Registering, scheduling, and obtaining pre-certification and authorization for patients to ensure payment from a third-party payer.
Greeting and registering patients in a tactful and courteous manner.
Obtaining all pertinent patient demographic and insurance information and entering it into the appropriate computer system.
Pre-registering patients in the hospital's online system and obtaining hospital medical record numbers when necessary.
Performing insurance verification checks for Medicare, Medicaid, and/or company in the hospital billing system, and other insurance verification functions as required.
Scheduling and maintaining daily appointment schedules, considering resource availability.
Setting up clinics for efficient management of appointment flow.
Requesting and managing patient charts and medical records before appointments.
Retrieving laboratory and radiographic data from clinic information systems and laboratories.
Interfacing with referring offices and internal departments to schedule patient exams.
Requesting and obtaining valid physician requisitions for all exams and updating billing codes as appropriate.
Processing information to ensure timely and complete submission of third-party bills.
Preparing all pertinent paperwork, including authorizations, physician requisitions, diagnostic testing requisitions, and transportation reimbursements.
Verifying and documenting third-party eligibility, determining patient liability, and obtaining authorizations.
Notifying patients of financial obligations for elective admissions and establishing payment arrangements according to financial policies.
Counseling patients regarding payment options, Medicaid eligibility, and qualifications for charity care.
Interfacing with MEU and Social Services to determine Medicaid eligibility and informing patients of documents required to initiate Medicaid applications.
Collecting co-payments and fees, issuing receipts to patients as appropriate, and maintaining records of all financial transactions.
Requirements:
One year of clerical experience.
Knowledge of health insurance benefits/requirements.
Knowledge of Coding: ICD 9, CPT-4.
Effective communication skills.
Data entry skills of 4500 keystrokes.
Preferred Skills:
Telephone skills.
Computer and keyboard skills.
Customer service experience.
Numbers & Facts
Location
New York, NY
Salary
$18–$22 Per Hour
Skills
Administrative Skillsunmatched
Billingunmatched
Clinical Information Systemsunmatched
Communication Skillsunmatched
Community and Social Servicesunmatched
Computer Systemsunmatched
Current Procedural Terminology (CPT)unmatched
Customer Support/Serviceunmatched
Data Entryunmatched
Demographicsunmatched
Documentationunmatched
Financial Policiesunmatched
Health Insuranceunmatched
Healthcare Reimbursementunmatched
Hospitalunmatched
Hospital Systemsunmatched
ICD-9unmatched
Insuranceunmatched
Laboratoryunmatched
Medicaidunmatched
Medical Billingunmatched
Medical Recordsunmatched
Medicareunmatched
Patient Chartsunmatched
Patient Registrationunmatched
Radiographyunmatched
Registrarunmatched
Social Workunmatched
Telephone Skillsunmatched
Third-Party Payerunmatched
Time Managementunmatched
Typingunmatched
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