Primarily responsible for providing effective customer service for all internal and external customers by utilizing excellent, in-depth knowledge of hospital admissions and outpatient services.
- Interview patients to obtain insurance benefits, proof of coverage and pre-certification/authorization for inpatients, surgical patients and required outpatients.
- Registers outpatients and prepares proper documentation for outpatient procedures where applicable.
- Processes inpatient admissions and prepares proper documentation for services where applicable.
- Accepts patient payments and records appropriately.
- Greet and assist patients and visitors in a manner consistent with Hospital customer service guidelines.
- Advise patients regarding insurance coverage and estimate patient’s responsibility.
- Inform patients of available sources of assistance from outside public and private agencies or refer patient to financial counselor.
- Obtain verification of insurance coverage and benefits payable from insurance companies or other third party payers.
ADDITIONAL RESPONSIBILITIES:
- Perform other functions as required.
KNOWLEDGE/SKILL/ABILITIES:
- Basic computer knowledge
- Basic medical terminology
- Good typing skills
AGE-RELATED COMPETENCIES: Demonstrates the basic knowledge and skills (cognitive, technical and interpersonal) necessary to identify age-specific patient needs appropriate for all age groups.
Information Management: Treats all information and data within the scope of the position with appropriate confidentiality and security.
Risk Management/Quality Management/Safety: Cooperates fully in all Risk Management, Quality Management, and Safety Activities and Investigations.
MINIMUM POSITION QUALIFICATIONS:
- Education – High school diploma or equivalent.
- Work Experience – Customer service experience preferred, good communication skills required.
- Training – N/A
- License/Certification – N/A
ENVIROMENTAL CONDITIONS: Work environment consists of daily patient contact, which may include exposure to blood, or other body fluids.