Inspire health. Serve with compassion. Be the difference.

Job Summary

Accountabilities

• Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.\u00A0 Responsible for posting all payments and balancing with the computer reports at day end.\u00A0 Requires a high level of public contact and excellent interpersonal skills.\u00A0 Arranges for patient pre-payments and enforces financial agreements prior to providing service.\u00A0 Gathers charge information, codes, enters into database, completes billing process, distributes billing information.\u00A0 Files insurance claims and assists patients in completing insurance forms.\u00A0 Processes unpaid accounts by contacting patients and third party payers. - 20%

• Liaison between patient and medical support staff.\u00A0Greets patients and visitors in a prompt, courteous, and helpful manner.\u00A0Checks in patients, verifies and updates necessary insurance information in the patient accounting system.\u00A0Obtains signatures on all forms and documents as required.\u00A0Assists patients with ambulatory difficulties.\u00A0Maintains appointment book and follows office scheduling policies.\u00A0Provides front office phone support as needed and outlined through\u00A0cross training\u00A0program.\u00A0Screens visitors and responds to routine requests for information.\u00A0Responsible for gathering, accurately coding and posting outpatient charges.\u00A0Processes vouchers and private payments, to include updating registration screens based on information on checks.\u00A0Researches address verification as needed.\u00A0Helps to process mail return statements and outgoing statements.\u00A0Acquires billing information for all doctors for all patients seen in practice.\u00A0Performs cashiering functions including monitoring and balancing cash drawer daily. Prepares daily cash deposits.\u00A0Receives payments from patients and issues receipts. Codes and posts payments and maintains required records, reports and files.\u00A0Works with patients in securing prepayment sources or financial agreements prior to providing service.\u00A0Participates with other staff to achieve account resolution. Assists with outpatient coding and error resolution. Processes edits and Customer Service and Collection Request for resolution within specified time frames.\u00A0Identify trends and communicates problems to management.\u00A0Updates patient account database.\u00A0Maintains and updates current information on physician\u2019s schedules.\u00A0Schedules surgeries, ancillary services and follow-up outpatient appointments and admissions as requested.\u00A0Answers questions regarding patient appointments and testing.\u00A0Assembles patients\u2019 charts for next day visit.\u00A0Updates profiles on all patients, ensuring completeness and accuracy.\u00A0Oversees waiting area, coordinates patient movement, reports problems or irregularities.\u00A0- 20%

• Assist patients with questions on insurance claims, obtaining disability insurance benefits, home health care, medical equipment, surgical care, etc. Processes benefit correspondence, signature, and insurance forms to expedite payment of outstanding claims.\u00A0Assists patients in completing all necessary forms to obtain hospitalization or Surgical pre-certification from insurance companies.\u00A0Follows-up with insurance companies ensuring that coverage is approved.\u00A0Posts all actions and maintains permanent record of patient accounts.\u00A0Answers patient questions and inquiries regarding their accounts.\u00A0Confirms all workers\u2019 compensation claims with employees.\u00A0Prepares disability claims in a timely manner.\u00A0Follows-up with insurance companies ensuring that claims are paid as directed.\u00A0Maintains files with referral slips, medical authorizations, and insurance slips. - 20%

• Researches all information needed to complete outpatient billing process including getting charge information from physicians.\u00A0Codes information about procedures performed and diagnosis on charge.\u00A0\u00A0Keys charge information into on-line entry program. Processes and distributes copies of billings according to clinic policies.\u00A0Assists with outpatient coding and error resolution.\u00A0Pulls charts for scheduled appointments in advance.\u00A0Delivers, transports, sorts and files returned charts.\u00A0Picks up lab reports, dictations, X-rays, and correspondence.\u00A0Continually checks for misfiled charts and refiles according to filing system.\u00A0 Maintains orderly files.\u00A0Files all medical reports.\u00A0 Purges obsolete records and files in storage.\u00A0Destroys outdated records following established procedures for retention and destruction.\u00A0Makes up new patient charts.\u00A0 Repairs damaged charts.\u00A0 Assists in locating and filing records.\u00A0Works with medical assistants and other staff to route patient charts to proper location.\u00A0Follows medical records policies and procedures. - 20%

