Ensures completion of the financial record and provides financial counseling for the customer. Obtains personal and financial information.
Responsibilities
- Ensures completeness and integrity of date on all current admissions and financial records.
- Finalizes accounts to secure 100% of financial responsibility.
- Obtains, verifies, and assists with incomplete pre-certification numbers.
- Documents all accounts for easy follow-up by utilization management, business office, and other hospital personnel.
- Reports incomplete pre-certification and problems with specific payers to management.
- Reviews and monitors assigned inpatient and outpatient admissions.
- Corrects errors and enters in the system by the 4th day after accounts discharge and errors are reported to the QA coordinator.
- All account documentation is completed daily.
- Provides financial counseling to customers.
- Contacts patients when pre-certification or insurance denials occur.
- Gives valid estimate of charges.
- Runs credit reports as requested according to established guidelines.
- Maintains a 3% or less error rate on no inpatient contact.
- Screens patients for referral to Financial Assistance Program and other government funded agencies.
- Acts as a liaison with physician offices, insurance companies, and utilization review companies. Exchanges valid information and makes management staff aware of payor changes.
- Worked past evaluation year without any more than 2 validated complaints from physicians, insurance companies, patients, or utilization review companies.
- Keeps management staff aware of payer changes without validated complaints.
- Performs duties while in compliance with all laws, regulations, and guidelines governing all healthcare programs, including federal and otherwise.
- Measured by a 2% or less error rate for the year.
- Takes corrective action on any non-compliant action at the time it is identified.
Qualifications
Education:
- High School or GED
Experience:
- 2 years of clerical experience preferably in a hospital or healthcare setting in the area of admission and/or billing with an emphasis on customer service
- Previous hospital admissions
Skills:
- Customer relations skills
- Oral and written communication skills