What are the responsibilities and job description for the Patient Intake Specialist position at Eisenhower Medical Center?
Job Objective: A brief overview of the position.
The position is responsible for patient scheduling, accurate registrations, insurance verification, authorization/pre-certification, financial responsibility, financial aid, point of service collections, cash pay quotes and customer service
Reports to
Supervisor, Manager, Director
Supervises
N/A
Ages of Patients
Adult
Geriatric
Blood Borne Pathogens
Minimal/ No Potential
Qualifications
Education
Required: High School Diploma, GED or Higher Level Degree
Licensure/Certification
N/A
Experience
Preferred: Previous experience in Healthcare setting and/or Customer Service Experience
Preferred: Medical terminology, payment processing, Hospital based Federal Rules, Regulations and procedures, safety practices
Essential Responsibilities
Schedules patients with accurate information , including appropriate follow-up on call-backs, faxed orders, orders submitted through order facilitator, etc ..
Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
Properly identifies patients by using proper method of retrieving patient history/information, avoiding creation of duplicate Medical Records for additional patient visits.
Registers patients and maintains compliance according to departmental benchmark guidelines. Verifies and accurately enters and updates patient information while registering as per departmental guidelines.
Reviews insurance eligibility, updates account with accurate information obtained from the health plan and releases the insurance based upon verification process.
Identifies and collects co-pays/deductibles based on insurance eligibility information and/or EMC uninsured Cash Discount quotes for, outpatient services, and inpatient admissions.
Ensure that all HIPAA regulation information is completed appropriately.
Prepares all appropriate Medicare Advanced Beneficiary Notice (ABN) and (LMRP) program requirements, including patient notification and signature requirements at time of service.
Completes the Medicare Screening Form for all Medicare patients and adheres to completion per Medicare requirements.
Ensures that all required insurance authorization/pre-certification has been attained to ensure correct payment from the health plan.
Ensures that patients are aware of the insurance benefit coverage and their financial responsibility.
Provides patients who qualify for uninsured discount with a cash quote.
Provides patient and/or family with all available linkage programs for financial assistance.
Displays knowledge of and adheres to Admitting department Policy and Procedures.
Attends and participates in all staff meetings.
All other duties, as assigned.
Successfully completes Admitting training orientation program(s).
Maintains registration error accuracy rate of 95% or higher. Demonstrates and maintain all other departmental accuracy and productivity standards.
Successfully completes all required training courses.
Demonstrates an advanced knowledge of insurances, including eligibility, benefit coverage, authorization/pre-certification, and other relevant information.
Demonstrates proficiency and expertise with various uninsured patient linkage programs.
Employment Type: Per-Diem
Shift: Day
Hours: 8 Hour Shift
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