Allegheny Health Network
Job Description :
Responsible for the collection of demographic and financial information for patients presenting for services at JRMC. Responsible for the accurate input of information into the Patient Management System to insure timely billing and collection of accounts.
Interview patients/responsible family members to collect accurate demographic and insurance information required for the registration/admission process. Enter all information obtained into the Patient Management computer system and scan required documents into the on-line document imaging system.
Provide, explain, and obtain signatures on consents and mandatory letters for third party insurers.
Interpret on-line insurance eligibility responses to determine if a patient’s coverage is active and if all insurance information obtained is accurate. Use the information obtained to determine if authorizations or referrals are required and if JRMC is the appropriate service provider. Issue notices to patients choosing to use JRMC even if their insurance will not cover the services.
Input diagnosis and procedure codes on all Medicare outpatients into the web based medical necessity product to check for validity. If documentation provided does not support the service being performed, issue an ABN to the patient, recording the information in the Patient Management system.
Collect co-payments required by a patient’s insurance carrier and/or payments that have been pre-arranged on the day services are performed. Record all collections on a collection log. Balance and deposit the log/payments into a drop safe at the end of each shift.
High school diploma/GED
Prior clerical/office experience of 12 months
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