Work With Us

Required Skills

• Plays a vital role in representing JMH in a positive, compassionate manner with professional communication, mannerism, and appearance
• Assist patients/visitors throughout the enterprise, providing telephone support, one-on-one assistance and way finding.
• Maintains cooperative and productive working relationships with all co-workers, physicians, management, and external customers to coordinate for optimum patient flow and throughput.

• Actively supports patient/family centered care by actions and attitude that demonstrates service excellence.

• Identifies customer service concerns and resolves and/or initiates service recovery.

• Accountable for Admissions and/or Registrations (Outpatient/ED/Pre), to ensure accurate demographic/financial data is properly obtained, entered, and documented into required system(s), which includes Bedside registrations, Pre-Registration, Point of Service Registrations, Bed Assignments and Facility to Facility Transfers, Initiates the Patient Revenue Cycle by proper identification, verification and entry of insurance and authorization information.

• Notifies and explains financial obligation to the patient/guarantor in a compassionate manner.

• Provides resources for financial assistance.

• Stays abreast of insurance and billing codes updates.

• Verifies Medicare Medical Necessity and issues ABNs for none covered services.

• Issues and explains insurance waivers, as necessary.

• Ensures outpatient physician orders are scanned and attached to the patient visit and tests are ordered via the order entry system accurately.

• Performs other related work as required or requested.

Required Skills

• Assists clinic in meeting goals related to quality and patient satisfaction by providing assistance, guidance, and direction to visitors and patients, in person and over the phone in a manner designed to yield a high level of patient satisfaction. Communicates patients’ needs through the tasking mechanism of the electronic health record. Accountable for achieving quality and patient satisfaction standards, including anticipating patient needs, grievances, and service recovery.

• Schedules, reschedules and coordinates patient appointments. Reviews new patient requests.  Appropriately triages patients in urgent/emergency situations over phone or in person.  Monitors patient flow through reception and works with team to minimize and notify patients of waits and delays.  Schedules interpreters if needed.

• Responsible for accurate registration of patient demographics and insurance. Utilizes a variety of external websites to confirm patient’s eligibility.  Determines appropriate copay, registration conversation, and insurance to bill based on appointment type.  Collects patient financial responsibility at the time of registration, including current and past due balances   Determine and provide age appropriate documentation to be completed by each patient.  Obtains and validates proper consent for patient treatment.   

• Assists clinic in meeting goals related to days in accounts receivable by working as part of a team responsible for several front-line billing aspects which may include but is not limited to, charge entry, charge submission, posting of payments, charge adjustments, and cash management, including bank deposits.  Reviews and corrects demographics/insurance errors.  Assists in the clinic’s overall financial performance by monitoring accounts for bad debt balances, pre-payment requirements, and patient portions at the time of service, and other old balances.

• Responsible for several tasks related to the paper flow through office. This may include, but is not limited to; working with incoming mail and faxed correspondence.  Assists in scanning correspondence and paper medical records and conducting quality assurance and quality audits, if requested.

• Performs opening and close of day activities. This may include running various reports, cash management, and completing required work lists.

• Complies with all reimbursement rules and regulations, including Corporate Compliance and HIPAA. Applies the Minimum Necessary Standard when accessing protected health information.  Complies with established clinic policies and procedures and safety standards.

• Manages task lists within the electronic health record.

• Demonstrates support for and participates in accomplishing team goals and objectives.

• Performs other related work as required or requested.

Required Skills

1. Assists clinic in meeting goals related to quality and patient satisfaction by providing assistance, guidance, and direction to visitors and patients, in person and over the phone in a manner designed to yield a high level of patient satisfaction. Communicates patients needs through the tasking mechanism of the electronic health record. Accountable for achieving quality and patient satisfaction standards, including anticipating patient needs, grievances, and service recovery. 
2. Schedules, reschedules and coordinates patient appointments. Reviews new patient requests.  Appropriately triages patients in urgent/emergency situations over phone or in person.  Monitors patient flow through reception and works with team to minimize and notify patients of waits and delays.  Schedules interpreters if needed.
3. Responsible for accurate registration of patient demographics and insurance. Utilizes a variety of external websites to confirm patient’s eligibility.  Determines appropriate copay, registration conversation, and insurance to bill based on appointment type.  Collects patient financial responsibility at the time of registration, including current and past due balances   Determine and provide age appropriate documentation to be completed by each patient.  Obtains and validates proper consent for patient treatment.   
4. Assists clinic in meeting goals related to days in accounts receivable by working as part of a team responsible for several front-line billing aspects which may include but is not limited to, charge entry, charge submission, posting of payments, charge adjustments, and cash management, including bank deposits. Reviews and corrects demographics/insurance errors.  Assists in the clinic’s overall financial performance by monitoring accounts for bad debt balances, pre-payment requirements, patient portions at the time of service, and other old balances. 
5. Responsible for several tasks related to the paper flow through office. This may include, but is not limited to; working with incoming mail and faxed correspondence.  Assists in scanning correspondence and paper medical records and conducting quality assurance and quality audits, if requested. 
6. Performs opening and close of day activities. This may include running various reports, cash management, and completing required work lists.
7. Complies with all reimbursement rules and regulations, including Corporate Compliance and HIPAA. Applies the Minimum Necessary Standard when accessing protected health information.  Complies with established clinic policies and procedures and safety standards. 
8. Manages task lists within the electronic health record.
9. Demonstrates support for and participates in accomplishing team goals and objectives.
10. Assists clinic in meeting goals related to maintaining required government programs, such as NCQA and Meaningful Use programs.
11. Performs other related work as required or requested.

