Patient Financial Representative
Company: Palo Verde Hematology
Location: Sun City
Posted on: March 14, 2023
Job Description:
Description:This position is responsible for performing
secretarial, reception, and initial patient needs assessment
functions. Provides outstanding customer service and ensures a
smooth patient flow process by providing services in admissions,
financial counseling, billing, scheduling patients, paperwork
completion, basic explanation of procedures, making of
appointments, and conducts registration. Explains and obtains
signatures on forms such as registration, medical history, HIPAA,
Financial Agreement and Surgical/Procedure Consents. Receives
referrals from physicians, obtains authorizations and calls
insurance plans for verifications. At time of service is able to
receipt cash and record accurately as well as enter charges and
perform charge reconciliation. Answer telephone calls from external
as well as internal customers with professionalism and care.
Utilizes special knowledge, judgment and skills necessary to
provide above average customer/patient care.Essential Functions
- Performs registration processes, verifies insurance coverage
and obtains authorization notification. Accurately documents
information and performs data-entry to ensure maximum
reimbursement. Obtains necessary signatures specific to patients'
insurance plan. Calculates patient liability according to
verification of insurance benefits. Collects deposits and
co-payments. Provides financial counseling for patients and their
families by explaining financial policies and providing available
resources for alternative payment arrangements. Assists patients
and their families with completing financial documents when
appropriate.
- Serves as a liaison between the patient, billing department,
and payor to enhance account receivables, resolve outstanding
issues and/or patient concerns. Enters charges for services
delivered (when applicable) and does daily charge reconciliation in
a timely and accurate manner. Balances cash drawer at the beginning
and end of the day and prepares daily balance sheet with necessary
paperwork interofficed to AUUA Billing Department. Adheres to all
billing procedures including preparation of Medicare billing at the
end of the month within specific timelines.
- Responsible for scheduling of patients, families, procedures,
and physician appointments. Assists in scheduling routine
appointments within the medical practice(s) and external practices
as necessary. Assists in obtaining pre-certification, referrals,
authorizations, prescriptions refills and other medical testing as
necessary. Responsible for communicating test results to patient
when authorized by the provider. Acts as a resource to clinician in
order to provide optimal patient care.
- Optimizes patient flow by using effective customer service
communication skills utilizing kindness, tact and courtesy to
ensure positive patient response to service. Demonstrates proactive
interpersonal communications skills when relating to internal and
external customers. Uses discretion and is attentive to issues of
customer confidentiality. Demonstrates skills in pro-active
resolution and attempts to resolve scheduling conflicts.
- Provides support to include, answering the phones, returning
phone messages, pick-up/prioritizing/distributing mail, ordering
supplies/forms, coordinating/scheduling meetings, maintaining and
re-stocking common areas, restrooms and lobby. Monitors inventory
including disposable supplies, toner, interoffice envelopes, daily
monitoring of bump list/recalls and patient tracking. Responsible
for the medical records for the assigned area. Ensures medical
records are pulled and ready daily. Assists obtaining needed
records from hospitals, practices, and other ancillary departments.
Follows guidelines and assists in developing procedures to ensure
that medical records are in compliance with all state and federal
laws.
- Prepares patient for exam and treatment by updating medication
list, symptoms and other necessary insurance and demographic
information updates. Reports condition of patient which may be
indicative of changes of the patient's condition to the Team Lead
or Provider. Assists providers with interpreter services and acts
as a chaperon if needed.
- Maintains a log book of walk in urinalysis testing to include
date/time and patient name. Uses universal blood and body fluid
precautions at all times and personal protective equipment as
needed.
- Maintains a clean, functional environment including cleaning
and disinfection of counters, lobby, computers, phones, break rooms
and storage areas. Disinfects equipment and instruments using
appropriate solutions following sterilization procedures through
Materials Management. Follow's manufacturer's recommendations and
OSHA guidelines of handling hazardous
substances.Requirements:Minimum QualificationsExperiential training
in medical front office and insurance billing procedures. Requires
the ability to perform basic math functions and to assemble data
into reports using spreadsheet programs. Must have the ability to
handle confidential information and sensitive issues. Must be able
to work under minimal supervision and make independent decisions
using good judgment. Requires excellent communication, human
relations, attention to detail and organizational skills. Requires
the ability to multi-task activities. Must be able to communicate
effectively to various ethnic and cultural backgrounds obtaining
necessary resources when language barriers present. Requires the
ability to perform efficiently with some analytical/problem solving
skills. Must be able to work effectively with common office
software and medical records software.Preferred
QualificationsPrevious medical office and/or billing experience in
a healthcare setting preferred. Additional related education and/or
experience preferred. Requires two or more years working with
patient flow and/or similar medical office work and knowledge of
medical terminology
PI
Keywords: Palo Verde Hematology, Sun City , Patient Financial Representative, Accounting, Auditing , Sun City, Arizona
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