This position processes admissions on all patients as well as verifies insurance authorizations. The employee is responsible for maintaining the data integrity in information management system
Obtains and verifies the patients.
Obtains proper diagnosis from the physician’s and validates diagnosis DX codes for procedures.
Ensures that all outpatient medical records copies are complete to ensure proper coding of the chart. Liaises with other departments/units in the event that deficiencies in records received are identified.
Ensures that all information is scanned into the patient account in the proper electronic folders in a timely manner including, but not limited to, patient’s photo ID, insurance information and referrals.
Enters all orders for procedures through the system in per physicians’ orders.
Attends and participates in department staff meetings
Attends mandatory department in-service training sessions.
Appropriately routes patients’ complaints.
Verifies patient’s medical record numbers in the computer; assigns patient numbers to those without a previous number.
Registers patients with the highest possible proficiency.
Pre-registers all scheduled patients.
Obtains all proper signatures for patient consent. Uses —e-signatures as applicable.
Advises and obtains signatures on all Medicare patients’ “Important Message from Medicare” Form.
Obtains patient demographic information and enters it into the system.
Verifies insurance coverage and/or verifies and obtains authorization if applicable.
Collects co-pays, coinsurance and balance due from patients and/or guarantors at time of service. Provides a copy of receipt for payments received to payer.
Coordinates with diagnostic departments regarding pre-registration and/or scheduling of patients.
Schedules patients for outpatient testing if needed.
Verifies the daily cash journal log and forwards monies to the Finance Department on a daily basis.
Maintains the monthly cash collection logs.
Completes Order Entry for ancillary procedures.
Completes ABN checks as required by Medicare. And obtain signatures as required.
Ensures the medical record numbers are correct in the computer.
Answers telephones for department, as well as responding to patient, physician, or department requests including, but not limited to insurance inquiries. Resolves requests and inquiries or routes communications to the appropriate personnel to provide assistance.
Checks fax machine and distributes material to the appropriate areas.
Adheres and follows all departmental policies and procedures.
Adheres to and Responds to All Emergency Codes as indicated by the department requirements.
Maintains current knowledge of requirements and regulations of specific insurance carriers and corresponding insurance forms, as well as state collection laws and HIPAA as it applies to admitting and registration.
Follows all infection control and employee health policies and procedures at all times.
Maintains patient confidentiality at all times according to the established policies and procedures.
High School Diploma or GED required.
One (1) to two (2) years of prior experience in registration in a health care/medical setting required. Knowledgeable in Medicare compliance guidelines, Florida Medicaid and third party insurance companies preferred.
Certification as Patient Access Associate preferred.