Posted:
9/5/2024, 7:18:19 AM
Location(s):
Andhra Pradesh, India ⋅ New York, United States ⋅ Naidupeta, Andhra Pradesh, India ⋅ New York, New York, United States
Experience Level(s):
Junior ⋅ Mid Level ⋅ Senior
Field(s):
Medical, Clinical & Veterinary
Department: VARIOUS
Last Reviewed: 12/3/2019
Position Summary
Responsible for registering, scheduling and obtaining pre-certification and authorization for patients to ensure payment from a third party payer.
Essential Job Duties
Greets and registers patients in a tactful and courteous manner. Obtains all pertinent patient demographic and insurance information and enters into appropriate computer system.
Pre-registers patients in the hospitals on line system. Obtains hospital medical record number when necessary. Performs insurance verification checks for Medicare, Medicaid and/or Blue Cross in the hospital billing system. Performs other insurance verification functions as required.
Schedules and maintains daily appointments schedules taking into consideration availability of resources. Sets up clinic for efficient management of appointment flow (e.g., Medical Records retrieved, chart set-ups prepared).
Requests patient’s charts from Health Information and or physician’s files and requests various patients’ NYPH medical record prior to appointment. Reviews chart to insure necessary test results and other relevant information is recorded. Requests test results from appropriate areas as needed. Sends charts to Health Information to be refilled and sends charts back to physician’s offices to be filed after completion.
Retrieves laboratory and radiographic data from clinic information system and laboratories.
Interfaces with referring offices and internal departments to schedule patient exams. Makes appointments for all types of medical procedures as requested
Requests and obtains valid physician requisitions for all exams. Assigns and update billing codes as appropriate. Processes information so as to ensure that third party bills are submitted in a timely and complete manner.
Prepares all pertinent paperwork including authorizations, physician requisitions, diagnostics testing requisitions and transportation reimbursements. Verifies and documents third party eligibility; determines patient liability and obtains authorizations.
Notifies patient of financial obligation for elective admissions and establishes payment arrangements according to financial policies prior to date of service.
Counsels' patient regarding payment options, Medicaid eligibility, and determines qualifications for charity care.
Interfaces with MEU and Social Services to determine Medicaid eligibility; informs patients of documents required initiating Medicaid applications.
Collects co-payments and fees and issues receipts to patients, as appropriate. Prepares receipts for both hospital and professional patient payments. Maintains record of all financial transactions and reconciles daily cash collection.
Performs other job related duties as assigned
Qualifications Required (R) Preferred (P)
Education
High School diploma or GED
R
Some college
P
Licensure/Certifications
Work Experience
One year of clerical experience
R
Telephone skills
R
Knowledge of health insurance benefits/requirements
P
Knowledge of Coding: ICD 9, CPT-4
P
Computer skills
R
Keyboard skills
R
Customer service experience
P
Data entry skills of 4500 keystrokes
R
Effective communication skills
R
Physical/Environmental Conditions Yes (Y) No (N)
Physical/Hazardous/Work Environment - The work environment and physical demands described here are representative of those required by an employee to perform essential functions of the job with or without reasonable accommodation.
Ability to work in surroundings with degree of dust, noise, odors, etc. without undue discomfort.
Y
Ability to hear, talk, walk, stand, bend and stretch.
Y
Ability to read, write and interpret documents.
Y
Ability to sit for long periods of time at desk to perform job functions.
Y
Ability to communicate effectively with clients and co-workers.
Y
May be exposed to mechanical/electrical/radiant/explosive/burn and chemical hazards.
N
May be required to handle, dispose of and/or identify hazardous waste and hazardous materials.
N
May be required to operate and clean equipment.
N
May be required to work both indoor/outdoor under extreme temperatures.
N
May be required to handle reasonably heavy weights across distances.
N
May be required to operate heavy vehicles.
N
Must be trained in and knowledgeable of all Hospital policies and procedures pertaining to hazardous waste and hazardous materials and maintain qualifications applicable to assigned work.
N
Other:
OSHA Yes (Y) No (N)
Duties performed routinely require exposure to blood, body fluid and tissue.
N
Normal routine involves no exposure to blood, body fluid or tissue, but potential for exposure.
Y
Normal routine involves no exposure to blood, body fluid or tissue. Incumbents are not called upon to perform or assist in emergency care or first aid.
N
Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, diversity, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.
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NewYork-Presbyterian Hospital is an equal opportunity employer.
Salary Range:
$31.14-$38.70/HourlyIt all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.
Website: https://nyp.org/
Headquarter Location: New York, New York, United States
Employee Count: 10001+
Year Founded: 1998
IPO Status: Private
Industries: Health Care ⋅ Hospital ⋅ Medical