Serves patients by obtaining pre-cert information for all inpatient, surgery or radiology patients. Notify patients prior to surgery or radiology services of any co-pays or deductible amounts.

Job Duties:

• Responsible for obtaining pre-cert information for all inpatient, surgery, and radiology patients.
• Verify eligibility, co-pay and deductible information.
• Pre-register patients with all needed information.
• Notify patients prior to surgery or radiology services of any co-pays or deductible amounts.
• Obtain pre-cert information from physician offices to ensure clean claims.
• Discuss financial obligations or payment arrangements with the patients prior to surgery/radiology.
• Screen uninsured patients for Medicaid Presumptive Eligibility.
• Identify uninsured patients on the daily census and go to patient’s room to provide financial assistance options.
• Ability to calculate reimbursement per payer contract.
• Additional job duties as assigned.

Education:

High school diploma or GED required. Associates degree preferred.

Training/Experience:

1-2 years of hospital business office experience preferred.

Skills/Qualifications:

• Telephone etiquette
• EMR/EHR Experience
• Customer Service
• Insurance payer requirements
• HIPPA compliance
• Attention to Detail
• Professionalism
• Quality Focus