Education: High school diploma or equivalent. Certificate from a technical school preferred.
Experience: Excellent Customer Service skills. Reimbursement experience with financial counseling knowledge that is typically obtained with 3 years of experience.
Recent registration experience in a hospital or medical office setting.
Data Entry skills--minimum 6500 keystrokes per hour with less than 10% error rate.
Previous experience in a healthcare environment required.
Use of general office machines: multi-line phones, fax machine, printer, and pneumatic tube system. Use of Microsoft Outlook E-mail.
Knowledge: Must have knowledge of Managed Care, Medicare, Medi-Cal, Workman's Compensation and other commercial payers requirements, e.g., Medicary Secondary Payor (MSP), Advanced Beneficiary Notice (ABN), authorizations, and pre-certifications.
Understand variances in payer requirements based on type of service and/or procedure, for inpatients and outpatients. Medical Terminology required. Knowledge of patient registration process required. Ability to chart read, extract services, diagnosis, procedures, and treatment. Knowledge of EMTALA and Consent Laws. Knowledge of community resources helpful.
Special Skills/Equipment: Effective verbal and written English skills. Ability to effectively communicate payer requirements to patients and/or patients' family members. Demonstrated ability to organize/prioritize and handle multiple demands and interruptions while maintaining a high energy, flexible, and optimistic attitude. Use of industry utilized insurance verification systems (HDX, IDX, DDE, and POS, etc.) an asset. Demonstrated ability to utilize a variety of computer applications and access specific Internet Web sites for information and become competent in any other new technology that is introduced and becomes departmental standard. Able to work independently. Ability to maintain quality standards and proficient performance standards during high activity and or stressful situations required. Leadership skills required.