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This position conducts registration and obtains financial reimbursement for all patients accessing service at Medical Center Health System facilities or clinics. Reviews all account information to optimize collection efforts and system recording events to expedite reimbursement and compliance; resolves issues as they arise to promote point of service decisions. Performs financial counseling when appropriate. Explains and obtains signatures on legal forms and registration materials. I. Position Relationships: A. Responsible to: Patient Access Supervisor/Manager and PFS Director B. Workers Supervised: None C. Interrelationships: Patients, families, medical and business community at large, Hospital department personnel, other Business Office personnel II. Responsibilities and Authorities: A. Overall: Works independently under regular supervision and follows structured work routines. Works in a fast paced, multi task environment with high volume and immediacy needs requiring independent decision making and sound judgment to prioritize work and ensure appropriateness and timeliness of each patients care. This position requires the ability to retain large amounts of changing payer information/knowledge crucial to attaining reimbursement for the services provided. Primary external customers include patients and their families, physician office staff and third party payers. B. Essential Functions: 1. Performs other duties as assigned by the department's management staff. 2. As patient care and/or Hospital need dictates, both the assigned shift and work station may be changed by the department. 3. Participates in and promotes the "I CARE Advantage" service philosophy of Integrity, Customer Centered, Accountability, Respect and Excellence. 4. Performs essential job functions with or without reasonable accommodations. 5. Performs pre-registration/registration processes, verifies insurance coverage and verifies/obtains authorizations and notifications. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Obtains all necessary signatures and documentation required by the patients' insurance plan. 6. Calculates patient liability according to verification of insurance benefits, collects deposits and co-payments. 7. Provides financial counseling to patients and their families. Explains company financial policies and provides information as to available resources and avenues for alternative payment arrangements. Assists patients and their families in completing financial assistance paperwork when appropriate, including payment arrangement agreements. 8. Acts as a liaison between the patient, the billing department and the payer to enhance account receivables performance, resolve outstanding issues and/or patient concerns, and to maximize service excellence. 9. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. 10. Communicates with physicians, clinical and non-clinical hospital staff, Business office and Health Information Management Services to resolve outstanding issues and/or patient concerns. Works to meet all patient financial service needs. 11. Meets or exceeds productivity standards. Completes daily assignments and maintains accurate production logs and records. Identifies opportunities to improve work processes and practices good work group dynamics. 12. Provides a variety of patient services and financial services tasks. May be assigned to functions such as transporting patients, provide training for new staff, collecting and releases patient valuables in accordance with company policies, posting daily deposits, or conducting other work assignments of the Patient Financial Services team. 13. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Understands and follows Medical Center Health System policies, as well as departmental policies and procedures. The above statements reflect the key responsibilities considered necessary to describe the principle functions of the job as identified, and shall not be considered as a detailed description of all work requirements that may be inherent to the job. III. Performance Factors Used to Evaluate Employee: A. Performs pre-registration/registration processes, verifies insurance coverage and obtains authorizations and notifications. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Obtains all necessary signatures and documentation requires by the patient's insurance plan. B. Calculates patient liability according to verification of insurance benefits, collects deposits and co-payments. C. Provides financial counseling to patients and their families. Explains company financial policies and provides information as to available resources and avenues for alternative payment arrangements. Assists patients and their families in completing financial assistance paperwork when appropriate. D. Acts as a liaison between the patient, the billing department and the payer to enhance account receivables performance, resolve outstanding issues and/or patient concerns, and to maximize service excellence. E. As assigned, conducts patient visits for bedside registration to expedite the completion of the patient registration. Coordinates with Transfer Center as needed to meet patient needs. Familiar with downtine procedures and process. F. Communicates with physicians, clinical and hospital staff, nursing and Health Information Management Services to resolve outstanding issues and/or patient concerns. Works to meet the patients' needs in financial service. G. Meets or exceeds productivity standards. Completes daily assignments and maintains accurate production logs and records. Identifies opportunities to improve work processes and practices good work group dynamics. H. Provides a variety of patient services and financial services tasks. May be assigned to functions such as transporting paitients, provide training for new staff, collecting and releases patient valuables in accordance with company policies, posting daily deposits, or conducting other work assignments of the Patient Financial Services team. IV. Qualifications: A. Education: High School diploma or equivalent required. B. Training and Experience: Prior experience in medical field preferred. (Knowledge of but not limited to admitting/registration process, customer service, receivables management, credit and collection laws, billing forms, medical billing regulations, insurance benefit calculations, HMO/PPO contracts, third party funding resources.) C. Job Knowledge: Required: Requires strong organizational abilities, proficiency in Professional Customer Service, oral and written communications, accurate and efficient keyboarding with strong competencies in the use of common office software applications. Requires effective teamwork skills and the ability to meet deadlines and productivity standards. Preferred: Previous cash collections experience is preferred. May have related experience with financial or medical institution or background. V. Unusual Physical Demands and Working Conditions: OE - Typical Office Environment: (Accountant, Administrative Assistant, Consultant, Program Manager) · Requires extensive sitting with periodic standing and walking. · May be required to lift up to 20 pounds. · Requires significant use of personal computer, phone and general office equipment. · Needs adequate visual acuity, ability to grasp and handle objects. · Needs ability to communicate effectively through reading, writing, and speaking in person or on telephone. · May require off-site travel.