What are the responsibilities and job description for the Pre-Service Financial/Pre-Registration - (Health Annex) position at Sullivan County Community Hospital?
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
Day Shift
Monday - Friday
80 hrs/Bi-Weekly
