JOB SUMMARY: Responsible for registering, scheduling and obtaining pre-certification and authorization for patients to ensure payment from a third party payer.
JOB REQUIREMENTS: - Fluent in Spanish (R) - HS/Diploma (R) - 1+ year of clerical experience (R) - Telephone, Computer, Keyboard, Effective communication, customer service skills (R) - Data entry skills of 4500 keystrokes (R) - Some college (P) - Coding: ICD 9, CPT-4 (P) - Knowledge of health insurance benefits/requirements (P)
JOB RESPONSIBILITES: Greets and registers patients in a tactful and courteous manner. Obtains all pertinent patient demographic and insurance information and enters into appropriate computer system. Pre-registers patients in the hospitals on line system. Obtains hospital medical record number when necessary. Performs insurance verification checks for Medicare, Medicaid and/or Client in the hospital billing system. Performs other insurance verification functions as required. Schedules and maintains daily appointments schedules taking into consideration availability of resources. Sets up clinic for efficient management of appointment flow (e.g., Medical Records retrieved, chart set-ups prepared). Requests patients charts from Health Information and or physicians files and requests various patients NYPH medical record prior to appointment. Reviews chart to insure necessary test results and other relevant information is recorded. Requests test results from appropriate areas as needed. Sends charts to Health Information to be refilled and sends charts back to physicians offices to be filed after completion. Retrieves laboratory and radiographic data from clinic information system and laboratories. Interfaces with referring offices and internal departments to schedule patient exams. Makes appointments for all types of medical procedures as requested Requests and obtains valid physician requisitions for all exams. Assigns and update billing codes as appropriate. Processes information so as to ensure that third party bills are submitted in a timely and complete manner. Prepares all pertinent paperwork including authorizations, physician requisitions, diagnostics testing requisitions and transportation reimbursements. Verifies and documents third party eligibility; determines patient liability and obtains authorizations. Notifies patient of financial obligation for elective admissions and establishes payment arrangements according to financial policies prior to date of service. Counsels' patient regarding payment options, Medicaid eligibility, and determines qualifications for charity care. Interfaces with MEU and Social Services to determine Medicaid eligibility; informs patients of documents required initiating Medicaid applications. Collects co-payments and fees and issues receipts to patients, as appropriate. Prepares receipts for both hospital and professional patient payments. Maintains record of all financial transactions and reconciles daily cash collection. Performs other job related duties as assigned
Numbers & Facts
Location
New York, NY
Salary
$18–$24 Per Hour
Skills
Administrative Skillsunmatched
Clinical Information Systemsunmatched
Communication Skillsunmatched
Computer Systemsunmatched
Current Procedural Terminology (CPT)unmatched
Customer Support/Serviceunmatched
Data Entryunmatched
Demographicsunmatched
Financial Policiesunmatched
Financial Transactionsunmatched
Health Insuranceunmatched
Healthcare Reimbursementunmatched
Hospitalunmatched
Hospital Systemsunmatched
ICD-9unmatched
Insuranceunmatched
Keyboardsunmatched
Laboratoryunmatched
Medicaidunmatched
Medical Billingunmatched
Medical Officeunmatched
Medical Recordsunmatched
Medical Treatmentunmatched
Medicareunmatched
Patient Registrationunmatched
Radiographyunmatched
Record Keepingunmatched
Registrarunmatched
Spanish Languageunmatched
Third-Party Payerunmatched
Time Managementunmatched
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