Description
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, admit, or register the patient for Health System.
Obtains authorization and collects payments when required.
Job Specific Duties
- Complies with applicable governmental regulations HIPAA (Health Information Portability and Accountability Act of 1996) and EMTALA (Emergency Medical Treatment Active Labor Act).
- Coordinates patient transfers / admissions in collaboration with LifeFlight, Admitting Nurses, and Physician as appropriate.Â
- Greets patients / families in person or on the telephone, treats them in a courteous, respectful, empathetic manner, responds to questions and / or problems, and keeps open lines of communication.Â
- Interviews patients / families to obtain demographic, third-party payer, and other financial / medical information, and identification to schedule, pre-admit / admit, or pre-register or register patients.Â
- Verifies third party payer information via the web or telephone.Â
- Obtains appropriate authorization for Health System and physician services.Â
- Documents all activities in the collection notes file of the computer system as appropriate.Â
- Directs families to appropriate place to receive their service by phone, text, email, and / or in person.Â
- Calculates patients†financial responsibility estimates based on their insurance benefits and contracts and provides information to patient / family.Â
- Notifies patient / family of deductibles, co-payments, deposits required for admission or registration, and advises / requests payments for out-of-pocket expenses.Â
- Communicates with departments if any issues / questions arise or to accommodate any special needs for patients.Â
- Notifies management of any insurance / financial discrepancies for approval.
- Obtains and validates prescription when appropriate and communicates with physician practice, if necessary.Â
- Scans all documents in the appropriate folder in the computer system.
- Obtains all necessary consents for patient treatment either in person or over the phone.Â
- Verifies patients are accompanied by legal guardian and notifies Risk Management / Social Services if patient is present with anyone other than his / her legal guardian.
- Collects payments and provides receipts.Â
- Responsible for placing / monitoring patients arriving for services by using the patientâ€s tracking system.
- Corrects any registration errors made utilizing the QA system.Â
- Schedules Health System services as appropriate.Â
- Activates trauma / medical patients ordered by charge nurse and visits trauma room in collaboration with social services to obtain patient information.Â
- Participates in disaster drills, provides disaster packets, and replenishes as needed.Â
- Receives incoming cue calls and handles as appropriate.Â
- Ensures adult approval has been received for patients over 21years of age.Â
- Identifies duplicate financial and medical record numbers and handles as appropriate.Â
- Performs down time manual registration as needed.Â
Qualifications
Minimum Job Requirements
One year of customer service experience
Knowledge, Skills, and Abilities
- High School education or equivalent preferred.
- Fluent in Spanish strongly preferred.
- Basic proficiency in Word, Excel, and Outlook.
- One year of experience working with medical terminology, procedures, diagnosis codes, and insurance strongly preferred.
- Able to communicate effectively in English both verbally and in writing in a clear and concise manner.
- Able to accurately enter and interpret data.
- Able to adapt and react calmly under stressful conditions.
- Able to relate cooperatively and constructively with customers and co-workers.
- Able to serve customers with courtesy and respect.
- Able to maintain confidentiality of sensitive information.
- Able to follow complex written and / or verbal instructions to solve problems.
- Able to establish necessary professional relationships and interact effectively with internal and external customers.
Job : Clerical / Administrative
Primary Location : Florida-Miami-Nicklaus Children's Hospital - Main Hospital Campus
Department : ED & FRACTURE CLINIC REGIST.-2100-905002
Job Status
Full Time
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