Cape Cod Healthcare
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Purpose of Position To obtain accurate and complete patient information and payer verification in a customer focused manner, to assure expedient care and accurate billing.
Schedule Details 24 Hrs per week, Rot Nights, 11p-7a, E/O Weekend & Rot Holidays
Organization Cape Cod Hospital
Primary Location Massachusetts - Hyannis
Department CCH-Patient Access
Seniority level Entry level
Employment type Full-time
Job function Health Care Provider
Industries Hospitals and Health Care
Responsibilities
Interview patients and/or patient representatives to obtain required information necessary to complete the registration process in the hospital information system and maintain the accuracy, confidentiality and integrity of the automated database.
Coordinate and communicate accurate and updated registration, admission and pre‑admission activities with Medical Records, Care/Case Management, Utilization Management, physicians’ offices, patient accounts and other hospital departments to support appropriate, accurate, safe and effective patient care.
Initiate and maintain organized files and records related to orders, payer authorizations, booking slips, schedules and other documents per department procedures.
Contact patients, employers, insurers and patient representatives to obtain insurance and other information necessary to secure hospital reimbursement, verify benefits and pre‑certify all insurance plans to ensure maximum reimbursement to the hospital.
Obtain referrals and authorizations required, document complete information along with approved bed status when applicable, and obtain pre‑certifications in a manner to ensure maximum allowable reimbursement to the hospital.
Maintain a thorough knowledge of departmental policies and procedures to ensure maximum reimbursement to the hospital.
Attend departmental and other meetings as requested by the immediate supervisor.
Ensure timely placement of patients in the most effective and appropriate manner. Process admissions, discharges and transfers of all hospital patients per department procedures.
Explain and process payments from patients, including co‑pays, co‑insurance and deductibles.
Follow department procedures related to securing payment information and providing patient receipts.
Provide information to patients and/or representatives on Health Care Proxy, Advanced Beneficiary Notice, Important Medicare Message (IMM) forms and financial issues, and refer to the Financial Counselor when appropriate. Obtain completed forms as available.
Consistently provide service excellence to all patients, family members, visitors, volunteers and co‑workers.
Perform other work related duties and activities as assigned or requested by manager/supervisor.
Qualifications
Ability to read, write and communicate in English at the level of a high school graduate.
Typing speed of at least 25 WPM as demonstrated by a timed test.
Computer skills sufficient to perform job functions accurately and productively.
Successful completion of a Medical Terminology course or a Medical Terminology challenge exam.
Ability to work independently and under pressure.
EEO Statement:
We are an equal opportunity employer committed to diversity and inclusion.
#J-18808-Ljbffr
Purpose of Position To obtain accurate and complete patient information and payer verification in a customer focused manner, to assure expedient care and accurate billing.
Schedule Details 24 Hrs per week, Rot Nights, 11p-7a, E/O Weekend & Rot Holidays
Organization Cape Cod Hospital
Primary Location Massachusetts - Hyannis
Department CCH-Patient Access
Seniority level Entry level
Employment type Full-time
Job function Health Care Provider
Industries Hospitals and Health Care
Responsibilities
Interview patients and/or patient representatives to obtain required information necessary to complete the registration process in the hospital information system and maintain the accuracy, confidentiality and integrity of the automated database.
Coordinate and communicate accurate and updated registration, admission and pre‑admission activities with Medical Records, Care/Case Management, Utilization Management, physicians’ offices, patient accounts and other hospital departments to support appropriate, accurate, safe and effective patient care.
Initiate and maintain organized files and records related to orders, payer authorizations, booking slips, schedules and other documents per department procedures.
Contact patients, employers, insurers and patient representatives to obtain insurance and other information necessary to secure hospital reimbursement, verify benefits and pre‑certify all insurance plans to ensure maximum reimbursement to the hospital.
Obtain referrals and authorizations required, document complete information along with approved bed status when applicable, and obtain pre‑certifications in a manner to ensure maximum allowable reimbursement to the hospital.
Maintain a thorough knowledge of departmental policies and procedures to ensure maximum reimbursement to the hospital.
Attend departmental and other meetings as requested by the immediate supervisor.
Ensure timely placement of patients in the most effective and appropriate manner. Process admissions, discharges and transfers of all hospital patients per department procedures.
Explain and process payments from patients, including co‑pays, co‑insurance and deductibles.
Follow department procedures related to securing payment information and providing patient receipts.
Provide information to patients and/or representatives on Health Care Proxy, Advanced Beneficiary Notice, Important Medicare Message (IMM) forms and financial issues, and refer to the Financial Counselor when appropriate. Obtain completed forms as available.
Consistently provide service excellence to all patients, family members, visitors, volunteers and co‑workers.
Perform other work related duties and activities as assigned or requested by manager/supervisor.
Qualifications
Ability to read, write and communicate in English at the level of a high school graduate.
Typing speed of at least 25 WPM as demonstrated by a timed test.
Computer skills sufficient to perform job functions accurately and productively.
Successful completion of a Medical Terminology course or a Medical Terminology challenge exam.
Ability to work independently and under pressure.
EEO Statement:
We are an equal opportunity employer committed to diversity and inclusion.
#J-18808-Ljbffr