Admits incoming patients to the facility.
Conducts interviews to obtain relevant demographic and insurance data; obtains appropriate signatures on medical, legal and financial forms.
Greets patients and/or visitors to the facility in a courteous manner.
Provides interpretation of Hospital policies and regulations to patients including, but not limited to visiting hours, patient rights, services etc.
Communicates and collects account balances, deductibles and co-payment responsibilities; reconciles at day end.
Enters patient information into Hospital Information System, verifies accuracy.
Re-verifies demographics and insurance of recurring patients.
Verifies insurance, as needed, for successful billing (benefit coverage/limits, co-pay/deductible amounts, authorization and pre-certification and referral requirements, etc.) Provides patients with direction or assistance to appropriate department or assigned room, when necessary.
Assigns online account number; collaborates with Medical Records to identify if patient was previously admitted.
Contacts scheduled patients to verify time of admission; notifies nursing unit/clinical area of patient's arrival; arranges for transport or escorts patient to room or clinical department.
Prepares charts, registration forms and related patient identification.
Ensures completed chart is forwarded to nursing unit/clinical area.
Schedules patients for admission, outpatient procedures, tests, etc.
Maintains logs, completes various forms related to, but not limited to death and/or fetal certificates in accordance with the Department of Health and internal procedures.
Answers phones, maintains files, inventory.
Informs manager of all activities, needs and problems.
Performs all duties related to departmental physicians' billing, including but not limited to: Completing, processing and reconciling insurance claim forms/payments.
Following up on outstanding accounts via telephone and /or written inquiry to patients and /or third party payors.
Inputs charges, payments and adjustments to computerized system or posts to manual records.
Maintains daily, weekly and monthly records of fees collected.
Verifies insurance coverage and other related data with third party carriers.
Processes credit balance reports, prepare pre-collection notices and other correspondence/bills.
Prepares payment journals and/or make bank deposits.
Sets-up financial agreements with patients, upon consulting with supervisor.
Additional duties related to departmental physician's billing and collection including, but not limited, to verifying insurance coverage with third party carriers, follow-up on outstanding accounts, entering charges/ payments/ adjustments into the computer and maintaining records of fees collected periodically.
Serves as a primary resource in providing information and facilitating services in the Emergency Department.
Greets patients, visitors and employees to the Emergency Department and overall Hospital in a courteous and friendly manner.
Assists medical staff, other hospital departments, physicians, affiliates, patients and their families with requests for information and services.
Provides interpretation of Hospital regulations to patients (i.e.
visiting hours, patient services, etc.).
Provides information regarding hospital clinic regulations and services.
Answers telephone calls and takes messages, responding with appropriate department protocol.
Provides hospital rules and regulations, upon request.
Performs administrative functions to facilitate patient registration.
Interviews patients/significant others and obtains all relevant demographic and insurance data.
Obtains necessary signatures and makes copies of relevant documentation.
Maintains current knowledge of changes in regulations, or policies and procedures, with regard to insurance requirements, hospital policies, etc.
Ensures patients are charged for all services accordingly and initiates corrective action, as needed.
Codes insurance carriers and other system information.
Accurately documents all required information in department log book or computer log.
Assigns on-line account numbers.
Communicates with Medical Records to see if patient has an existing account number.
Prepares and maintains patient chart packages.
Prepares chart package to include chart, triage note, ED identification card, labels and visitor pass.
Ensures charts are available for medical staff in a timely manner.
Reviews ED census with copies of charts that are collected after services are rendered.
Reviews and ensures charts are accurately documented and completed after services are rendered.
Documents charges and payment data and ensures charts are accurately coded and prepared for billing.
Prepares charts for transfer to Data Processing.
Performs chart break down for billing, filing and/or transfer to Medical Records.
Manages department on-call systems.
Pages and contacts medical personnel, physicians, laboratory, etc.
Assists staff, affiliated physicians and patients/family members acquire needed information, contacts or services.
Initiates Disaster Plan, when necessary.
Utilizes reference lists for referrals when requested.
Submits laboratory test orders, as required.
Receives and documents results.
Processes orders as instructed, ensuring proper labeling of specimens and timely transport to lab.
Notifies medical staff of test results in a timely manner.
Maintains accurate records of orders submitted and follows up with outside departments for results.
Ensures results are documented in patient chart.
Admits patients to hospital and provides information regarding hospital regulations and policies (i.e. Patient Bill of Rights, Health Care Proxy etc.).
Conducts interviews to obtain demographics, insurance information etc. and enters data into hospital Patient Registration System.
Communicates hospital's collection policy and collects deductibles and co-pay obligations.
Obtains appropriate signatures on medical, legal and financial forms. Prepares charts, registration forms, patient addressograph plates etc. Forwards required items to nursing unit/clinic.
Maintains manual bed board and reconciles daily census to nursing units. Notifies nursing unit of patients arrival and arranges to have patient escorted to their room.
Contacts insurance carrier(s) to obtain all information necessary for the successful billing of third party payors in certain departments (coordination of benefits, benefit coverage/limits, co-pay/deductible amounts, authorization, pre-certification and referral requirements etc.).
Re-verifies insurance of recurring patients.Performs financial assessments and Sliding Fee Scale Assessments of patients who are uninsured and/or are unable to meet their financial obligation to the hospital.
Reevaluates sliding scale assignment annually.Reconciles charge documents with patient logs and enters charges into the Patient Registration System.
Schedules patient for clinic visits, pre-admission testing, special tests and consultations, OR bookings and arranges patient transportation, as needed.Responsible for answer telephone, maintaining files, sorting mail and keeping inventory of supplies.
Informs manager of all activities, needs and problems.Performs related duties, as required.
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