Job Type: Regular
Time Type: Full time
Work Shift: Day (United States of America)
FLSA Status: Non-Exempt
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Job Description:
Scheduling:
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Initiates patient scheduling activities by prioritizing and accessing a variety of sources, including patient phone calls, orders, recall lists, and scheduled order work queues.
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Utilizes a variety of information sources to schedule, reschedule and cancel patient appointments. Information sources include online questionnaires, offline materials and subgroup searches.
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Establishes working relationship with staff of assigned clinical departments. Understands and correctly applies unique clinical department scheduling protocols.
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Remains current on scheduling protocols and applies judgment, or seeks management assistance, to ensure safe patient care when clinical department scheduling protocols do not meet patient needs.
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Ensures all required key patient scheduling and registration information is captured and verified. Key information includes referring physician information, insurance coverage, demographics and contact information.
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Identifies and communicates to Patient Access management issues that may impact the timeliness and accuracy of patient appointments and subsequent patient care.
Pre-Registration:
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Efficiently registers patients, capturing and verifying all required information in order to identify the patient, contact the patient, and receive proper reimbursement for services on initial claim submission.
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Ascertains, creates and assigns the guarantor for each patient, including personal/family relations, workers compensation insurance, third parties, behavioral health or others as required.
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Identifies, records and verifies patient insurance coverage using real time eligibility (RTE); reviews the insurer’s response to each verification request and takes appropriate action based on this response.
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Applies the appropriate guarantor and insurance to each patient visit.
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Communicates financial clearance status to patients. Advises patients of self-pay status and payment responsibility and schedules patients with Financial Counseling as needed.
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Collects co-payments when appropriate and required.
Registration:
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Registers patients presenting for visits. Explains the registration process to patients and responds to patient questions.
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Processes patient co-payments, co-insurance, deductibles and balances due. Safeguards cash, checks and receipts and reconciles cash drawer at end of each business day. Assists patients with Kiosk check-in as needed.
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Completes the Medicare Secondary Payor Questionnaire for each patient and adjusts patient coverage based on results.
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Instructs patients and obtains signatures on consent forms, financial forms and other documents required by the clinical department; distributes documents to patients; scans, processes and records receipt of all documents collected during registration encounter.
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Counsels patients regarding non-covered services, obtaining signatures on Advance Notice Beneficiaries (ABNs) and waivers.
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Monitors patient waiting area for a smooth, efficient registration flow. Advises patients of potential delays and takes steps to ensure a pleasant patient experience.
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Completes registrations on inpatient units who may be missing information from their original registration
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Responds to patient concerns and potential patient safety issues accordingly. Recognizes health conditions that are a possible risk to others and adheres to appropriate established procedures to help contain risk.
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Assures a neat, orderly registration desk and patient waiting area, securing all confidential patient information.
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Collects co-payments when appropriate and required.