How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what''s possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people''s lives.Work ShiftVarious (United States of America)Job Summary:This job is typically the first point of contact and must ensure a pleasant experience for patients and visitors.Interviews patients and/or their representatives to obtain complete and accurate demographic, financial andinsurance information, required for billing and collecting patient accounts. Conducts intensive screening of allMedicare, Medicaid and managed care patients for pre-certification requirements and provider service eligibility,prior to registration. Obtains all necessary customer consents/attestations.Coordinates the collection of all estimated patient liabilities, including co-payments and unmet deductibles.Verifies insurance benefits and coverage for inpatients and outpatients. Responds to customer requests andanswers questions regarding various service and account information. Analyzes and rectifies customer concernsusing established procedures. Uses computer to access and/or update customer records.Verifies and posts transactions. Follows established procedures for processing receipts, cash etc. Sorts and filesvarious documents. Assists with general hospital information and directions to departments within and outsideof the WHS facility. Establishes financial arrangements to reduce financial risk for WHS, helping to ensure thatWellStar is reimbursed for its services.Schedule: 5:30AM-2PMCore Responsibilities and Essential Functions:Quality/ SafetyReceives requests for reservations (patient scheduling) from physicians offices and makesthe necessary pre-admission arrangements, referring to lists of dates allotted for scheduling,and advising physicians office staff of unavailable dates.Interviews each patient or representatives to obtain complete and accurate demographic,financial and insurance information.Enters all patient information into the registration system.Obtains all necessary signatures and is knowledgeable regarding any special forms that maybe required by the patients third party payer.Reads physicians orders to determine the procedures requested and to instruct patientsaccordingly.Escorts or arranges to have patient escorted to procedure areas and assigned rooms.Makes corrections and updates patient account information in computer.Obtains new medical record numbers for newborn admissions and other new patients.Documents thorough explanatory notes on patient accounts, concerning any non-routinecircumstances, clarifying special billing processes.Maintains a working knowledge of available information system capabilities and performs allsystem applications that are required.Understands and applies WHS philosophy and objectives, and PAS policies and procedures, asrelated to assigned duties. Understands the admission, outpatient and emergency registrationprocess.Maintains confidentiality of patient information, in accordance with WHS policy and HIPPAregulations.Consistently demonstrates the ability to organize work, recognizes and establishesappropriate work priorities, and completes work in a productive manner, without creatingbacklogs.Maintains proficiency in data entry skills.Assists physicians and their office staff to expedite scheduling, pre-admission, Medicaidscreening and pre-certifications on all accounts.Resolves error and applicable Claim, DNB, and Patient Work Queues.Customer ServiceGreets all guest with a positive and professional attitude.Receives patients valuables for safekeeping in the hospital safe.Answers incoming phone calls and follows through with requests made.Maintains courteous and cooperative working relationships with WHS management, patients,physicians, other professional contacts, and the general public. Demonstrates ability totactfully handle difficult situations.Presents a well-groomed and professional image in coordination with dept/ hospital dresscodes.Expected Performance, Behaviors and Results:The WellStar Experience (Must demonstrate a commitment to Service Excellence by):Creating first impressions, memorable moments and impressions that fulfill the expressedand unexpressed wishes and needs of patients and family members.Valuing patients and family members as partners in their care.Having world-class processes in place.Delivering high-touch care that is reliable, responsive and coordinated.Focusing on constant innovation and creating improvements.Celebrating our diversity with sensitivity and understanding.Embracing the idea that we are all owners of our health system.Budget/FinancialAttempts to collect the estimated self-pay balance of all inpatient, outpatient and ERaccounts, at the earliest possible collection control point.Monitors in-house accounts and attempts to make financial arrangements with guarantors forpayment of their self-pay balances in full, prior to discharge, or within ten working daysthereafter.Completes financial evaluation forms to document guarantors'' income, expenses, assets andliabilities.Identifies those patients without adequate insurance coverage. Makes personal contact withpatient or guarantor to determine guarantor''s ability to pay non-covered charges, as well asto determine potential eligibility for financial assistance programs (namely Medicaid).Maintains a list of health care financial assistance programs and the eligibility requirementsfor each program. Refers patients/guarantors to sources of outside funding assistance, asneeded.Works efficiently and accurately within designated time frames to ensure a continuity ofinformation and cash flow.Contacts scheduled patients at home to obtain pre-admission information, explain financialpolicies, estimate self-pay balances, and obtain a promise to pay on or beforeadmission/registration.Interviews all inpatients and select (self-pay) outpatients at time of registration, or at leastwithin 24 hours of admission, to verify complete insurance and financial information, explainfinancial policies, and collect the estimated self-pay balance.Documents concise and understandable notes regarding all self-pay account collectionactivity, as well as each patient or guarantor interaction. Documents all efforts to collectpatient account balances, other self-pay collection activities and referrals to Medicaid.Coordinates financial counseling activities with Admitting, Outpatient Registration, EmergencyRegistration, Utilization Review, Nursing, Social Services, and Patient Financial Services.Verifies insurance coverage and benefits.Exceeds monthly quota on a consistent basis. Formally reports results of self-pay collectionactivity to direct supervisor, on a daily basis or according to policy. Provides feedback to PASmanagement concerning self-pay collection and data integrity issues.Responsible for completion of appropriate error/issues in Work Queues.Identifies and resolves Payor Denials as indicated.GeneralObserves work hours and provides proper notice of absences, tardies work schedule changes.Attends select departmental meetings at the request of WHS Management.Completes monthly, quarterly, and annual mandatory training as required.Performs other duties as assigned.Performs other duties as assignedComplies with all Wellstar Health System policies, standards of work, and code of conduct.Required Minimum Education:High School Diploma Other or GED Other or Associates General-PreferredRequired Minimum License(s) and Certification(s):All certifications are required upon hire unless otherwise stated.Additional License(s) and Certification(s):Required Minimum Experience:Minimum 1 year in healthcare, or institutional (corporate) work setting Required andRequired Minimum Skills:Computer/data entry experience.Ability to communicate with various members of the healthcare team.Effective communication skills (both written and verbal), attention to detail, self-directed and a positive attitude are essential.Effective problem solving and critical thinking skills.Working knowledge of patient registration systems and intermediate Microsoft Office Suite are preferred.Epic experience preferred.Patient Access Services (PAS) Operations Onboarding Training followed by a minimum passing score of on final exam within 45 days of hire. Staff who do not pass will no longer meet the minimum requirement and will subsequently have the option to meet with the Talent Acquisition Specialist to assess other positions available within the health system.PAS employees who successfully complete the PAS onboarding exam will have the option to progress through enrollment to the WHS EnterpriseJoin us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
As the largest healthcare system in the suburbs of Atlanta, WellStar serves more than a million patients a year within our hospitals, health parks, urgent care centers, and medical practices in NW Atlanta. We are a leading not-for-profit health system with state-of-the-art medical technology and a world-class employee family. Onsite concierge services, pension plans and job sharing are just the start of our innovative vision of a ‘Work Life Well Lived!’