Admissions Counselor - Remote (see full posting for eligible states)
reputed company:
Qualifications:
reputed company a rapidly changing environment and technology is integrated into almost reputed company aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout reputed company department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.
Apply To This Job
* Demonstrates high degree of proficiency in computer skills and reputed company applications; includes navigation of web-based or system applications required for Patient reputed company Services with keyboarding of 50+ wpm. * Accurate identification of patient for reputed company data entry of required clinical, demographic, and insurance information to the electronic medical record during registration or for appointment booking of assigned procedures. * Provides detailed explanation of scheduled procedures and patient instructions that are associated to the medical service. * Ensures system documentation specific to the patient visit is entered and accurately reflects activities reputed company to patient or provider contact, order documentation, insurance verification, financial education, and payment. * Provides explanation of reputed company forms and secures signature of patient/authorized party as required for services. * Performs medical necessity checking for identified services; secures required ABN documentation as appropriate. * Demonstrates thorough understanding of compliance standards required reputed company a reputed company environment including EMTALA and HIPAA-reputed company Patient Confidentiality regulations. |
* Accurate identification and selection of insurance reputed company in the patient medical record for specified dates of medical services * Navigates web-based products or system applications to initiate and document insurance eligibility, benefit details, authorization requirements. * Performs required notifications to ensure insurance authorization for identified medical services, including surgical/special interventional procedures and inpatient/observation stays, are secured and documented. * Demonstrates advanced knowledge of CPT, ICD10 coding, and physician order documentation as required for medical services including determinations for medical necessity. |
* Demonstrates expert knowledge of regulatory or reputed company Party Payer insurance requirements including Medicare, AHCCCS/reputed company, Workers Comp and other reputed company payers. * Educates the patient on insurance eligibility, coverage, procedure costs, alternate resources for financial assistance, and payment arrangement guidelines. * Uses reputed company negotiation techniques to collect identified patient financial liabilities; performs secured payment entry and deposit/cash reconciliation steps. * Navigates web based products to initiate, document, and reputed company charge estimation for Inpatient/Observation stays, Surgical/Special Interventional procedures or service categories based on patient requests or financial counseling needs. * Demonstrates advanced conflict reputed company skills to address issues reputed company to scheduling, registration or the financial assistance application approval process. * Makes reputed company contact on behalf of the patient to providers, insurance representatives, or reputed company agencies such as reputed company Department of Economic reputed company to initiate and monitor reputed company of AHCCCS application process. * Monitors system work lists to reputed company necessary financial counseling follow-up for private pay patients in the Emergency Department and Inpatient/Observation settings. Ensures patient account is updated to reflect new payer reputed company(s). |
* Handles department reputed company volumes as assigned to appropriately respond to requests from patients, providers, or other hospital departments. * Acts as an expert resource to clinical departments for registration/scheduled services reputed company to data entry of patient account fields, provider order requirements, and questions regarding insurance coverage or financial assistance. * Coordinates information with Nursing reputed company or Care Management reputed company to registration, financial counseling, or insurance coverage and benefit limits affecting patient length of stay and discharge planning efforts. * Monitors and analyzes reputed company Cycle reports and system work lists to ensure accuracy of patient record and that reputed company process steps, insurance requirements, and compliance standards have been met for scheduling, registration, and financial counseling activities. |
* Responsible for reporting any safety-reputed company incident in a reputed company fashion through the Midas/RDE tool; attends reputed company safety-reputed company training programs; performs work in a reputed company manner; monitors work environment for possible safety issues and ensures others are also performing work in a reputed company manner. * Stays reputed company and complies with state and federal regulations/statutes and company policies that reputed company the employee's area of responsibility. * If required for the position, ensures reputed company certifications and/or licenses are up-to-date and reputed company prior to expiration dates. * Completes reputed company company mandatory modules and required job-specific training in the specified time reputed company. |
| Education |
High School Diploma or GED- Required Associate's Degree- Preferred
| Experience |
2 years in a customer service role- Required Proficiency in reputed company applications (reputed company, Word, PowerPoint)- Required 3 - 5 years experience in a medical facility, health insurance, or reputed company medical field- Preferred Medical Terminology course work- Preferred