About the role
OverviewJOB DUTIES: Determines and assigns patient’s payment responsibility for all elective procedures in which the patient is self-pay or has primary commercial insurance,but no secondary coverage. Collects the funds prior to the services being rendered. NOTE: Medicare, Medicaid and First Care patients are not includedin the process.
- Schedule
- FULL_TIME
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- JOB DUTIES: Determines and assigns patient’s payment responsibility for all elective procedures in which the patient is self-pay or has primary commercial insurance,but no secondary coverage. Collects the funds prior to the services being rendered. NOTE: Medicare, Medicaid and First Care patients are not includedin the process. Accurately prepares daily deposit. Monthly balancing of Pre-Admit logs with payments collected. ResponsibilitiesEssential Functions:
- For self-pay patients, collects the total payment during the pre-admissions process minus the self-pay discount.
- Advise the doctor’s office if the patient declines to pay ahead of time, or does not pay as scheduled, in order to reschedule the procedure or complete a deferment if the procedure cannot be rescheduled.
- Prepares and delivers daily deposit as required.
- Assist walk-in patients who have simple to complex billing issues and or requests regarding their accounts.
- Collect the patient's payment and notify the scheduling department that the patient is financially cleared.
- Contact the insurance company to determine the patient's financial responsibility and create an estimate using the EPIC Patient Estimator.
- Contact the patient within 7 days of the scheduled procedure date and advise them of their patient responsibility due and offer any financing options available.
- For patients with commercial/PPO/HMO insurance, research the patient information in Op Time or via emailed requests for elective procedure pricing. For outside physicians, research emailed and faxed Request for Hospital Services forms.
- Contact the appropriate scheduler to resolve procedure code issues before pricing.
- Price the procedure, as well as any needed anesthesia, pathology and other ancillary costs for elective surgeries. All other duties as assigned QualificationsExperience
1 year CPT and ICD-10 coding required3 years Working with health insurance companies, verifying benefits required2 years Physician billing required3 years Customer service requiredUp to 1 year experience working with physicians required1 year Collections preferred1 year Handling cash and making a daily deposit preferred Education Requirements High School Diploma or GED equivalent requiredCollege Diploma preferred OTHER:
up to 50% UFJPI is an Equal Opportunity Employer and Drugfree Workplace
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