What are the responsibilities and job description for the Clerical Specialist-Admissions/Regis position at Logan Regional Medical Center?
Description
JOB SUMMARY:
This role advises patients and/or guarantors of their benefits, financial responsibilities and secures payment of patient’s liability
JOB DUTIES & RESPONSIBILITIES:
- Smiles and provides caring customer service.Determines patient’s insurance benefits and eligibility requirements.
- Determines patient’s precertification requirements.
- Explains insurance benefit information to patients.
- Provides patients with an estimated liability amount due.
- Explains how the financial responsibility was determined.
- Explains payment options for estimated patient liability.
- Secures payment of estimated patient liability.
- Follows internal cash control procedures when securing payment(s) of estimated patient liability.
- Assists patients with establishing payment arrangements.
- Visits all in-house self-pay patients, evaluates and refers for Medicaid eligibility and/or presumptive coverage and other indigent programs; state, hospital charity, etc.
- Visits all in-house patients with an estimated patient liability to explain insurance benefit information and estimated patient liability.
- Follows up with patients if registration information collected at the time of hospitalization was incomplete.
- Enters updated patient demographic and insurance information in the computer system.
- Enters pertinent notes into the collection notes of the registration system. If the patients account has final billed, enter the notes in the appropriate collection notes system.
- Works closely with outside agencies and/or vendors in assisting patients applying for Medicaid and/or State aid.
- Assists patients and consumers in applying for Health Insurance Marketplace insurance.
- Maintains a professional image and provides excellent customer service to patients and consumers.
- Attends department meetings, education sessions and hospital specific training programs.
- Meets/exceeds performance expectations within required timeframes.
- Practices and adheres to the “Code of Conduct” philosophy and Mission and Value statement of the Hospital.
- Supports special projects and business analysis as requested.
- Adheres to all HSC/Hospital Policies and Procedures.
- Performs other duties as assigned.
Qualifications
Minimum Education:
- High school diploma or GED required.
Knowledge, Skill, and Abilities:
- Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
- Must be able to work in a stressful environment and take appropriate action.
