Description

Are you interested in building a career with other TOP PERFORMERS?

Effingham Health System is committed to providing exceptional care and services in an environment that supports professional growth, diversity, and inclusion.

Every team member's experience and work-life balance are a priority in our organization.

EHS culture encourages and supports individuals in pursuing their career goals and wellbeing by providing work-life balance, flexible scheduling, career development, and all the benefits and perks you need for you and your family.

Benefits:

• Retirement plan 403 (b) and 457
• Health insurance
• Dental insurance
• Vision insurance
• Prescription Drug Plan
• Hospital Discount
• Flexible spending account
• Paid time off
• Extended Days off (Sick time)
• Employee assistance program
• Strive365 Wellness Program
• Basic Life insurance (Employer Paid)
• Voluntary Life insurance/Accident/Critical Illness
• Disability (LTD and STD)
• Tuition reimbursement
• Legal and ID Shield
• Discounted Gym membership
• Cafeteria Payroll Deduction
• Employee Perks Program
• Student Loan Relief and Assistance
• Employee Rewards and Recognition Program
• Bereavement Leave

JOB SUMMARY

Under the general direction of the Patient Access Manager, and in accordance with The Joint Commission, federal, state, and local guidelines, organizational and departmental policies and procedures, the A/R Benefits & Collections Coordinator will provide financial planning assistance to non-emergent patients as well as perform pre-registration for patients presenting for services, maintain documentation, verify demographics, order information, insurance, and accept payments. He/she will also educate patients having services on their insurance benefits and estimated liability and collect from them before the date of service. The A/R Benefits & Collections Coordinator will work the radiology and operating room services schedules timely enough to notify patients of estimated liability and verify existing authorization to protect the revenue of our facility. The A/R Benefits & Collections Coordinator will act as a liaison between the patient and the scheduling departments/registration. The employee will communicate with medical staff, other departments, and outside agencies while maintaining confidentiality. Position requires self-motivation, creativity, and capabilities to function in a semi-autonomous role within a fast-paced and dynamic environment.

STANDARDS OF PERFORMANCE

1. Performs pre-registration for all scheduled patients presenting for service. This includes speaking with the patient to validate all demographic data, insurance information, emergency contact information, etc. going over the insurance benefits with the patient, going over the patient’s estimated liability, educating the patient if they do not understand, answering any questions they may have, and making sure we have current and correct information to bill a clean claim.
2. Act as a liaison between the patient and the scheduling department and registration.
3. Responsible for calling the insurance company to confirm the authorization obtained by the scheduling department to ensure we have the correct authorization for the correct physician, correct facility, correct procedure, etc. in order to protect revenue.
4. Obtains, inputs, and transcribes accurate patient data.
5. Responsible for calling scheduled surgery and radiology patients to advise them of their estimated patient liability before the date of service and noting accounts of patient intention to pay if not paid over the phone.
6. Performs Financial Counseling and registration for patients presenting for services as needed following standards outlined in the Financial Counselor job description.
7. Responsible for running a report to follow up on accounts that did not pay up front, to include calling those patients for payment over the phone.
8. Responsible for working outpatient self-pay accounts for Centralized Scheduling before they schedule the procedure.
9. Perform all work with accuracy, efficiency and quality.
10. Perform all work and assigned duties promptly
11. Act in compliance with established hospital policy and procedure, including code for releasing of information
12. Cooperate with personnel in other departments.
13. Maintain all equipment in proper working order and comply with procedures for reporting repair of equipment.
14. Maintain a neat, orderly work area.
15. Perform other duties assigned or required by the Patient Access Team Lead, Supervisor, or Manager.
16. Ensures adherence to proper infection control, OSHA, and safety standards.
17. Maintains knowledge to answer any patient inquiry regarding their account/insurance.
18. Scan of all records into electronic medical records.
19. Provides Advance Directives and Organ/Tissue Donor information to all patients as per hospital policy/procedure.
20. Act as an ambassador for the facility by interacting with clients, family members, and staff in a friendly, caring, professional manner.
21. Requires completion of certifications with Hometown Health, as determined by management.
22. Performs other duties as assigned/needed/required within scope of job and training.
23. Provides support for other team members when needed and promotes positive teamwork environment.

Requirements

Minimum Level of Education: Education level equivalent to completion of High School.

Formal Training: Must be able to add, subtract, multiply, and divide into all units of measure, using whole numbers, common fractions, and decimals. Will have the ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Licensure, Certification, Registration: Will be required to obtain Hometown Health Certifications by the 90-day review and renew annually.

Work Experience: Working knowledge of health insurance, deductibles, co-pays, and co-insurance required. Minimum of 24 months (2 years) experience in customer service, patient registration, and/or collections preferred. Position requires a comfort level with out-of-pocket collections activities, as well as a thorough understanding of the accuracy needed for the capture of demographic and third-party payer information. Must have a thorough understanding of how the healthcare revenue cycle works.

Tools and Equipment Used:

Calculator, personal computer, telephone, facsimile machine, paper shredder, copier, printer