• Collects payments at time of service for daily outpatient visit services.\u00A0Reviews each account via computer to ensure patient\u2019s account(s) are being paid on a timely basis.\u00A0\u00A0Performs collection actions including contacting patients by telephone and resubmitting claims to third party reimburses.\u00A0Evaluates patient financial status and establishes budget payment plans.\u00A0Reviews accounts for possible assignment to collection agency, makes recommendation to Clinical Dept. Practice Manager.\u00A0Identifies and resolves patient billing complaints.\u00A0Participates with other staff to follow up on accounts until zero balance, or turned over for collection. Participates in educational activities.\u00A0Gathers and verifies superbills for specified practice on a daily basis.\u00A0Enters all charge and same day payment information for patient visits and hospital patients, verifying accuracy of coding, charging and patient insurance status.\u00A0Prints daily reports, verifying charge entry balancing at day end.\u00A0Backs up and closes computer files on a daily basis, logging as appropriate (i.e. closing all batches in accordance to policy).\u00A0\u00A0Registers new patients after verifying patient status on computer inquiry. Updates financial information as indicated. Maintains strictest confidentiality.\u00A0Participates in educational activities.\u00A0Performs related work as required.\u00A0As representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. - 20%

Supervisory/Management Responsibility

This is a non-management job that will report to a supervisor, manager, director, or executive.

Minimum Requirements

High School diploma or equivalent OR Post-high school diploma

No previous experience required

Other Required Skills and Experience

• Associate's\u00A0Degree in technical specialty program of 18 months minimum in length- Preferred
• Multi-specialty group practice setting experience - Preferred\u00A0
• Basic understanding of ICD-9 and CPT coding- Preferred\u00A0

Work Shift

Location

Facility

Department

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Inspire health. Serve with compassion. Be the difference.

Job Summary

Accountabilities

• Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.\u00A0 Responsible for posting all payments and balancing with the computer reports at day end.\u00A0 Requires a high level of public contact and excellent interpersonal skills.\u00A0 Arranges for patient pre-payments and enforces financial agreements prior to providing service.\u00A0 Gathers charge information, codes, enters into database, completes billing process, distributes billing information.\u00A0 Files insurance claims and assists patients in completing insurance forms.\u00A0 Processes unpaid accounts by contacting patients and third party payers. - 20%

• Liaison between patient and medical support staff.\u00A0Greets patients and visitors in a prompt, courteous, and helpful manner.\u00A0Checks in patients, verifies and updates necessary insurance information in the patient accounting system.\u00A0Obtains signatures on all forms and documents as required.\u00A0Assists patients with ambulatory difficulties.\u00A0Maintains appointment book and follows office scheduling policies.\u00A0Provides front office phone support as needed and outlined through\u00A0cross training\u00A0program.\u00A0Screens visitors and responds to routine requests for information.\u00A0Responsible for gathering, accurately coding and posting outpatient charges.\u00A0Processes vouchers and private payments, to include updating registration screens based on information on checks.\u00A0Researches address verification as needed.\u00A0Helps to process mail return statements and outgoing statements.\u00A0Acquires billing information for all doctors for all patients seen in practice.\u00A0Performs cashiering functions including monitoring and balancing cash drawer daily. Prepares daily cash deposits.\u00A0Receives payments from patients and issues receipts. Codes and posts payments and maintains required records, reports and files.\u00A0Works with patients in securing prepayment sources or financial agreements prior to providing service.\u00A0Participates with other staff to achieve account resolution. Assists with outpatient coding and error resolution. Processes edits and Customer Service and Collection Request for resolution within specified time frames.\u00A0Identify trends and communicates problems to management.\u00A0Updates patient account database.\u00A0Maintains and updates current information on physician\u2019s schedules.\u00A0Schedules surgeries, ancillary services and follow-up outpatient appointments and admissions as requested.\u00A0Answers questions regarding patient appointments and testing.\u00A0Assembles patients\u2019 charts for next day visit.\u00A0Updates profiles on all patients, ensuring completeness and accuracy.\u00A0Oversees waiting area, coordinates patient movement, reports problems or irregularities.\u00A0- 20%

