIBILITIES:

• Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits
• Utilizes computer systems to enter access or verify patient data in real – time ensuring accuracy and completeness of information
• Gathers necessary clinical information and processes referrals, pre-certification, pre-determinations, and pre-authorizes according to insurance plan requirements
• Verifies insurance coverage, benefits, and creates price estimates, reverifications as needed
• Collects patient co-pays as appropriate and conducts conversations with patients on their out-of-pocket financial obligations
• Identifies outstanding balances from patient’s previous visits and attempts to collect any amount due
• Responsible for collecting data directly from patients and referring provider offices to confirm and create scheduled appointments for patient services prior to hospital discharge
• Responds to patient and caregivers’ inquiries related to routine and sensitive topics always in a compassionate and respectful manner
• Generates, reviews, and analyzes patient data reports and follows up on issues and inconsistencies as necessary
• Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units