Duties-
1. Contributes to all functions of the
financial office and ED Clinical Operations by ensuring that coverage for the
position is always provided. Covers Emergency departments and
Advanced Urgent Care; may float between all locations. Performs all functions
in downtime and disaster conditions.
2. Arrives both ambulatory and non-ambulatory
patients. Communicates with emergency services such as Fire, Rescue, and
AMR to obtain patient information for encounter creation and uses all available
tools to process the patient for financial clearance. Identifies and
elevates patient financial issues to the appropriate person for resolution.
3. Creates the visit, identifies and selects
the correct patient record within LLEAP to prevent duplicate MRNs, completes
full registration (HAR), verifies benefits, eligibility and estimated patient
responsibility upon completion of the MSE and provides notification of
Admission to Payors. Conducts this work in accordance with EMTALA guidelines
and restrictions, requiring multiple contact points with patients as the
clinical visit transpires.
4. Sustains a working knowledge of and uses
all tools available to perform job duties such as EPIC, Change Healthcare
Clearance, Insurance Company Websites, and Microsoft office.
5. Maintains ongoing communication with
payers, medical groups, physicians, nursing, case managers, and social workers
as necessary to facilitate appropriate discharge or admission requirements.
Submits notice of emergency department admission to insurance groups when
applicable.
6. Maintains an understanding of how changes
in patient routing such as observation and inpatient admissions affects
financial clearance and is able to explain the process accurately to the
patient and family. Explains alternative ways for patients to meet financial
obligations including but not limited to payment plans and if applicable
Medi-Cal and Financial Assistance Applications.
7. Assists patients in understanding their
insurance coverage benefits, authorization requirements, contractual
agreements, financial liabilities, and support services available to assist
patients based on their rights as a patient
8. Obtains signature on all regulatory
required documents and explains such documents to patients and family regarding
Title 22 Patient Rights, Responsibilities, Filing a Grievance, Visitation
rules, Legal assistance, Advance Directives, and the Hospitals Financial
Assistance Policy.
9. Follows up with police agencies to obtain
police reports required for auto accident billing, completes Doctors First
Report for workers compensation injuries, requests SAR (Service Authorization
Requests) for children seen in the emergency room and urgent care with CCS
qualifying diagnosis.
10. Determines the level of care being
provided. Collects payments based on type of service and posts payments in
LLEAP.
11. Processes, in real-time, financial
information such as liability rates and charity options. Exhausts all resources
to obtain the most complete demographic and financial information on all
patients.
12. Functions as the liaison between
admitting, registration, nursing, case management social work, Medi-Cal
Eligibility Team, and billing.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Helping diverse candidates find great careers is our goal. The information you provide here is secure and confidential.
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