What You Will Do:
Under general supervision, performs scheduling, registration, pre-admission processing, wayfinding, and other administrative duties, while adhering to the department specific standards for data entry and patient selection. The additional duties of this role can include verification of insurance benefit eligibility, insurance pre-certification and authorization, and estimates creation and/or finalization. Works with the care teams and revenue cycle to identify and eliminate barriers to access, reimbursement and affordable care. Provides education to the patient and family regarding the financial clearance process, and offer information regarding estimated cost of services and financial assistance opportunities. Performs specific administrative and Admission, Discharge and Transfer (ADT) functions and performs these duties in multiple clinics and registration areas within the institution. Serves as the first point of contact for patients and visitors who enter the facilities and is responsible for all aspects of customer service for Patient Access/Patient Administrative Services areas in a manner that ensures a customer focused, quality conscious work climate recognizing that patients visits are filled with anxiety and unknowns. Primary functions include focusing on interpersonal skills, data collection, the ability to assess situations, and to assist the team in developing solutions to achieve excellence in customer service while ensuring the financial viability of the hospital. Collects and verifies patient and insurance demographics, verifies insurance benefits and coverage by reviewing benefits collection in Epic, provides cost estimates, securing pre-certifications and/or pre-notifications for patient services, collection of co-pay and deposits prior to services and providing financial assistance to patient |
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What You Need to Be Successful:
Education and Experience: Completion of a high school level education with attainment of a high school diploma or a State High School Equivalency Certificate (GED) is required. Certification and memberships to local organizations such as AAHAM, NAHAM, etc. preferred. 1 year of work experience in a clerical, customer service or receptionist position, preferably in a healthcare setting is required. 2 years' work experience preferred.
Knowledge, Skills and Abilities : Knowledge of health insurance principles and practices is required. Current knowledge of payer requirements for referrals and preauthorization is preferred. Current knowledge of price transparency and facility fee disclosure regulatory requirements as well as the ability to interact with patients to deliver price estimates for some or all of a patients care needs.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
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University of Maryland Medical System
Jan 30, 2023