• Assist patients with questions on insurance claims, obtaining disability insurance benefits, home health care, medical equipment, surgical care, etc. Processes benefit correspondence, signature, and insurance forms to expedite payment of outstanding claims.\u00A0Assists patients in completing all necessary forms to obtain hospitalization or Surgical pre-certification from insurance companies.\u00A0Follows-up with insurance companies ensuring that coverage is approved.\u00A0Posts all actions and maintains permanent record of patient accounts.\u00A0Answers patient questions and inquiries regarding their accounts.\u00A0Confirms all workers\u2019 compensation claims with employees.\u00A0Prepares disability claims in a timely manner.\u00A0Follows-up with insurance companies ensuring that claims are paid as directed.\u00A0Maintains files with referral slips, medical authorizations, and insurance slips. - 20%

• Researches all information needed to complete outpatient billing process including getting charge information from physicians.\u00A0Codes information about procedures performed and diagnosis on charge.\u00A0\u00A0Keys charge information into on-line entry program. Processes and distributes copies of billings according to clinic policies.\u00A0Assists with outpatient coding and error resolution.\u00A0Pulls charts for scheduled appointments in advance.\u00A0Delivers, transports, sorts and files returned charts.\u00A0Picks up lab reports, dictations, X-rays, and correspondence.\u00A0Continually checks for misfiled charts and refiles according to filing system.\u00A0 Maintains orderly files.\u00A0Files all medical reports.\u00A0 Purges obsolete records and files in storage.\u00A0Destroys outdated records following established procedures for retention and destruction.\u00A0Makes up new patient charts.\u00A0 Repairs damaged charts.\u00A0 Assists in locating and filing records.\u00A0Works with medical assistants and other staff to route patient charts to proper location.\u00A0Follows medical records policies and procedures. - 20%

• Collects payments at time of service for daily outpatient visit services.\u00A0Reviews each account via computer to ensure patient\u2019s account(s) are being paid on a timely basis.\u00A0\u00A0Performs collection actions including contacting patients by telephone and resubmitting claims to third party reimburses.\u00A0Evaluates patient financial status and establishes budget payment plans.\u00A0Reviews accounts for possible assignment to collection agency, makes recommendation to Clinical Dept. Practice Manager.\u00A0Identifies and resolves patient billing complaints.\u00A0Participates with other staff to follow up on accounts until zero balance, or turned over for collection. Participates in educational activities.\u00A0Gathers and verifies superbills for specified practice on a daily basis.\u00A0Enters all charge and same day payment information for patient visits and hospital patients, verifying accuracy of coding, charging and patient insurance status.\u00A0Prints daily reports, verifying charge entry balancing at day end.\u00A0Backs up and closes computer files on a daily basis, logging as appropriate (i.e. closing all batches in accordance to policy).\u00A0\u00A0Registers new patients after verifying patient status on computer inquiry. Updates financial information as indicated. Maintains strictest confidentiality.\u00A0Participates in educational activities.\u00A0Performs related work as required.\u00A0As representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. - 20%

Supervisory/Management Responsibility

This is a non-management job that will report to a supervisor, manager, director, or executive.

Minimum Requirements

High School diploma or equivalent OR Post-high school diploma

No previous experience required

Other Required Skills and Experience

• Associate's\u00A0Degree in technical specialty program of 18 months minimum in length- Preferred
• Multi-specialty group practice setting experience - Preferred\u00A0
• Basic understanding of ICD-9 and CPT coding- Preferred\u00A0

Work Shift

Location

Facility

Department

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.