Essential Job Functions:

• Greets and registers patients upon arrival, collects patient demographics, referrals, guarantor, insurance and other billing information; interviews patients and other parties to obtain information
• Performs pre and post-billing functions, responds to patient inquiries in-person and via written correspondence, resolves patient charge disputes and processes patient refunds
• Verifies insurance coverage; obtains authorization from managed care companies to cover outpatient services; works with the Managed Care office to identify and interpret contracts governing patient care
• Identifies patients unable to meet complexity/payer mix requirements; provide assistance to identify a community resource for follow up care that matches their clinical needs
• Provides financial counseling to patients and their families; explains hospital policies, including payment and credit policies
• Identifies adjustments/discounts on claims, initiates resolution of accounts placed with collection agencies, receives and processes payments and works with patients to make payment arrangements balances due
• Initiates problem solving to resolve patient questions/complaints and refers escalated concerns to appropriate sources for resolution
• Prepares various correspondence and reports, clinic consultation notes, referral letters and other departmental correspondence; maintains correspondence files
• Answers incoming calls and assists with general clerical duties as needed within the department
   

Required Qualifications:

• High School Diploma 
• Excellent interpersonal skills, including the ability to establish and maintain effective relationships with patients, physicians, management, staff and other customers
• Exceptional customer service skills including the ability to use independent thinking, sound judgment and creativity when resolving customer issues
• Ability to balance multiple priorities and effectively handle challenging situations
• Excellent verbal communication skills
• Basic office skills including 35 wpm typing and 4500 key stokes an hour
• Ability to accurately and efficiently enter alpha numeric data on screen
• Knowledge of basic medical terminology
• Ability to use personal computers and select software applications including Epic
• Successful completion of competencies related to the Cadence Scheduling system
• Successful completion of competencies related to the Point of Service Collection policy

Preferred Qualifications:

• Associate or Bachelor’s Degree preferred
• Prior experience in a practice setting preferred including in depth knowledge of appropriate insurance protocols

Position Details:

• Job Type/FTE: Full Time (1.0 FTE)
• Shift: Days
• Work Location: Onsite 
• Unit/Department: Pediatric Subspecialty 
• CBA Code: 743 Clerical