Patient Services Rep 2 - Registration (ONSITE - Kona, HI)

About Us

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

Job Summary

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Exceed productivity standards as outlined by business line
• Complete patient registration (post clinical triage of patient) by obtaining and verifying health plan coverage
• Accurately document patient demographics and health plan information
• Support access registration, insurance verification and authorization functions
• Contact physician offices and/or payers for follow-up on eligibility and authorizations
• Maintain quality scoring and accuracy on all accounts worked
• Provide input for process development and reporting
• Interact with patients, payer, provider and clients according to company, client and federal guidelines
• Work independently and make responsible decisions
• Complete timely follow-up on assigned accounts to ensure no cash loss
• Demonstrate the ability to prioritize work with minimal oversight to meet outlined goals
• Act as a knowledge resource for team members
• Maintain high level understanding of client host system functions
• Clearly document actions taken and next steps for account resolution in patient accounting system
• Ensure all accounts are worked within client standards and Federal Regulations
• Work within federal, state regulations, department/division & all Compliance Policies
• Maintain clear, concise, and accurate documentation of all attempts and/or contacts made and received for accounts in accordance with company and client specifications
• Maintain continuing education, training in industry career development
• Maintain current knowledge of and comply with all federal and state rules and regulations governing phone calls and collections including HIPAA, FDCPA, Privacy Act, FCRA, etc.
• Attend training sessions as directed by management and disseminate to colleagues
• Integrate information obtained through training sessions and policy changes immediately into daily routine

Education and Experience

• High School or equivalent
• Preferred: Minimum of 1 year of Access Registration or front office physician healthcare experience
• Minimum of 3 years in hospital or physician operation
• Minimum of 1 year of basic computer skills to include MS Office apps: Outlook, Word, Excel
• Other Helpful Education Or Experience: Epic hospital system experience, Demonstrate knowledge of communication regulations relating to HIPAA and TCPA and other FCC requirements, Experience with Insurance payers (Medicare, Medicaid, Commercial, Workers Compensation)

Knowledge, Skills and Abilities

• Exceptional customer service skills
• Excellent verbal and written communication skills
• Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality
• Proficient use of hospital registration and/or billing systems, and Microsoft Word and Excel software applications
• Ability to follow regulations outlined by state, federal, and third-party coverage procedures
• Ability to model the basic values of the mission, vision and values of Xtend Healthcare and the client
• Ability to manage multiple tasks simultaneously and adjust to issues as needed in a dynamic work environment
• Ability to prioritize and effectively anticipate and respond to issues as they arise
• Ability to post transactions in multiple systems
• Good analytical and problem-solving skills
• Ability to work independently

Physical Demands

Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.