Employment Spot

Job Description

FULL-TIME Position for�Plantation General Hospital.
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Applicants MUST HAVE�at least 1 year collections experience.�

• Visit all self-paying patients in-house
• Provide estimates to patients and/or physicians as requested
• Generate insurance verification and precertification reports daily and follow up with case management and insurance verification departments as appropriate
• Post ER and Patient Access deposits into PA system
• Contact insurance companies for patient benefits and precertification requirements
• Review alpha census daily for visits exceeding the original length of precertification and work closely with utilization review for concurrent certification
• Assist patients with payment arrangements and charity applications
• Work closely with outside agencies in helping patients apply for Medicaid and state aid
• Maintain insurance files regarding updates and changes
• Forward problems or concerns to Patient Access Manager
• Enter pertinent insurance information into CPCS and prorate account
• Enter notes into the collections system for all patient encounters
• Maintain professional image and implement excellent customer service to customers
• Complete financial analysis and collect estimated patient liabilities
• Follow up with patients for necessary signatures if they were incomplete at time of hospitalization
• Consistently receive and receipt payments from patients for hospital services in accordance with internal cash control procedures
• Interact with Patient Account Services Insurance Verification Department in establishing up-front payment arrangements with patients
• Attends in-service presentations, and completes mandatory education week, including but not limited to, infection control, patient safety, quality improvements, MSDS and OSHA standards.
• Demonstrates knowledge of occurrence reporting system and utilizes system to report potential patient safety issues.
• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
• Other duties as assigned

Job Requirements

• Communication - communicates clearly and concisely, verbally and in writing
• Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
• Interpersonal skills - able to work effectively with other employees, patients and external parties
• PC skills - demonstrates proficiency in PC applications as required
• Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
• Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately