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Inspire health. Serve with compassion. Be the difference.

Job Summary

Accountabilities

• Contacts patient or other source (in accordance with HIPPA Guidelines) to secure information relative to financial status, demographic data and employment information. Enters accurate information into GE patient billing system, access\u00A0onBase to ensure most recent insurance card is on file, and scans other documents as necessary.\u00A0 Follows up for incomplete and missing information.\u00A0 \u00A050%
• Verifies insurance coverage/benefits utilizing online eligibility, websites or by telephone inquiry to the\u00A0 employer and/or third party payor.\u00A0 Information obtained through insurance verification must always be documented in the GE patient billing system. Assigns appropriate FSC (financial classification) ; ensures insurance priorities are correct based on third-party requirements/ COB.\u00A0 \u00A015%
• Initiates pre-certification process as required according to Departmental Guidelines; makes patients aware of need for signed waiver for cases where pre-certification is required but not yet obtained.\u00A0 Will work in conjunction with the UMG practices to make sure this document is signed and copy retained. \u00A010%
• Alerts patients to necessary signatures and other information on appropriate forms and documents as required including, but not limited to, Consent Form, Liability Assignment, Waiver Letter.\u00A0 Documents should be scanned according to Departmental Guidelines.\u00A05%
• Receives payments and issues receipts.\u00A0 Maintains cash funds/verification logs and makes daily deposits according to departmental policies and procedures.\u00A0 \u00A010%
• Alerts patients to documents that will need to be signed in the practice.\u00A0 This includes, but\u00A0 is not limited to, GHS Privacy Notice, Patient Rights and Responsibilities, Patient Rights in Healthcare Decisions Brochure, Medicare\u00A0Booklet.\u00A0\u00A0\u00A05%
• Communicates patients estimated financial\u00A0responsibility\u00A0utilizing UMG\u00A0Patient Portion Pricer and requests payment prior to or at the time of service;\u00A0 Patients who may need extended terms are referred to appropriate UMG designee for payment exceptions.\u00A0 Patients needing financial assistance are referred to appropriate programs.\u00A0\u00A0\u00A05%

Minimum Education

High School diploma or equivalent\u00A0

Minimum Experience

2 years-\u00A0Billing, Bookkeeping, or Accounting experience

Work Shift

Location

Facility

Department

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Inspire health. Serve with compassion. Be the difference.

Job Summary

Accountabilities

• Contacts patient or other source (in accordance with HIPPA Guidelines) to secure information relative to financial status, demographic data and employment information. Enters accurate information into GE patient billing system, access\u00A0onBase to ensure most recent insurance card is on file, and scans other documents as necessary.\u00A0 Follows up for incomplete and missing information.\u00A0 \u00A050%
• Verifies insurance coverage/benefits utilizing online eligibility, websites or by telephone inquiry to the\u00A0 employer and/or third party payor.\u00A0 Information obtained through insurance verification must always be documented in the GE patient billing system. Assigns appropriate FSC (financial classification) ; ensures insurance priorities are correct based on third-party requirements/ COB.\u00A0 \u00A015%
• Initiates pre-certification process as required according to Departmental Guidelines; makes patients aware of need for signed waiver for cases where pre-certification is required but not yet obtained.\u00A0 Will work in conjunction with the UMG practices to make sure this document is signed and copy retained. \u00A010%
• Alerts patients to necessary signatures and other information on appropriate forms and documents as required including, but not limited to, Consent Form, Liability Assignment, Waiver Letter.\u00A0 Documents should be scanned according to Departmental Guidelines.\u00A05%
• Receives payments and issues receipts.\u00A0 Maintains cash funds/verification logs and makes daily deposits according to departmental policies and procedures.\u00A0 \u00A010%
• Alerts patients to documents that will need to be signed in the practice.\u00A0 This includes, but\u00A0 is not limited to, GHS Privacy Notice, Patient Rights and Responsibilities, Patient Rights in Healthcare Decisions Brochure, Medicare\u00A0Booklet.\u00A0\u00A0\u00A05%
• Communicates patients estimated financial\u00A0responsibility\u00A0utilizing UMG\u00A0Patient Portion Pricer and requests payment prior to or at the time of service;\u00A0 Patients who may need extended terms are referred to appropriate UMG designee for payment exceptions.\u00A0 Patients needing financial assistance are referred to appropriate programs.\u00A0\u00A0\u00A05%

Minimum Education

High School diploma or equivalent\u00A0

Minimum Experience

2 years-\u00A0Billing, Bookkeeping, or Accounting experience

Work Shift

Location

Facility

Department

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.