Reviews alpha census daily and visits in-house patients; collects estimated patient liable amounts; works closely with outside agencies to ensure patient coverage.
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
- Visit all self-paying patients in-house
- Provide estimates to patients and/or physicians as requested
- Generate insurance verification and precertification reports daily and follow up with case management and insurance verification departments as appropriate
- Post ER and Patient Access deposits into PA system
- Contact insurance companies for patient benefits and precertification requirements
- Review alpha census daily for visits exceeding the original length of precertification and work closely with utilization review for concurrent certification
- Assist patients with payment arrangements and charity applications
- Work closely with outside agencies in helping patients apply for Medicaid and state aid
- Maintain insurance files regarding updates and changes
- Forward problems or concerns to Patient Access Manager
- Enter pertinent insurance information into CPCS and prorate account
- Enter notes into the collections system for all patient encounters
- Maintain professional image and implement excellent customer service to customers
- Complete financial analysis and collect estimated patient liabilities
- Follow up with patients for necessary signatures if they were incomplete at time of hospitalization
- Consistently receive and receipt payments from patients for hospital services in accordance with internal cash control procedures
- Interact with Revenue Service Center Insurance Verification Department in establishing up-front payment arrangements with patients
- Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
- Other duties as assigned
Qualifications
- Communication – communicates clearly and concisely, verbally and in writing
- Customer orientation – establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
- Interpersonal skills – able to work effectively with other employees, patients and external parties
- PC skills – demonstrates proficiency in PC applications as required
- Policies & Procedures – demonstrates knowledge and understanding of organizational policies, procedures and systems
- Basic skills – able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately
EDUCATION
- High school diploma or GED required
EXPERIENCE
- At least one year of collections experience required
- Relevant education may substitute experience requirement
Parallon
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