This position is responsible for scheduling patient treatments and/or diagnostic procedures for assigned area, utilizing a computerized scheduling system. Activities also include pre-registration, receiving physician orders, insurance verification, gathering pre-authorizations and pre-certifications. Maintains records and produces statistical reports as required. May distribute educational materials to patients and families if needed in assigned department. Performs financial counseling when appropriate. Explains and obtains signatures on hospital legal forms i.e. Conditions of Admission, Financial Agreement, Advance Directive, Hospital Grievance policy. As a Reg/Scheduling Rep II, this individual provides advanced expertise and is able to support and work in different areas of the department.
About Fairbanks Memorial Hospital
Fairbanks Memorial Hospital is a non-profit facility owned by the Greater Fairbanks Community Hospital Foundation. A Joint Commission-accredited facility with 152 licensed beds, Fairbanks Memorial Hospital is the primary referral center for residents of Alaska's interior with a strong patient-to-nurse ratio and Shared Leadership Infrastructure. In addition to our exceptional clinical environment, our location offers incomparable lifestyle rewards away from work. In Fairbanks, small-town living, spectacular natural beauty and endless recreation combine to create a one-of-a-kind place to live, work and play.
Responsibilities:
- Regularly floats to two or more areas of the department. Performs pre-registration/registration processes, verifies insurance coverage and obtains authorizations and notifications. Calculates patient liability according to verification of insurance benefits, collects deposits and co-payments. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Obtains all necessary signatures and documentation requires by the patient's insurance plan. May conduct patient visits for bedside registration to expedite the completion of the patient registration.
- Provides expertise and guidance to other Registration Representatives, and acts as a knowledge resource for internal customers. Serves as a next point of contact for escalated issues. Promotes optimal patient flow during the shift. Resolves employee/patient issues that arise during shift. Communicates employee issues to the supervisor for follow up.
- Provides financial counseling to patients and their families. Explains FHP financial policies and provides information as to available resources and avenues for alternative payment arrangements. Assists patients and their families in completing financial assistance paperwork when appropriate.
- Communicates with physicians and other employees to resolve outstanding issues and/or patient concerns.
- Acts as a liaison between the patient, billing department, and payor to enhance account receivables performance, resolve outstanding issues and/or patient concerns, and to maximize service excellence.
- Meets or exceeds productivity standards. Completes daily assignments and maintains accurate production logs. Audits the demographic and financial files created during shift for payor compliance and completeness. Identifies opportunities to improve work processes and practices good work group dynamics.
- Provides a variety of patient services and financial services tasks. May be assigned to functions such as transporting patients, provide training for new staff, collecting and releases patient valuables in accordance with FHP policies, posting daily deposits, or conducting other work assignments of the Patient Financial Services team.
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.
Qualifications:Requires skills normally acquired over two (2) or more years of medical office work. Requires previous experience in hospital registration and/or prior authorizations. Must possess the ability to function independently, and must possess knowledge and abilities to float within two or more areas of the hospital system. Requires demonstrated knowledge of medical terminology and a broad understanding of all common insurance and payor types and authorization requirements. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences.
Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required.
As is typical in this industry, variable shifts and hours, and on-call duties may be required.
PREFERRED QUALIFICATIONS
Work experience with the FHP's systems and processes is preferred.
Notary license and experience preferred.
Additional related education and/or experience preferred.
Foundation Health Partners is an EEO/AAP employer; qqualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
