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POSITION SUMMARY: Greet and receive patient into health care facility. Responsible for accurate and timely processing of patient demographics and insurance information. Obtain electronic signature for consent to treat and patient financial obligation. Provide excellent customer service, and use strong written and oral communication skills. This position is the first impression of the hospital to the patient

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High school graduate or equivalent.

PREFERRED QUALIFICATIONS:

EXPERIENCE:

1. Experience in medical office setting.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scanning insurance cards & driver’s license. Maintains registration accuracy threshold of 98% as identified in audit processing

2. May complete managed care responsibilities in regard to obtaining pre-certification and authorizations.

3. Prepares standard consent form, notice of privacy practice and/or other necessary paperwork related to registration and presents to patient/family/legal guardian for signatures. Obtains electronic signature for consent to treat and patient financial obligations.

4. Collects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems

5. Directs patients needing financial assistance to Patient Services to speak with a Financial Counselor.

6. Schedules, cancels, reschedules and confirms patient appointments over the phone, through the mail and in person for several physicians within their department. Determines urgency of patient medical condition when scheduling appointments. Schedules appointment based on type of visit and insurance coverage requirements along with all test ordered by physician and coordinates appropriately.

7. Balances daily receipts and cash drawer for patient payments, prepares and places deposit bag into the safe or delivers it to cashier’s office.

8. Follows up on accounts as needed.

9. Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical/financial information

10. Provides patients information concerning insurance, payment of bills and hospital procedures. Consistently maintains current knowledge of major payor payment provisions.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Frequent walking, standing, stooping, bending, kneeling, reaching, pushing, pulling, lifting, grasping and feeling are necessary body movements utilized in performing duties throughout the work shift.

2. Must be able to sit for extended periods of time.

3. Must have the ability to move throughout the work area and clinic area.

4. Must have manual dexterity to operate keyboards, fax machines, telephones and other business equipment.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. High volume, fast paced patient care environment.

2. Exposure to communicable disease.

3. Interacts with hundreds of patients, medical staff and support staff on a continual, daily basis.

SKILLS AND ABILITIES:

1. Ability to accurately utilize applicable computer software and equipment for access processing & demonstrates ability to follow down time procedures

2. Demonstrate knowledge of procedure to report and/or document unsafe/hazardous conditions, incidents and defective equipment in compliance with hospital policy

3. Requires considerable attention to detail, the ability to be organized and to be able to perform multiple tasks simultaneously.

4. Requires the ability to memorize a considerable amount of information, and to be able to reference information not retained from written sources or from appropriate personnel

5. Requires the ability to understand medical insurance requirements for payment and basic knowledge of covered services.

6. Must be able to provide information on demand, at times taking requests from several sources.

7. Must be able to work with a variety of personality types and interact with individuals with various levels of education, capabilities and communication skills

8. Must be able to communicate effectively, both in writing and in oral communication

9. Must be able to demonstrate working knowledge of computers.

10. Must demonstrate the ability to use tact and diplomacy in dealing with others

11. Basic knowledge of medical terminology preferred

12. Basic knowledge of third party payors preferred

13. General knowledge of time of service collection procedures preferred

14. Excellent customer service and telephone etiquette

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

PCH Princeton Community Hospital

Cost Center:

8699 PCH Family Medicine RHC

Address:

401 Vermillion Street

Athens

West Virginia