Primary Billing Team Member II - Patient Financial Services - Full Time/ Weekdays

Position Objective:

This position assists in all phases of patient accounts operations to ensure the realization of the financial goals of the facility.

Essential Job Duties:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

• Verifies 100% of appropriate insurance coverage, correcting information as necessary, by contacting insurance companies, according to departmental policy and insurance contracts on a daily basis within 24 hours upon receipt.

• Maintains a close interdepartmental working relationship with Utilization Review, Financial Counselors and Financial Advocates.

• Conducts pre-registration for surgical services.

• Ensures 100% of all inpatient, surgery services, specialty and observation cases are verified and authorized.

• Immediately notify Financial Counselor and Financial Advocates of accounts where a high deductible, copay, co-insurance, etc. is due for all cases immediately upon receipt of said information.

• Immediately notifies the Financial Counselor and / or Advocate when insurance coverage is inadequate or has been terminated.

• Enters all information into EPIC System from insurance company correspondence confirming benefit information and authorization of dates of service.

• Acts as liaison with physician offices, insurance companies, internal and external departments, and patients as needed to complete registration, benefit collection and authorizations.

• Follows Standard Work daily as defined by Departmental Procedures.

10. Stays current with insurance changes for notification, authorization and coverage guidelines.

Educational/Experience Requirements:

• High School Diploma or equivalent
• Numerical skills and previous CRT experience. Excellent communication skills.

Required License/Certifications:

• Requires a minimum of CRCS certification

Working Conditions, Equipment, Physical Demands:

There is a reasonable expectation that employees in this position will not be exposed to blood-borne pathogens.

Physical Demands - Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work.

The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.