Job Details

Position Overview

This role involves interviewing patients or their representatives to gather essential personal, financial, and demographic details. You will prepare patient records and enter data into computer systems, verify insurance coverage, and ensure all necessary forms are completed and signed. Responsibilities also include collecting co-payments, deductibles, and other payments, balancing daily payment sheets, and routing patient demographics to relevant departments. A strong commitment to excellence and adherence to departmental standards is essential.

Key Responsibilities

• Maintain a safe and clean work environment, including compliance with unit-based safety and infection control protocols.
• Exhibit excellent interpersonal skills when interacting with coworkers, staff, patients, physicians, and the public.
• Conduct patient interviews and accurately enter comprehensive information into computer systems, securing all required signatures and financial data to protect organizational reimbursement.
• Perform special duties as assigned to support departmental needs.
• Assume cashiering duties during after-hours and weekends.
• Verify insurance eligibility and benefits within designated timeframes and obtain necessary pre-authorizations from third-party payers according to their requirements.
• Confirm medical necessity in line with Centers for Medicare & Medicaid Services (CMS) standards and communicate relevant coverage and eligibility information to patients.
• Notify patients of any deposits or deductibles required prior to registration and provide cost estimates for procedures upon request.
• Ensure patients are suitable for routine registration procedures, escort them to appropriate service areas, and address their questions and concerns.

Qualifications

• Minimum of one year of computer data entry experience.
• At least one year of customer service experience working with patients or customers.
• Preferred: One year of healthcare insurance verification experience.
• Preferred: Knowledge of medical terminology.

Education

• High school diploma or GED required.

All candidates must successfully pass a physical evaluation, urine drug screen, and pre-employment background checks prior to starting work.

This position is located in a regional healthcare setting within the Pacific Southwest region of the United States.