Job Summary: Greets patients and families in person or on the telephone. Obtains demographic, third party payer, financial information, medical information, and identification to schedule or register the patient for services. Obtains authorization and collects payments when required. Minimum Job Requirements:
1 year of medical/healthcare office experience required
Essential Job Duties:
Complies with applicable governmental regulations such as HIPAA (Health Information Portability and Accountability Act of 1996) and EMTALA (Emergency Medical Treatment Active Labor Act).
Greets patients & families in person or on the telephone displaying excellent customer skills and responds to questions and/or problems, keeping open lines of communication with patients/families.
Interviews patients/families to obtain demographic, third party payer, financial/medical information & identification to schedule, pre-register or register patient.
Verifies third party payer information via the web or telephone and seeks appropriate authorization for hospital and physician services.
Documents all activity as appropriate in the collection notes in the computer system.
Obtains all necessary consents for treatment of patients either in person or verbally. Directs families to waiting area to be called in.
Verifies patients are accompanied by legal guardian and notifies Risk Management if patient is present with anyone other than legal guardian for any non-emergent visits.
Notifies patient/family of deductibles, co-payments, deposits required or registration & requests payments for out-of-pocket expenses.
Communicates with departments/co-workers if any issues/questions arise or to accommodate any special needs for patients.
Obtains and validates prescription when appropriate.
Responsible for tracking patients arriving to office and correcting any registration errors made utilizing the QA system.
Scans all documents in the appropriate folder in the PEDS system.
Schedules hospital or physician services as appropriate.
Confirms appointments two days prior to visits.
High school education or equivalent preferred.
Ability to communicate effectively in English, verbally and in writing
Fluent in Spanish highly preferred
Able to accurately enter and interpret data
Able to adapt and react calmly under stressful conditions
Able to relate cooperatively and constructively with clients and co-workers
Able to serve customers with courtesy and respect
Able to maintain confidentiality of sensitive information
Ability to follow complex written or verbal instructions to solve problems
Able to establish necessary relations and interact effectively with internal and external customers
Able to take and respond to on-call shift or shifts as assigned on weekdays, weekends, and holidays