Patient Management Clerical Associate Child Medicaid Full Time Afternoons

Patient Management Clerical Associate Child Medicaid Full Time Afternoons

Requirements

• High school diploma or equivalent.
• One to two years work experience in hospital healthcare insurance, medical records, billing or related area desirable.
• Working knowledge of medical terminology desired.
• A strong commitment to the DMC customer service standards.
• On the job training or related previous experience to acquire skills in screening and preparing patients for exams. Some college preferred.
• Six to twelve months of related computer/information management experience required.

Responsibilities

• Greets or contacts patient; collects and verifies all necessary demographic insurance and related data. Ensures that consent and other required forms are completed correctly, and patients/guardians signatures are obtained where required.
• Schedules appointments, generates appointment notices, reschedules and posts cancellations; determines appropriate service settings in accordance with established policies and procedures; and resolves scheduling issues in conjunction with appropriate providers and ancillary departments. Coordinates scheduling of all tests and/or services utilizing current clinical guidelines.
• Verifies insurance coverage and benefit levels; secures authorizations and referrals; assesses patient liability amounts.
• Provides financial counseling services to assist patients in identifying and obtaining alternate payment sources.
• Reviews, monitors, and reconciles collected demographic and insurance data in order to ensure accurate bill production. Ensures compliance with third party payer requirements.
• Reconciles and corrects rejected erroneous data transactions as displayed on Transmission, Control and Errors (TCE) reports.
• Accesses computerized system to enter and/or update electronic systems as needed and to answer patients, stakeholders and other pertinent parties inquiries. Responds to general inquiries as required.
• Maintains patient service records and performs related duties as requested.
• Participates in bed management as defined by operating unit policies and procedures.
• Communicates clinical, financial, and administrative information.
• Performs other duties as assigned.
• Assists nursing and technical staff in screening patients and performs a variety of moderately to highly complex patient registration duties.
• Interacts with technologist and radiology nursing staff; interacts with customers/stakeholders to provide/distribute appropriate exam results in a timely and accurate manner; maintains patient charts and films as appropriate.

Preferred Qualifications

• One to two years work experience in hospital healthcare insurance, medical records, billing or related area desirable.
• Working knowledge of medical terminology desired.
• On the job training or related previous experience to acquire skills in screening and preparing patients for exams. Some college preferred.