Patient Finance Service Representative Senior
East Morgan County Hospital - Brush, CO

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About East Morgan County Hospital
Located in the northeast Colorado community of Brush, East Morgan County Hospital is licensed by the state and certified by Medicare as a 25-bed critical-access hospital as well as a designated Level IV trauma center. The hospital features a newly remodeled 24-hour emergency department with three trauma bays, one surgery suite, one recovery room, one endoscopy room, and one outpatient surgery suite. Our commitment to innovation includes our Picture Archive Communications System, a filmless radiology system that is among the newest technological advances available. As one of the area’s largest employers, East Morgan County Hospital can offer you an exceptional opportunity to provide compassionate, innovative care to this unique rural community.

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Job Summary:

This position provides leadership for an admitting/registration team. Conducts registration and obtains financial reimbursement for all patients accessing service at medical facilities. Reviews all account information to optimize collection efforts and system recording events to expedite reimbursement and compliance; resolves issues as they arise to promote point of service decisions. Performs financial counseling when appropriate. Explains and obtains signatures on hospital legal forms i.e. Conditions of Admission, Financial Agreement, Advance Directive, Hospital Grievance policy. Collects and releases patient valuables in accordance with Administrative Policies.

Essential Functions
  • Provides leadership and training to Patient Financial Services Representatives, and acts as a knowledge resource for internal customers. Serves as a primary resource in complex and/or sensitive cases. Oversees patient flow during the shift, assigning job duties to staff to ensure patient flow is maintained at an optimal level. Resolves employee/patient issues that arise during shift. Communicates employee issues to supervisor for follow up.

  • Performs pre-registration/registration processes, verifies insurance coverage and obtains authorizations and notifications. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Obtains all necessary signatures and documentation requires by the patient’s insurance plan. May conduct patient visits for bedside registration to expedite the completion of the patient registration.

  • Provides financial counseling to patients and their families. Explains Company financial policies and provides information as to available resources and avenues for alternative payment arrangements. Assists patients and their families in completing financial assistance paperwork when appropriate.

  • Communicates with physicians, hospital employees, nursing and HIMS to resolve outstanding issues and/or patient concerns. Works to meet the patients’ needs in financial services.

  • Acts as a liaison between patient/PFS department/payer to enhance account receivables performance, resolve outstanding issues and/or patient concerns, and to maximize service excellence.

  • Calculates patient liability according to verification of insurance benefits, collects deposits and co-payments.

  • Meets or exceeds productivity standards. Completes daily assignments and maintains accurate production logs. Audits the demographic and financial files created during shift for payor compliance and completeness. Identifies opportunities to improve work processes and practices good work group dynamics.

  • Marginal functions may include transporting patients or conducting other work of the patient financial services team.

Minimum Qualifications

High School Diploma, GED, or equivalent education.

Requires a level of knowledge and ability normally demonstrated by two or more years of diversified experience in hospital Patient Registration/Financial Services work. Requires knowledge of medical terminology and an broad understanding of all common insurance and payor types and authorization requirements

Accurate and efficient keyboarding skills, the ability to work effectively with common office software are required. Must have highly developed interpersonal skills and communications skills for working with patients and patient families.

Preferred Qualifications

Additional related education and/or experience preferred.

Banner Health - 12 months ago - save job - block