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The Patient Access department is staffed 24 hours a day with personnel directly responsible for pre-registration insurance verification, scheduling, and registration of all inpatients and outpatient into the organization. Arranges for the efficient and orderly admission of inpatients and registration of individuals who have hospital-based outpatient testing or procedures. Ensures that the patient information is collected and that patients are aware of their rights to make decisions regarding their healthcare, conditions of admission, patient rights and financial responsibilities, hospital policies and procedures. Answers and directs calls to appropriate...
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Under general supervision, the Hospital Billing and Follow-Up Specialist handles essential billing and insurance
follow-up functions. This role requires a fundamental understanding of insurance claim processing, knowledge
of UB and HCFA claim forms, and the ability to interpret insurance explanation of benefits (EOBs), handle
denials, and perform follow-up with insurers to ensure claims resolution. The position encompasses business
office responsibilities related to patient accounts, including charge import, diagnostics and procedural coding,
and claim follow-up with third-party payers to achieve a zero-balance resolution.
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The ER Assistant through communication, requisitioning, and management of supplies and equipment, compliments the activities of the nursing staff, patients, physicians, other hospital departments, and visitors. He/She performs general receptionist and clerical duties in order to facilitate efficient functioning of the Emergency Department
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Under the general supervision of department leadership, the Patient Access Coordinator is responsible for referral processing and scheduling patients while ensuring insurance eligibility, benefit verification, pre-registration, and authorization are all completed on time to prevent denials or a delay in patient care. Additionally, the Patient Access Coordinator must determine, communicate, and collect patient liability before service and attempt to collect prior balances. The Specialist will also screen patients who are self-pay or underinsured for financial assistance or other applicable programs as needed.