Job Description:
Responsible for registering patients in multiple service lines all necessary demographic, financial, and clinical information from the patient or representative.
Scope
As a Patient Access / Registration Lead, you need to know how to:
- Lead the daily work of the registration/pre-access team.
- Obtain complete and accurate patient demographic, insurance (eligibility and/or verification), and financial information as well as collection of all liability due for scheduled patients by telephone.
- Register/pre-register patients. Confirm, enter, and/or update all required demographic data on patient and guarantor on registration system. Avoid overlays and duplicate patient medical records.
- Verify insurance to determine coordination of benefits and obtain authorization and/or referrals as required.
- Screen for and process non-covered services and waiver of liability (ABN) through automated screening at time of service.
- Complete the Medicare Secondary Payer (MSP) questionnaire when applicable.
- Identify copay and deductibles. Communicate patient financial responsibility to patient prior to date of service.
- Collect patient responsibility prior to service. Obtain copies of insurance card(s), forms of ID, and signature(s) on all required forms.
- Inform self-pay patients of liability due, prepayment requirements and coordinate screening of alternate funding sources if applicable.
- Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s).
- Collect patient payments and provide accurate receipt. Post all payments in system. Reconcile receipts with cash collected and complete required balancing forms.
- Document patient account notes for all interactions/transactions.
- Maintain departmental and/or individual work queues and reports as required.
- Explain/answer patient billing inquiries and interpret statement data to resolve accounts.
- Manage problem solving more complicated patient questions and issues. Manage escalated account issues from team.
- Review input and audits quality to assure accuracy in all aspects of the position, particularly patient type, financial class and insurance codes.
- Meet departmental productivity and quality standards.
- Act as Subject Matter Expert (SME) in the department.
- Assist with the follow up on appeals, denials, answer inquiries and update accounts as necessary.
- Identify problems and communicate with the Revenue Service Center, Care Management team, Payer Relations and insurance companies in a timely manner.
- Manage expected floor time with Supervisor.
- Participate in peer interview process as requested.
- Provide on-the-job training and provide feedback and peer coaching to associates after their initial training.
- Perform quality assurance reviews, document findings, and provide information to leadership.
- Assist in the preparation of periodic reports.
- Present at staff in-service as requested.
- Promote mission, vision, and values of SCL Health, and abide by service behavior standards.
We hire people, not resumes.
Minimum Qualifications:
- High School Diploma or equivalent, required.
- Minimum of one (1) year of employment within a SCL Health Patient Access department or Revenue Service Center department, required.
- Certified Healthcare Access Associate (CHAA) through the National Association of Healthcare Access Management (NAHAM) or any other accredited association approved by the Manager, preferred.
- Previous experience specific to revenue cycle operations as it pertains to patient financial services, preferred.
Physical Requirements:
Interact with others by effectively communicating, both orally and in writing.
Operate computers and other office equipment requiring the ability to move fingers and hands.
See and read computer monitors and documents.
Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
May require lifting and transporting objects and office supplies, bending, kneeling and reaching.
Location:
Lutheran Medical Center
Work City:
Wheat Ridge
Work State:
Colorado
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$21.32 - $32.26
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers; and our commitment to diversity, equity, and inclusion.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
All positions subject to close without notice.
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