SUMMARY
• Views insurance card(s) and scans into computer system reviewing for mandatory precertification and/or other third party payer requirements
• Collects complete financial information to include payer name, identification number, group number, subscriber name, guarantor name and address, and precertification numbers
• Selects appropriate financial class and insurance code
• Performs online real-time eligibility verification and registration scrub via Epic and makes changes to registration errors accordingly and in a timely fashion
• Screens for insurance eligibility via insurance websites, where appropriate
• Completes Medicare Secondary Payer Questionnaire for all Medicare-eligible patients
• Completes all admission forms required by Medicare
STATUS: Part Time
LOCATION: SLH - Canton Potsdam Hospital
DEPARTMENT: Admin/Business Support
SCHEDULE: All Shifts
ATTRIBUTES
o Medical Terminology
o EHR Programs (e.g. Epic)
o ICD-10, CPT, HCPCS codes and coding processes
o Hospital billing processes and reimbursement
RESPONSIBILITIES
• Interviews the patient and/or family member either in person or by telephone to collect demographic, financial, and medical information
• Performs correct name inquiry and identifies patient according to policy and procedure without errors
• Collects complete demographic information of patient including address, phone number, and employer
• Collects medical information to include patient complaint
• Explains consent information, obtains signatures, witnesses (legibly) with no omissions
• Obtains copy of patient identification document(s)
• Completes registration process within five minutes for preregistered patients and ten minutes for non-preregistered
• Contacts physician offices to obtain and confirm patient information
UNION:
1199-200B Clerical Workers (CPH)Note: Not all per diem roles are union eligible
EDUCATION:
LICENSES / CERTIFICATIONS:
PHYSICAL REQUIREMENTS:
S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.
PAY RANGE:
$18.70 - $27.44The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.