It Help Desk Administrator resume example

Utilized medical acceptance criteria to screen and schedule appointments for new patients, to ensure optimal efficiency in clinic operations. • Communicated clearly and professionally in all patient communications. • Collected complete and accurate financial and consent data during intake and registration process, and verified data during new patient registration • Obtained insurance information, verified benefits, and secured authorizations when needed. • Communicated financial information to patients, including cost estimates, payment plans, discounts, and supplemental financial assistance; providing clarification on medical overrides and account reviews as appropriate. • Completely and accurately documents communications with payors, patients, and the treatment team, using established guidelines for each area and demonstrating appropriate task prioritization and urgency. • Obtained and document verification of patient benefits, including information regarding the product type, in-network or out-of-network status, all applicable co-payment, deductible, and co-insurance amounts or percentages, pre-existing indicator and time period, and any lifetime or annual maximums into electronic health record in a timely manner • For patients participating in a clinical trial, appropriately document and review with patients and the payors services being covered by the clinical trial sponsor and those designated for coverage under the patient's insurance • Answered emails and phone calls in a timely manner, and responded to voicemails and in-basket messages within one business day • Obtained and documented verification of patient eligibility (and applicable effective dates) using the available institutional and/or payor systems, including real-time web portals and tools, within the applicable time frames as outlined by department policies and procedures

• Greeted customers following CHI Standards of Care, provided world-class customer service, completed full patient registration at date of service, adhered to financial & cash control policies & procedures, thoroughly explained and secured Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.). • Scanned Protected Health Information, created and filed patient information packets/folders for upcoming Hospital services. • Scheduled diagnostic procedures (entered data in scheduling system, provided customer with appointment instructions) • Educated patients about patient financial liabilities, employed proper, compliant patient liability collection techniques before, during & after date of service, performed Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures • Secured medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verified insurance, benefits, coverage & eligibility, completed assigned registration financial clearance work lists activities, obtained insurance authorizations for scheduled & unscheduled Hospital services, and secured inpatient visit notification to payors.

• resolved complex eligibility or insurance verification problems through contacts with patient or patient family, state or government agencies, other hospital departments and third party payers • Assisted Financial Counselor with financial counseling services to help patients in identifying and obtaining payment sources. • Participated in bed management as defined in operating unit policies and procedures. • Verified insurance coverage and benefits, obtained and analyzed necessary authorizations and referrals, and calculated estimated patient liability. • Registered and scheduled patients for health services ensuring appropriateness of setting for services provided • Explained appropriate forms to patient and family and ensured that necessary consent, regulatory forms, and MSP questionnaire (if applicable) are completed correctly and that patient signatures are obtained. • Obtained accurate insurance, medical and demographic data to admit or pre-admit patients to the health facility. • Verified insurance coverage and benefit levels with various third party payers and analyzes authorization and referrals, calculates estimated patient liability. • Determined patient co-pay/deductibles and collected payment as outlined in hospital policies. • Assisted patients without medical insurance coverage in completing medical assistance applications and/or making payment arrangement and cash collections. • Coordinated scheduling of all tests and/or services utilizing current clinical guidelines • Developed liaison relationship between patient and health facility by answering patients questions regarding health facility policies and billing procedures and by obtaining necessary information to efficiently register and accurately bill for services rendered. • Assisted patients in completing necessary forms and obtained patient signature as needed. • Collected referrals and authorizations; attempts to secure telephone referral if necessary. Completed telephone registrations as appropriate.