Patient Access PreAccess Financial Clearance (PRN)

Job Title

Arranges for the efficient and accurate registration, screening and pre service collection calls for all patients. Obtains required signatures and provides general information regarding hospital policies, registration procedures, insurance benefits, patient rights, and patient financial responsibilities. Responsible for providing extraordinary customer service.

Job Duties/Responsibilities

Monitors all procedures for financial responsibility and pre-payment at Blanchard Valley Hospital, Bluffton Hospital, EWOC, and other BV locations deemed necessary. Maintains reports/records.

Conducts insurance verification via phone, fax, or online method

Gathers and documents patient deductible, out of pocket coinsurance and copay information and reviews all bad debt accounts.

Provides the patient an estimated cost of their procedure and defines all bad debt for additional payment.

Informs patient of all payment options. Collects patient payments utilizing credit card machine over phone or having patient pay at registration on the date of service.

Has ability to problem solve and offers assistance as needed to all customer groups.

Pre Registers patients as needed.

Compiles and provide Good Faith Estimate information to appropriate patient populations under compliance of this regulation.

Acts as liaison between the facility and patient/family to resolve problems and/or address complaints. Explains registration procedures, BVH policies, and responds to questions/concerns regarding insurance benefits.

Participates in a variety of unit and hospital educational programs to maintain current skills and competency levels. Participates in and fully supports new hire and other department training and shadowing. Provides a positive learning environment and compassionate mentoring.

Actively adheres to all policy/procedures of department and Organization. Is an active participant in Departmental meetings and engaged in process improvement initiatives.

Actively informs Department Supervisor/Manager of inconsistencies that exist in the electronic health record.

Performs all duties and responsibilities in a manner consistent with and supportive of the mission, vision and values of Blanchard Valley Health System.

Required Qualifications

High School Diploma or GED equivalent

Data entry and/or PC experience

Medical terminology coursework or knowledge

Exceptional customer service skills

Maintains confidentiality at all times

Ability to work remote and attend onsite meetings as needed

Ability to work at the computer for long periods. Skilled in key board skills. Ability to use the telephone to respond to customers, and the ability to use the computer and telephone simultaneously

Positive service-oriented interpersonal and communication skills required.

Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status. Must be able to interpret the appropriate information needed to identify each patient's requirements relative to their age-specific needs and to provide the care needed as described in the area's policies and procedures

Preferred Qualifications

Registration, patient advocacy, pre service payment collections experience

Associates degree in Healthcare related field

Physical Demands

This position requires a full range of body motion with intermittent bending, squatting, kneeling, and twisting. This position requires an individual to lift up to 20 pounds occasionally and push patients in wheelchairs (100-350 lbs). The individual must have excellent eye/hand coordination to operate various office machines. This position requires corrected vision and hearing in the normal range.