Pre-Registration / Financial Clearance Representative
Hamilton Health Care System, Inc.
Job Description and Performance Standards
Title: Pre-registration/Financial Clearance Rep. 339005214
Reports To: Patient Account Manager
Shift: 8:00am - 4:30pm / Monday - Friday
Under the direct supervision of the Scheduling and Pre Services Supervisor, the patients are contacted to obtain necessary identifying, demographic and financial information. Seeks to help patients understand their financial responsibilities, giving the estimated out-of-pocket responsibilities and payment options; at all times providing first-class service to set the tone for the patient’s journey of care as well as educate and manage the financial expectations for the patient prior to admission. Initiates the pre-registration in the Soarian Financials System. Provides information to the patient regarding when and where to report to Hamilton Medical Center. Contacts physician offices for pre authorization information. Contacts payers to obtain pre authorization as needed.
Education: Completion of a high school diploma required. College level courses preferred.
Experience: Prefer previous work experience in a position of meeting and communicating with the public. Prefer 1 to 2 years experience in a hospital billing office, medical billing office or other health care setting.
Skills: Excellent oral and written communication skills in order to effectively interact with internal and external customers. Knowledge of Medical Terminology and third party payer terminology. At least a minimal understanding of how CPT-4 and ICD-10 codes are used in health care billing. Intermediate proficiency in Microsoft Outlook, Word and Excel.
PHYSICAL, MENTAL, ENVIRONMENTAL AND WORKING CONDITIONS
Normal business office environment. Constant sitting and limited freedom of movement. Ability to work under conditions of frequent interruption. Poise, tact and courtesy is necessary when dealing with patients. Must be detail oriented. Must be able to assert initiative and judgment involved in classifying financial data and maintaining the normal flow of work.