Patient Financial Associate

2 days ago

Washington, Washington, D.C., United States MEDSTAR HEALTH Full time

Department: Surgery Center
Status: Full-time, 40 hours per week
Schedule: Monday-Friday, 7:00am-3:30pm

Job Summary:

Responsible for inpatient and outpatient registration activities, which include assessing the patient's financial status, identifying and obtaining a source of payment and gathering sufficient information to facilitate reimbursement, ensuring the notification is accurate and complete, and interfacing with insurers and members of the health care team.

Requires proficient and professional encounters with other departments, insurance companies, third-party administrators, physician offices, and associates to input correct patient demographics and insurance information, verify eligibility, and identify and obtain referral and authorization needs to ensure a seamless revenue cycle process.

Join one of the largest healthcare systems in the Baltimore-Washington metro region, also recognized as one of the "Healthiest Maryland Businesses". Apply today and learn how MedStar Health can be your next great career move


Primary Duties:

  • Initiates and receives phone calls from patients (some transferred from clinical Departments) aimed at accurately completing insurance FSC/Plan information at the patient registration and visit levels of the billing system, including Alternate Insurance information on the Appointment Data Form if appropriate.
  • Tracks and maintains referral and preauthorization records for all patients and ensures that authorizations are obtained, updated, and recorded in a timely manner, such that patient care is not inappropriately delayed and that denials are minimized.
  • Provides complete pre-authorization, insurance verification, and basic benefits information on all outpatient registration accounts for patients utilizing the Medical Center's clinical systems.
  • Performs duties pertaining to registration to include the use of GE Centricity Business/IDX and its supporting eligibility software programs to ensure accurate registration and capture of authorization/referral information for both IDX and SMS Invision.
  • Updates patient demographic and insurance information; Maintains Department standards in terms of accounts accessed & accuracy rates.
  • Provides benefit coordination for patients in order to properly instruct when services will or will not be covered by insurance and whether any co-payments or deductibles will be due at the point of service. Refers some cases to the proper department for Financial Assistance assessment prior to treatment.
  • Corrects accounts that have erroneous registration information and ensures that all associated claims have the correct financial classification so that timely and accurate claim submission occurs, thus facilitating successful revenue cycle processes.

Qualifications:

  • High School Diploma or GED required, Associate's Degree preferred
  • Customer Service experience required
  • Hospital or physician registration, insurance verification and/or medical billing required

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