Overview

Greets and receives patients into the health care

facility. Responsible for accurate and timely processing of patient

demographics and insurance information. Communicates and supports hospital

departments using scheduling system as appropriate. Obtains electronic

signature for consent to treat and patient financial obligation. Provides

excellent customer service and uses strong written/verbal communication

skills. This position is the first impression of WVU Healthcare to the

patient.

MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1.

High School diploma or

equivalent.

PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1.

Associate

degree in a related medical field such as medical assisting or medical office

administration.

EXPERIENCE:
1.

Experience in a medical

office setting.

CORE DUTIES AND RESPONSIBILITIES: The statements described

here are intended to describe the general nature of work being performed by people

assigned to this position. They are not intended to be constructed as

an all-inclusive list of all responsibilities and duties. Other duties

may be assigned.

1.

Obtains

demographic/billing/insurance information from patient/family/legal guardian

and enters into the registration/billing systems for service and claim

processing and scans insurance cards & photo identification.

2.

May

complete managed care responsibilities in regard to obtaining

pre-certification and authorizations.

3.

Prepares

WVU Medicine standard consent form, notice of privacy practice and/or other

necessary paperwork related to registration and presents to

patient/family/legal guardian for signatures. Obtains electronic

signature for consent to treat and patient financial obligations.

4.

Collects

deposits/co-payments/deductibles/patient liability payments when applicable,

provides patient receipt and documents payment in the registration/billing

systems.

5.

Directs patients needing

financial assistance to speak with a Financial Counselor.

6.

Prepares armband for

patient identification.

7.

Balances daily receipts

and cash drawer for patient payments as needed.

8.

Follows up on accounts as

indicated by system flags (courtesy dismissal/comments/red stickers).

9.

May

initiate auto accident liability coverage. Identifies all patients

involved in an auto accident and obtains all pertinent information regarding

medical or non-fault liability and documents in registration/billing systems.

10.

May

initiate ERSD (end stage renal disease) screening. Identifies ESRD

patients and obtains all pertinent information regarding coverage by SSI and

documents in the registration/billing systems.

11.

May initiate Veterans

Administration eligibility screening. Identifies all VA eligible

patients and coordinated admission/treatment with VA and documents in the

registration/billing systems.

12.

May initiate Black Lung

SSI screening. Identifies all patients covered under Black Lung and

documents in the registration/billing systems.

13.

May initiate Workers

Compensation screening. Accurately identifies all patients seeking

treatment for work related injuries. Assists in completion of

appropriate paperwork and documents in the registration/billing systems.

14.

Initiates MSPQ (Medicare

secondary payer questionnaire). Obtains all information regarding

MSPQ. Documents in registration/billing system all information required

on the MSPQ.

15.

Maintains confidentiality

according to policy and HIPAA when interacting with patients, physicians,

families, co-workers and the public regarding demographic/clinical/financial

information

16.

Provides to the patient,

information concerning insurance, payment of bills and hospital

procedures. Consistently maintains current knowledge of major payer

payment provisions.

17.

Performs medical necessity

checks and completes Advanced Beneficiary Notice as needed.

18.

Answers phone calls in a

professional and courteous manner. Uses phone system in correct manner.

19.

Schedules, reschedules, or

cancels patients in accordance with hospital workflows.

20.

Checks for order

completeness and validate order against scheduled service.

21.

Communicates with and

supports hospital departments using the scheduling system.

22.

Follows hospital, state, and federal guidelines for ensuring

safe environment for workers, patients, and the public. Ensures compliance by

staff to hospital, governmental, and insurance regulations.

23.

Complies with Notices of Privacy Practices, and the Patients

Rights and Responsibilities and cooperate with the WVUH Corporate Compliance

Program during employment.

24.

Communicates and interacts with clients, families, visitors,

physicians, departmental, and hospital staff and the public in general in a

manner that demonstrates professionalism and concern for the individuals

need(s).

25.

Participates in the processes to assess and improve the services

provided and compliance with regulatory requirements. Reports results of

assessments and improvement processes to the appropriate administrative

levels.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those

that must be met by an employee to successfully perform the essential

functions of this job. Reasonable accommodations may be made to enable

individuals with disabilities to perform the essential functions.

1.

Frequent walking,

standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and

feeling are necessary body movements utilized in performing duties throughout

the work shift.

2.

Visual acuity must be

within normal range.

3.

Must be able to exert in

excess of 50 pounds of force occasionally, and/or up to 25 pounds of force

frequently, and/or up to 10 pounds of force constantly to move objects.

4.

Must have manual dexterity

to operate keyboards, fax machines, telephones, and other business equipment.

5.

Must have the ability to

move throughout the work area and clinic area.

6.

Must be able to sit or

stand for extended periods of time.

8.

Must have reading and

comprehension ability.

WORKING ENVIRONMENT: The work environment characteristics described here are representative

of those an employee encounters while performing the essential functions of

this job. Reasonable accommodations may be made to enable individuals with

disabilities to perform the essential functions.

1.

Must be capable of performing assigned

task despite frequent interruptions.

2.

Must be capable of working within

a confined office space and under fluorescent lighting.

3.

Must have ability to maintain

concentration in and around noise from office machinery such as a copier or

printer.

4.

High volume, fast paced

environment.

5.

Exposure to communicable disease.

6.

Interacts with patients, medical

staff, and support staff daily on a continual basis.

SKILLS AND ABILITIES:
1.

Ability to accurately utilize

applicable computer software and equipment for access processing &

demonstrates ability to follow down time procedures.

2.

Demonstrate knowledge of procedure to report and/or document

unsafe/hazardous conditions, incidents and defective equipment in compliance

with hospital policy.

3.

Requires ability to perform repetitious duties throughout the

shift.

4.

Requires considerable attention to detail, the ability to be

organized and to be able to perform multiple tasks simultaneously.

5.

Requires the ability to memorize a considerable amount of

information, and to be able to reference information not retained from

written sources or from appropriate personnel.

6.

Requires the ability to understand medical insurance

requirements for payment and basic knowledge of covered services.

7.

Must be able to work with a variety of personality types and

interact with individuals with various levels of education, capabilities and

communication skills.

8.

Must demonstrate ability to use tact and diplomacy in dealing

with physicians, patients, and families.

9.

Excellent communication skills (written and verbal).

10.

Basic knowledge of medical terminology preferred.

11.

Basic knowledge of third party payers preferred.

12.

General knowledge of time of service collection procedures

preferred.

13.

Demonstrates ability to follow established computer downtime

procedures.

14.

Ability to understand written and oral communication.

Date

Reviewed/Revised: November 2018

Source: