Pre-Service Financial Clearance at Sullivan County Community Hospital

Sullivan, Indiana, United States -

Full Time

Start Date

Immediate

Expiry Date

13 Apr, 26

Salary

0.0

Posted On

13 Jan, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Access, Medical Billing, Prior Authorization, Medical Terminology, CPT Coding, HCPCS Coding, ICD-10 Coding, Meditech, MS Excel, Collaboration, Flexibility, Documentation, Insurance Verification, Financial Counseling, Pre-registration, Customer Service

Industry

Hospitals and Health Care

Description

QUALIFICATIONS Education * High school diploma or equivalent * Associate degree preferred Experience/Skills * Has one year patient access, medical billing, or prior authorization experience * Possesses medical terminology and CPT/HCPCS/ICD-10 coding knowledge * Demonstrates proficiency in Meditech and MS Excel * Professionally collaborates with staff at various levels throughout the organization, including, but not limited to: Physician Practices, HIM, Information Systems, Patient Financial Services and Clinical Directors * Works efficiently with minimal supervision * Remains flexible to accommodate staffing shortages in the Patient Access department Required Licenses/Certifications * N/A Working Conditions * Works in a well-ventilated, well-lit general office environment * Works well under pressure with attention to time constraints ROUTINE RESPONSIBILITIES Behavioral Expectations * Consistently complies with established Behavioral Expectations Essential Duties * Calls patient prior to service to verify demographics and insurance, and notifies of copay amount that is expected at time of service * Verifies insurance eligibility and benefits directly with payer or on payer Website prior to scheduled appointment * Pre-registers patient in Meditech and ensures billing information matches in Athena for clinical staff * Prints face sheet and labels * Documents when unable to reach patient prior to visit so that department secretary can verify demographic information at time of service * Indicates copay amount due on the face sheet sent over to office * Educates insured patient on their insurance benefits payment obligations and installment requirements prior to services * Documents all information obtained during pre-registration activities * Identifies uninsured, underinsured and low-income patients * Refers uninsured, underinsured, and low-income patients to Financial Counselors for financial assistance options and other arrangements prior to patient visit * Collaborates with Patient Account Reps and Front Desk staff before patient is seen to prevent avoidable write-offs Full Time/Day Shift 80 hours/Bi-weekly

Responsibilities

The role involves calling patients to verify demographics and insurance, educating them on payment obligations, and ensuring accurate pre-registration in the system. Additionally, the position requires collaboration with various departments to prevent avoidable write-offs.