At Good Samaritan Medical Center, we are committed to improving the health of our communities by delivering exceptional, personalized health care with dignity, compassion and respect. Our continued focus on the patient experience informs our caregivers on how to provide care that is respectful of and responsive to individual patient and family preferences, needs and values.
If you are seeking a fast-paced, challenging position in an organization committed to achieving and maintaining a standard of excellence in all we do, our organization may be a good fit for you.
Schedule: 40 Hours, Days, Full Time, Benefit Eligible Position Summary:
- Under the direction of the Director of Patient Access, identify and coordinate assistance to underinsured and uninsured patients through screening and referral to MassHealth Counselors or Patients Accounts. Collect deposits for patient liability as applicable.
Responsibilities:
- Review and troubleshoot all accounts to determine accuracy and patient eligibility for state/federal insurance programs.
- Monitor and execute all "UR" changes in the computer system. Act on changes in a timely manner. Provide the necessary notification to HIS, BAR, physician, insurance companies, and nursing floors.
- Correct patient registration and account information in a timely manner to ensure accurate billing and reimbursement.
- Investigate and pursue all sources (i.e., physician, nursing home, employers, relative etc.) of information to determine insurance or other liability coverage.
- Utilize all available payer systems and vehicles, i.e., website, fax, and telephone, for eligibility company.
- Enter BAR notes to reflect all insurance verification activities and outcomes. Review patient registration and account details for effective insurance verification processing.
- Contact or meet with all self-pay patients and screen all accounts for medical assistance eligibility.
- Maintain knowledge of medical assistance and Virtual Gateway screening and application processes.
Requirements:
Education: High school diploma or equivalent.
Experience: 3+ years of experience with healthcare insurance benefits, eligibility preferred. Reception/office or other healthcare experience required.
Software/Hardware: Previous computer entry/word processing experience required. Meditech knowledge helpful. - Excellent organizational, interpersonal, and communication skills a must.
- Must be detail oriented.
- Knowledge of Medical Terminology and Coding (CPT-4, DRG and ICD-9-CM)
Equal Opportunity Employer/Disabled/Veterans
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Boston Medical Center
Nov 20, 2024