Job Details

ID #5348019
Estado Wyoming
Ciudad Gillette
Full-time
Salario USD TBD TBD
Fuente Campbell County Health
Showed 2020-10-30
Fecha 2020-09-29
Fecha tope 2020-11-28
Categoría Salud
Crear un currículum vítae

Pre-admissions Coordinator

Wyoming, Gillette, 82716 Gillette USA

Vacancy caducado!

  • JOB SUMMARY

    Works under the supervision of the Patient Access Supervisor or Administrative Director, Revenue Cyle. Performs pre-certification and verification on all eligible patients. Displays a broad understanding of third-party reimbursement issues. Performs detailed and accurate registration of patients, including telephone interviews on eligible patients. Provides estimates to patients of scheduled procedures. Performs other duties as assigned.

  • PRIMARY JOB DUTIES

    • Collects new Inpatient/Observation/Outpatient surgical/High Tech Radiology accounts on a daily basis to coordinate pre-certification and verification with insurance companies.

    • Monitors Inpatient accounts to ensure that all releases and signatures have been obtained.

    • Performs pre-certification of admission and verification of insurance coverage on inpatient admissions and eligible outpatient procedures so that insurance companies are notified and denials are eliminated.

    • Calculates estimates of patient balances on eligible scheduled procedures.

    • Initiates information flow, by entering certification/verification information on-line into the computer system, so that necessary information can be assessed by Patient Accounting and Utilization Review.

    • Coordinates with physician’s offices/surgery department/Radiology departments to obtain patient information needed for pre-admission interview, in order to submit accurate billing, days prior to arrival at the hospital.

    • Communicates closely with Utilization Review and Case Managers on IP admissions completing tasks requested.

    • Performs general admitting duties while covering in Admitting Department during clerk absences and participates in the rotation of on-call for the Emergency Room on weekends and holidays.

    • Maintains a thorough knowledge of hospital admitting policies as well as third-party private insurance reimbursement procedures and coverage so that pre-certifications can be performed accurately/timely.

    • Completes appeals, retro-authorization requests and other assigned tasks for Patient Accounting Reps.

    • Reconciles Advance Directive Information to Ensure Accuracy in Advance Directive Documentation.

    • Obtains payment/co-payment and deposits from patients as appropriate or refers patient to Patient Accounting to make standard payment arrangements.

    • Maintains confidentiality of all personnel and patient care and relations information.

    • Actively participates in Strategic Quality Management for the department and organization.

    • Actively participates in Customer/Guest Relations and Mandatory Education programs.

    • Adheres to CCMH policies and procedures.

    • Complies with the hospital’s Corporate Compliance Program including, but not limited to, the Code of Conduct, laws and regulations, and hospital policies and procedures.

    • Must be free from governmental sanctions involving health care and/or financial practices.

    • Performs other duties as assigned.

  • JOB SPECIFICATIONS

    • Education: High School graduate or GED equivalent.

    • Licensure: None.

    • Certifications required: See Cardiopulmonary Resuscitation Certification Policy and Certifications/Education Requirements Policy.

    • Experience: Prior medical office and/or hospital admitting experience preferred. Prior customer relations experience. Prior computer keyboarding and 10-key calculator experience. Medical terminology knowledge preferred. Prior hospital/medical billing experience preferred.

    • Essential Technical/Motor Skills: Fine finger dexterity necessary for inputting data/typing, ability to speak clearly necessary for answering telephones/radios.

    • Interpersonal Skills: Work requires interpersonal skills to communicate effectively with individuals who have varying levels of comprehension.

    • Essential Physical Requirements: Able to work in a loud (noisy) environment, able to sit for long periods of time, may be required to lift up to 50 lbs., ability to transport information/patients as required, work may require reaching overhead and repetitive activity.

    • Essential Mental Abilities: Ability to organize and prioritize workload, and to work with computers and various software programs. Ability to think quickly and handle various projects simultaneously. May require analyzing, explaining/teaching, attention to detail, memorization, assessing/evaluating, calculations, problem solving/reasoning all performed with little or no supervision.

    • Essential Sensory Requirements: Sufficient vision, hearing and speech to perform duties.

    • Exposure to Hazards: Inside work with possible temperature changes, possible extreme noise. OSHA CATEGORY II. TASKS THAT INVOLVE NO EXPOSURE TO BLOOD, BODY FLUIDS, OR TISSUES, BUT EMPLOYMENT MAY REQUIRE PERFORMING UNPLANNED CATEGORY I TASKS. The normal work routine involves no exposure to blood, body fluids or tissue, but exposure or potential exposure may be required as a condition of employment. Appropriate protective measures should be readily available to every employee engaged in Category II tasks.

    • Hours of Work: Ability to work up to 12 hour shifts in any 24 hour period. Occasionally work overtime. May be required to work evening, weekends, holidays, and night shifts. May be required to rotate day and night shifts.

    • Employees working in healthcare facilities have the potential to be exposed to hazardous materials including: Hazardous Chemicals/Drugs, Waste Anesthetic Gases, Radiation, Latex, Biological Hazards, Respiratory Hazards and Ergonomic Hazards. See Hazardous Materials in the Workplace Policy.

    • Abides by all Department Rules and Expectations as set forth and communicated.

Location: Campbell County Health · PATIENT ACCESS

Schedule: Full Time, Days

Vacancy caducado!

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