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Job description
US:NV:Carson City Patient Registration
Per Diem Variable Shift
Summary
The individual's responsibilities include but not limited to the following actions: a) Maintains current knowledge of state/county/hospital financial assistance programs, b) Assists patients without a payer source in identifying possible areas for assistance, c) Assists with completion of assistance applications, d) Obtains and maintains accurate data collection in order to identify areas of opportunity in the patient accounts process, e) Follow up on each account during the patient stay to ensure paying source and or notification/authorization is secured.
Qualifications
Required:
Three (3) years of experience in a healthcare setting
Experience performing insurance verification, eligibility review, and patient financial responsibility discussions
Proficiency using electronic medical record (EMR) systems and standard computer applications
Ability to obtain Nevada Medicaid Hospital Presumptive Eligibility Certification within one (1) year of hire
Preferred: Experience in acute care hospital financial counseling
Experience using Epic EMR, particularly patient access or financial workflows
Knowledge of medical terminology
Experience assisting patients with Medicaid, charity care, or other financial assistance programs
Essential Functions Reviews daily admissions validating effective coverage/benefits and submit appropriate admit notification to commercial, government, or third party liability payers within one (1) business day
Provides required clinical review information to appropriate UR organization based upon the health plans guidelines and criteria for admission
Reviews daily uninsured admissions to assist patient and/or family with financial arrangements and identification of pay source
Maintains knowledge to effectively communicate to patient/family eligibility requirements and process for Medicaid and Hospital Financial Assistance
Completes outside agency financial application forms with guarantors in a timely manner
Reviews and ensures compilation of hospital financial assistance applications, presenting to appropriate leader and hospital committee for consideration
Works with hospital staff, particularly Case Management as requested to ensure that all avenues for possible pay sources have been reviewed for uninsured and underinsured patients
Maintains and uses various payer portals to research/validate coverage, benefits, and notifications as needed
Validates patient's demographic and payer information and notifies Patient Access immediately if any corrections are needed
Provides detailed account notes on actions taken, correspondence, communication, authorizations and denials in the electronic medical record
Participation in department quality improvement initiatives and projects as assigned
If applicable, ensures that timely clinical reviews are made for continued lengths of stay authorizations.
Applies problem-solving skills to the interdisciplinary team process
Adheres to policies and procedures to comply with the CMS Conditions of Participation
Ability to explain insurance benefits, payment options, and financial assistance programs clearly to patients and families
Ability to work independently and as part of an interdisciplinary team
Strong organizational, time-management, and problem-solving skills
Professional verbal and written communication skills
Ability to interpret patient account and eligibility data
Performs other related duties as assigned
Worksite address
carson city, NV, 89702, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.