Customer Service Specialist- Healthy Beginnings Plus (Part-Time/Day Shift)

Summary

0.5 FTE, First shift, No Holidays / Weekends, Occasional evenings.

Job Description

HOURS : 20 / hrs / wk 8 : 00am-5 : 00pm Monday through Friday. No weekends or holidays

POSITION SUMMARY : Provides complete and accurate patient scheduling, registration, insurance verification, coordination of applicable screening and diagnostic services, and physician office collaboration. Capable of coordinating and communicating effectively during increased volumes or with complex patients.

ESSENTIAL FUNCTIONS : Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties :

• This position will primarily focus on billing, insurance verification, and registration.
• Performs complete and accurate patient registration including but not limited to : walk in, check-in, and / or scheduled.
• Demonstrates ability to successfully adapt and perform during times of high volumes and / or high patient acuity. Demonstrates skill to service both hospital and physician office patients, as assigned.
• Supports inbound and outbound calls to or from patients, guests, or appropriate parties to provide services. Effectively manages general patient complaints / concerns in a professional manner, escalating more complex issues to supervisor / manager as needed.
• Understands and supports Point of Service Collections. Performs all necessary functions needed to collect patient obligations.
• Refers patient to appropriate person for questions regarding; collections, insurance coverages, and financial assistance.
• Disseminates or discusses information with the patients regarding co-pays, out of pocket expenses, pre-appointment preparation, arrival times, etc.
• Verifies patient, guarantor, coverage and hospital account information. Performs required referral / authorization processes and enters orders for applicable tests.
• Understands insurance company coverage and referral / authorization requirements of payors. Performs electronic and manual verification of insurance coverage and understands how to read and accurately apply electronic insurance responses.
• Prepares and / or releases records or orders in the e-Health record. Scans all necessary documents into appropriate medical record. Understands the importance of patient's medical information that is documented on paper. Sends all pertinent information to document imaging or heath information management team with in the established time frames.
• Completes documentation for compliance and regulatory needs and / or release of orders. Retains knowledge and abides by all regulatory requirements pertaining to duties of position and overall operations (as applicable).
• Screens and accurately relays messages using protocols established for emergent, urgent and non-urgent calls.
• Demonstrates ability to register unscheduled patients requiring a full financial clearance.
• Completes assigned patient scheduling and registration work queues according to performance standards.
• Ability to resolve work queue issues and missing registration items via electronic medical record.

For Regional Positions :

SECONDARY FUNCTIONS : The following duties are considered secondary to the primary duties listed above :

JOB REQUIREMENTS

MINIMUM REQUIRED QUALIFICATIONS :

PREFERRED QUALIFICATIONS :

Benefits At A Glance :

PENN MEDICINE LANCASTER GENERAL HEALTH offers the following benefits to employees :

Disclaimer

PENN MEDICINE LANCASTER GENERAL HEALTHis an Equal Opportunity Employer, committed to hiring a diverse workforce. All openings will be filled based on qualifications without regard to race, color, sex, sexual orientation, gender identity, national origin, marital status, veteran status, disability, age, religion or any other classification protected by law.

Search Firm Representatives please read carefully : PENN MEDICINE LANCASTER GENERAL HEALTHis not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, all resumes submitted by search firms to any employee at PENN MEDICINE LANCASTER GENERAL HEALTHvia-email, the Internet or directly to hiring managers at Penn Medicine Lancaster General Health in any form without a valid written search agreement in place for that position will be deemed the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH, and no fee will be paid in the event the candidate is hired by PENN MEDICINE LANCASTER GENERAL HEALTHas a result of the referral or through other means.