Solis Registration Clerk - Heredia, Costa Rica - Auxis

Auxis

Empresa verificada

Heredia, Costa Rica

hace 1 semana

Publicado por:

Andrea Rodríguez

beBee Recruiter

Descripción

Job Summary:

The PTAC Central Unit Representative is responsible for timely and

accurate processes associated with some or all of the following:

Pre-registration
Insurance verification
Pre-Certification
Insurance Notification

Responsibilities:

Duties will be performed by each individual depending on assignment of responsibilities:

Perform pre-registration and insurance verification within 3-5 days prior to date of service for

both inpatient and outpatientservices. For notification received with less than 3 days'

advanced notice perform within 24 hours of notification.

Follow scripted benefits verification and precertification format in Meditech custom benefits

screen and record benefits and pre-certification information in the approved standard

format

Assign Insurance Plans (IPlan's) accurately
Perform electronic insurance eligibility confirmation when applicable and document results
Complete Medicare Secondary Payor Questionnaire as applicable for retention in imaging

system (i.e. OnBase)

Calculate patient cost share and be prepared to collect via phone or make payment

arrangement

Contact patient via phone (with as much advance notice as possible, preferably 48 hours prior

to date of service)to confirmor obtain missing demographic information, quote/collect patient

costshare, and instruct patient on where to present at time of appointment

Receive and record payments from patient for services scheduled.
Utilize appropriate communication system to facilitate communication with hospital

gatekeeper

Ensure appropriate documentation is entered in standard format on the patient record. This

should be performed in the applicable Health Information System (i.e. Meditech) and if

necessary any other subsidiary systems if they are not automatically updated.

Contact physician to resolve issuesregarding prior authorization or referral forms
Research Patient Visit History to ensure compliance with payor specific payment window

rules

Perform insurance verification and precertification follow up for prior day's walk in

admissions/registrations and account status changes by assigned facility as per SSC

guidelines.

Communicates with hospital based Case Manager as necessary to ensure promptresolution of

pre
- existing, non-covered, and re-certification issues

Meets/exceeds performance expectations and completes work within the required time

frames

Implements and followssystem downtime procedures when necessary
Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
Other duties as assigned

Skills and Experience:

Communication communicates clearly and concisely, verbally and in writing. This includes

utilizing proper punctuation, correct spelling and the ability to transcribe accurately.

Customer orientation establishes and maintains longterm customer relationships,

building trust and respect by consistently meeting and exceeding expectations

Interpersonal skills able to work effectively with other employees, patients and external

parties

Policies & Procedures demonstrates knowledge and understanding of organizational

policies, procedures and systems

Basic skills demonstrates ability to organize, perform and track multiple tasks accurately in

short timeframes, have ability to work quickly and accurately in a fast-paced environment
while managing multiple demands, ability to work both independently and collaboratively
as a team player, adaptability, analytical and problem solving ability and attention to detail
and able to perform basic mathematical calculations, balance and reconcile figures,
punctuate properly, spell correctly and transcribe accurately.

About Auxis:
Auxis prioritizes employee growth and development to help you advance your career. Auxis' culture empowers you to be your best in the interest of a common team goal.

We are constantly striving to improve our culture and environment and have invested in tools to continue to have better visualization of the pulse of our organization.