Mercy Medical Center Clinton Patient Service Rep - Full Time in Saint Joseph Mercy Health System Hospital Campus - Ann Arbor, Michigan
16105_84112 OP Registration - SJ
Expected Weekly Hours:
Under general supervision is responsible for the complete and accurate collection of patient demographic and financial information. Registers/checks-in patients, determines preliminary patient or insurance payment obligation, collects cash payments, initiates the billing and re-billings.
Job Description Details:
ESSENTIAL DUTIES AND RESPONSIBILITIES
Interviews patients and gathers information to assure accurate and timely claims submission.
Interprets information collected to determine and create comprehensive visit-specific billing records.
Determines need for and obtains authorization for treatment/procedures and assignment of benefits as required.
Provides information to patients concerning hospital policies and regulatory requirements utilizing effective interpersonal and guest-relations skills.
Provides assistance to other Health System or physician offices staff regarding registration information and procedures.
Determines appropriate payment required at point of registration (deposits, co-pays, minimum charges and non-covered services.
Collects payment at time of registration or check-out. Contacts patients to pre-register prior to clinical services.
Verifies insurance coverage for selected services to facilitate cash collection.
Obtains insurance benefit forms and completes as required; obtains signatures and approvals; verifies that information is complete and accurate.
Utilizes automated systems to obtain and process information (Registration, Medipac, Blue Cross/HART, Medicare/DDE, Care Choices).
Reviews Face Sheets, Patient Identification Forms and related system reports for accuracy; effect error corrections as appropriate. Responds to problems and questions from Medical Records, Clinical Departments or PFS Teams. Reviews and monitors mainframe error reports (Registration and Medipac 299) and effects corrections.
Problem-solves charges, registration data (demographic, insurance) relating to patient inquiries. Demonstrates understanding of prevailing regulatory or 3rd party requirements (MS, pre-certification, consent forms, Advance Directive, etc.).
Assists patients or physician office staff by referring to the appropriate sources of information.
Identifies opportunities to improve the quality of registration, billing or verification procedures. Provides patient instructions, directions, and assistance with submission of patient-centered claim submission to insurance carriers.
Explains accounts to patients; translates billing to patient understanding.
Responds to patient questions concerning insurance coverage, benefit coverage for their insurance plans.
Demonstrates accountability to follow-up with patients concerning requests for information of action regarding their account.
Knows where to obtain information to assist PFS team members, patients, and internal or external customers. Demonstrates team-player abilities and seamless service to patients.
Maintains good rapport and cooperative relationships. Approaches conflict in a constructive manner. Helps to identify problems, offer solutions, and participate in their resolution.
Maintains the confidentiality of information acquired pertaining to patient, physicians, employees, and visitors to St. Joseph Mercy Hospital.
Discusses patient and hospital information only among appropriate personnel in appropriately private places.
Behaves in accordance with the Mission, Vision, and Values of Saint Joseph Mercy Health System. Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management.
REQUIRED EDUCATION, EXPERIENCE AND LICENSURE
Requires high school diploma or equivalent.
One or two years related experience.
REQUIRED SKILLS AND ABILITIES
Basic knowledge of accounting (debits and credits).
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation, serving diverse communities that include more than 30 million people across 22 states. Trinity Health includes 94 hospitals, as well as 109 continuing care locations that include PACE programs, senior living facilities, and home care and hospice services. Its continuing care programs provide nearly 2.5 million visits annually.
Based in Livonia, Mich., and with annual operating revenues of $17.6 billion and assets of $24.7 billion, the organization returns $1.1 billion to its communities annually in the form of charity care and other community benefit programs. Trinity Health employs about 133,000 colleagues, including 7,800 employed physicians and clinicians.
Committed to those who are poor and underserved in its communities, Trinity Health is known for its focus on the country's aging population. As a single, unified ministry, the organization is the innovator of Senior Emergency Departments, the largest not-for-profit provider of home health care services — ranked by number of visits — in the nation, as well as the nation’s leading provider of PACE (Program of All Inclusive Care for the Elderly) based on the number of available programs. For more information, visit www.trinity-health.org at http://www.trinity-health.org/ . You can also follow @TrinityHealthMI on Twitter.