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MHOSH Executive Management
Scheduled Weekly Hours
The Patient Services Specialist expedites and enhances patient
access to care by scheduling diagnostic outpatient services in real
time and financially clear patients prior to date of service.
Financial Clearance to include completing insurance verification,
pre-certification, authorization, pre-registration, notification to
the patient or responsible party of estimated amount due for
services provided by both the clinic and the facility, and
collection of prepayment.
Accurately identifies patient from the Master Patient Index, if
applicable as evidenced by documentation.
Responds to telephone calls in a timely manner. Speaks with a
pleasant and professional voice when on the telephone. Interprets
the caller's needs and offers assistance as evidenced by
observation and feedback.
Ensures all Critical Data Elements are obtained and input
correctly in required areas to include multiple EMR's for
efficient, accurate and complete billing.
Schedules appointments promptly and courteously and makes all
attempts to meet the patient's expectations. Obtains patient
information (name, date of birth, diagnosis, ordering physician).
Indicates patient information on the patient schedule.
Communicates the need for preauthorization for exams prior to
completion of exam scheduling.
Demonstrates knowledge of third party payer information,
including Medicare, Medicaid, VA, Tricare/UHC and commercial
payers, to ensure compliance with rules and regulations to ensure
accurate reimbursement. Utilizes available tools to identify third
party payers and verifies current insurance eligibility in the most
efficient manner possible. This could include Passport, EHR,
insurance websites, telephone, or fax.
Contacts third party payer and verifies coverage, obtaining
preauthorization when required.
Contacts patients to discuss estimate of amount due in a
friendly and professional manner.
Collects prepayments prior to services provided, amount to be
determined based on percentage of amount due. Records any collected
payment according to department policies and procedures.
Identifies patients at high risk for financial clearance and
patients requesting assistance, assist patient in completing
financial assistance paperwork, provide counseling for payment
arrangement and act as a liaison between the patient and patient
accounts department. Efficiently and effectively communicates with
clinical staff to include nurses and providers regarding delays in
clearance process which may postpone patient care.
All other duties as assigned.
Education - High School Diploma/GED Equivalent in General
Experience - 1+ years of Billing/Collections Experience; 1+
years of Customer Service Experience; 1+ years of Scheduling
Education - Associates degree in Healthcare
Sedentary work - Exerting up to 10 pounds of force occasionally
and/or negligible amount of force frequently or constantly to lift,
carry, push, pull or otherwise move objects, including the human
body. Sedentary work involves sitting most of the time.
70 Monument Health Orthopedic and Specialty Hospital
Make a difference. Every day.
Monument Health is an Equal Opportunity/Affirmative Action
employer. All qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, national
origin, disability, or protected Veteran status.