Lifespan
SUMMARY
General supervision but according to established credit policies and procedures, interview and register patients for Emergency/Trauma Center or Ambulatory treatment by obtaining demographic, third-party insurance and related financial information, entering same to on-line computer system. Complete third-party documentation, discuss any existing balances for previous Hospital services rendered and make preliminary determination on welfare eligibility. Request cash deposit approximating charge for scheduled services or co-insurance if applicable, and/or the co-payment required by third party coverage for clinic visits and outpatient ancillary service. Arrange payment terms. Contact Patients Accounts Advocate, when applicable. Determine eligibility for free service when necessary. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences; Patient and Community Focus and Collaborate.
RESPONSIBILITIES Compete Hill-Burton application when patient lacks evidence of adequate health insurance coverage, according to established criteria for provision of uncompensated hospital services. Require patient to sign statement of financial responsibility. Assist patient to apply for welfare coverage, if no coverage is obtained or if cannot pay. Determine eligibility for Rhode Island Hospital free service for clinic visit only, using sliding scale and based on established guidelines for same. Advise Senior Patient Advocate of patients lacking health insurance coverage and/or sources of income sufficient to reimburse Hospital for services rendered. Complete documentation required to initiate commercial insurance, Workers’ Compensation and/or CHAMPUS claims. Verify third-party insurance plan numbers and benefit level. Document all information obtained in PMAS accounting notes. Contact insurance carrier when necessary to obtain treatment authorization and co-payment information. Obtain authorization for treatment from health maintenance organizations, verifying coverage as needed. Discuss existing Hospital account balances and arrange payment schedule for same. Request evidence of coverage or requested payment ranging from partial to full cost for clinic visit or entire treatment series. Require completion of financial information to make payment arrangements when patient unable to pay entire amount. Upon determination that a liability claim exists, complete lien form and notes in PMAS accounting file. Collect cash/credit card payment for Outpatient/Emergency/Trauma services when possible. Post payments to specific general ledger account. Prepare bank deposit for pickup by cashier twice daily. Determine priority of health insurance coverage. Register all patients on-line by entering appropriate data to computer system via terminal. Emboss identification card in order to initiate or update patient Hospital record. In ambulatory registration, register all patients for PAC Operating Room, clinics and ancillary areas. Take APC Operating Room bookings and initiate all charge vouchers for out-patient procedures in Emergency Department registration, notify appropriate security agency of emergency treatments resulting from assaults, gunshot wounds, animal bites, accidents and the like, according to Rhode Island State Department of Health regulations. Follow up on third-party documentation from Private Physician offices and other hospital off-hour ancillary areas.
MINIMUM QUALIFICATIONS Basic Knowledge: A level of knowledge generally obtained through completion of High School with additional math and computer courses. Well developed interpersonal and communication skills in order to obtain patient information and deal effectively with the public at point of contact. Persuasive collection techniques. Ability to tactfully set payment arrangement terms and collect money. Full knowledge of third party health insurance claims processing, coverage and documentation requirements. Math skills and the ability to operate on-line computer terminal. Acquired knowledge of Accounting Department patient billing systems. Experience: 1 to 12 months of previous clerical support experience is required, preferably in a setting that demonstrates ability to function effectively in high-volume clinics. Previous experience with on-line data entry access system required.
WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS Working conditions are generally good, little discomfort due to noise, heat, and dust.
SUPERVISORY RESPONSIBILITY None.
PAY RANGE $21.26-$21.81
EEO STATEMENT Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
LOCATION Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903
WORK TYPE As needed Monday - Sunday
WORK SHIFT Day
DRIVING REQUIRED No
UNION International Brotherhood Teamsters
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RESPONSIBILITIES Compete Hill-Burton application when patient lacks evidence of adequate health insurance coverage, according to established criteria for provision of uncompensated hospital services. Require patient to sign statement of financial responsibility. Assist patient to apply for welfare coverage, if no coverage is obtained or if cannot pay. Determine eligibility for Rhode Island Hospital free service for clinic visit only, using sliding scale and based on established guidelines for same. Advise Senior Patient Advocate of patients lacking health insurance coverage and/or sources of income sufficient to reimburse Hospital for services rendered. Complete documentation required to initiate commercial insurance, Workers’ Compensation and/or CHAMPUS claims. Verify third-party insurance plan numbers and benefit level. Document all information obtained in PMAS accounting notes. Contact insurance carrier when necessary to obtain treatment authorization and co-payment information. Obtain authorization for treatment from health maintenance organizations, verifying coverage as needed. Discuss existing Hospital account balances and arrange payment schedule for same. Request evidence of coverage or requested payment ranging from partial to full cost for clinic visit or entire treatment series. Require completion of financial information to make payment arrangements when patient unable to pay entire amount. Upon determination that a liability claim exists, complete lien form and notes in PMAS accounting file. Collect cash/credit card payment for Outpatient/Emergency/Trauma services when possible. Post payments to specific general ledger account. Prepare bank deposit for pickup by cashier twice daily. Determine priority of health insurance coverage. Register all patients on-line by entering appropriate data to computer system via terminal. Emboss identification card in order to initiate or update patient Hospital record. In ambulatory registration, register all patients for PAC Operating Room, clinics and ancillary areas. Take APC Operating Room bookings and initiate all charge vouchers for out-patient procedures in Emergency Department registration, notify appropriate security agency of emergency treatments resulting from assaults, gunshot wounds, animal bites, accidents and the like, according to Rhode Island State Department of Health regulations. Follow up on third-party documentation from Private Physician offices and other hospital off-hour ancillary areas.
MINIMUM QUALIFICATIONS Basic Knowledge: A level of knowledge generally obtained through completion of High School with additional math and computer courses. Well developed interpersonal and communication skills in order to obtain patient information and deal effectively with the public at point of contact. Persuasive collection techniques. Ability to tactfully set payment arrangement terms and collect money. Full knowledge of third party health insurance claims processing, coverage and documentation requirements. Math skills and the ability to operate on-line computer terminal. Acquired knowledge of Accounting Department patient billing systems. Experience: 1 to 12 months of previous clerical support experience is required, preferably in a setting that demonstrates ability to function effectively in high-volume clinics. Previous experience with on-line data entry access system required.
WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS Working conditions are generally good, little discomfort due to noise, heat, and dust.
SUPERVISORY RESPONSIBILITY None.
PAY RANGE $21.26-$21.81
EEO STATEMENT Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
LOCATION Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903
WORK TYPE As needed Monday - Sunday
WORK SHIFT Day
DRIVING REQUIRED No
UNION International Brotherhood Teamsters
#J-18808-Ljbffr