Position Summary:
Responsible for complete and accurate patient demographic information, verifies insurance, collects co-pays and deductibles, assist patient with filing for assistance and/or charity. Ensure all necessary signatures are obtained and patients are aware of hospital policies and procedures.
This position works closely with Intake, answers phones and assist with patient flow. Distributes appropriate information to ancillary departments. Participates in performance improvement and continuous quality improvement (CQI) activities.
Strong customer service, organizational and communication skills are essential to this position. In addition, understanding and adherence to Business Office policies as outlined in the Procedure Manual is required. This position requires an ability to prioritize multiple tasks simultaneously in a stressful environment. Also requires general computer skills, typing skills and a working knowledge OSHA and HIPAA guidelines.
Position Responsibilities:
Clinical / Technical Skills (40% of performance review)
-
Validates insurance information of patients for accuracy and completeness and resolve discrepancies as needed.
-
Collects co-pay, deductible and out of pocket expenses from patient at time of admission meeting the upfront collections success rate.
-
Update and maintains Front end log.
-
Verify all active clients Medicaid and Medicaid MCO on the first of each month.
-
Assist patients with filing for financial assistance.
-
Analyze patient data, from admission through discharge, to ensure that all key elements that affect billing and collections represent and accurate.
-
Provide notifications to patients or patients representatives including End of Coverage Notifications, Recertification application, and any other payor required documents.
-
Maintains Wellsky emails and responds timely and professionally.
-
Knowledgeable regarding insurance benefits and covered services of all Government and non-Government insurance programs.
-
Ability to obtain single case agreements (per site policy) with non-contracted insurance companies.
- Ability to determine patient financial responsibility based on payor guidelines.
-
Attention to detail, follow through on tasks, problem solve, trouble shoot and be able to multi-task in a fast-paced environment.
-
Ability to discuss personal and financial matters with patients and/or their representatives regarding credit and collection policies and procedures.
- Responsible for accepting admissions and pre-admitting these patients.
-
Responsible for preregistering patients for scheduled admissions and outpatient programs, obtaining authorization and checking insurance eligibility.
-
Responsible for interviewing patients or their representative, where admission is unscheduled, for obtaining personal information or verifying information already on file, including emergency numbers and insurance information.
-
Responsible for obtaining signatures on Conditions of Admission and initiating the advanced directive process. Communicates with Nursing Services when no advance directive is available.
-
Provides information to the patient/representative about billing, complaint process, patient rights, HIPAA and visiting hours. Distributes hospital specific literature such as patient handbook.
-
During admission process ensure inappropriate belongings are sent home with accompanying party, if not applicable ensure belongings are handed off to Nursing staff for logging and/or securing.
- Demonstrates an ability to be flexible, organized and function well in stressful situations.
-
Treats patients and their families with respect and dignity; ensures confidentiality of patients records.
-
Maintain tracking of pending transfers and contact Telehealth Clinician within 15 min if there are at least two patients waiting for assessments.
- Monitor on-site assessments that likely will not be able to be started in the next 15 minutes and then contact telehealth clinician for completion of assessment.
- Perform other duties as required
Safety (15% of performance review)
-
Strives to create a safe, healing environment for patients and family members.
-
Follows all safety rules while on the job.
-
Reports near misses, as well as errors and accidents promptly.
-
Corrects minor safety hazards.
-
Communicates with peers and management regarding any hazards identified in the workplace.
-
Attends all required safety programs and understands responsibilities related to general, department, and job specific safety.
-
Participates in quality projects, as assigned, and supports quality initiatives.
-
Supports and maintains a culture of safety and quality.
Teamwork (15% of performance review)
-
Works well with others in a spirit of teamwork and cooperation.
- Responds willingly to colleagues and serves as an active part of the hospital team.
-
Builds collaborative relationships with patients, families, staff, and physicians.
-
The ability to retrieve, communicate, and present data and information both verbally and in writing as required
- Demonstrates listening skills and the ability to express or exchange ideas by means of the spoken and written word.
- Demonstrates adequate skills in all forms of communication.
-
Adheres to the Standards of Behavior
Integrity (15% of performance review)
-
Strives to always do the right thing for the patient, coworkers, and the hospital
-
Adheres to established standards, policies, procedures, protocols, and laws.
- Applies the Mission and Values of SUN Behavioral Health to personal practice and commits to service excellence.
-
Completes required trainings within defined time periods, as established by job description, policies, or hospital leadership
-
Exemplifies professionalism through good attendance and positive attitude, at all times.
-
Maintains confidentiality of patient and staff information, following HIPAA and other privacy laws.
-
Ensures proper documentation in all position activities, following federal and state guidelines.
Compassion (15% of performance review)
-
Demonstrates accountability for ensuring the highest quality patient care for patients.
-
Willingness to be accepting of those in need, and to extend a helping hand
-
Desire to go above and beyond for others
-
Understanding and accepting of cultural diversity and differences
Education
-
Required: High school diploma or GED. Basic medical terminology. CPR and hospital-selected de-escalation technique certification.
-
Preferred: Associates in a Business-related field
Experience
-
Required: One year of experience in a behavioral health setting or one to two years previous experience in related field. Knowledge of insurance payor rules and regulations.
- Preferred: Understanding of behavioral health treatment modalities. Working experience in WellSky system a plus.