Required Skills

• Greet the majority of visitors and patients, answer patient questions (via telephone/ in person) and give directional information.

• Effectively perform general clerical/administrative functions.

• Responsible for completing all steps of pre-registration/registration including patient interview, obtaining of signatures, providing Advance Directive information and distributes hospital specific literature.

• Pre-register and register all types of patients in multiple software systems.

• Demonstrates an ability to be flexible, organized and function well in stressful situations.

• Maintains a professional demeanor in respect to patients and fellow employees.

• Ability to conduct financial collections and referrals for Financial Counseling. Ability to interview/prescreen self pay patients for possible financial assistance.

• Understands and complies with state and federal regulations as well as hospital, department and The Joint Commission policies and procedures related to patient access.

• Communicates with ancillary department, physicians, medical offices and within Patient Financial Services department.

• Conducts insurance verification tasks, pre-certification, or referral information from MD offices and/or insurance companies and authorization for elective and emergent patients.

• Ability to complete legal admission paperwork for psychiatric admits in accordance to DHS guidelines.

• Ensures accurate documentation of patient information.

• Responsible for checking and re-stocking supplies as needed.

• Participates in performance improvement activities for the department and organization.

• Adheres to all HIPAA guidelines and patient confidentiality policies.

• Completes annual educational and training requirements.

• Promotes the mission, vision, and goals of the organization and department.

• Performs other related work as required or requested.

Required Skills

1. Greet the majority of visitors and patients, answer patient questions (via telephone/ in person) and give directional information.

1. Effectively perform general clerical/administrative functions.

1. Responsible for completing all steps of pre-registration/registration including patient interview, obtaining of signatures, providing Advance Directive information and distributes hospital specific literature.

1. Pre-register and register all types of patients in multiple software systems.

1. Demonstrates an ability to be flexible, organized and function well in stressful situations.

1. Maintains a professional demeanor in respect to patients and fellow employees.

1. Ability to conduct financial collections and referrals for Financial Counseling. Ability to interview/prescreen self pay patients for possible financial assistance.

1. Understands and complies with state and federal regulations as well as hospital, department and The Joint Commission policies and procedures related to patient access.

1. Communicates with ancillary department, physicians, medical offices and within Patient Financial Services department.

1. Conducts insurance verification tasks, pre-certification, or referral information from MD offices and/or insurance companies and authorization for elective and emergent patients.

1. Ability to complete legal admission paperwork for psychiatric admits in accordance to DHS guidelines.

1. Ensures accurate documentation of patient information.

1. Responsible for checking and re-stocking supplies as needed.

1. Participates in performance improvement activities for the department and organization.

1. Adheres to all HIPAA guidelines and patient confidentiality policies.

1. Completes annual educational and training requirements.

1. Promotes the mission, vision, and goals of the organization and department.

1. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

• Greet the majority of visitors and patients, answer patient questions (via telephone/ in person) and give directional information.

• Effectively perform general clerical/administrative functions.

• Responsible for completing all steps of pre-registration/registration including patient interview, obtaining of signatures, providing Advance Directive information and distributes hospital specific literature.

• Pre-register and register all types of patients in multiple software systems.

• Demonstrates an ability to be flexible, organized and function well in stressful situations.

• Maintains a professional demeanor in respect to patients and fellow employees.

• Ability to conduct financial collections and referrals for Financial Counseling. Ability to interview/prescreen self pay patients for possible financial assistance.

• Understands and complies with state and federal regulations as well as hospital, department and The Joint Commission policies and procedures related to patient access.

• Communicates with ancillary department, physicians, medical offices and within Patient Financial Services department.

• Conducts insurance verification tasks, pre-certification, or referral information from MD offices and/or insurance companies and authorization for elective and emergent patients.

• Ability to complete legal admission paperwork for psychiatric admits in accordance to DHS guidelines.

• Ensures accurate documentation of patient information.

• Responsible for checking and re-stocking supplies as needed.

• Participates in performance improvement activities for the department and organization.

• Adheres to all HIPAA guidelines and patient confidentiality policies.

• Completes annual educational and training requirements.

• Promotes the mission, vision, and goals of the organization and department.

• Performs other related work as required or requested.

Required Skills

• Reception/Scheduling

• Daily direct contact with patients and customers – excellent interpersonal skills required.
• Accesses computer terminal to input, update, retrieve and review patient admission information on new and established patients.
• Answers phones and takes accurate messages.
• Confirms orders by daily contact with referral sources, attains proper patient information, written physician order and preauthorization of insurance.
• Organizes/monitors schedule for all department clinicians.
• Utilizes decision-making skills in all scheduling procedures for initial evaluations and follow-up appointments.

• Medical Records

• Establishes, prepares and files outpatient medical record charts for all services
• Copies, files, faxes, scans and routes outpatient medical records and correspondence to physicians, medical records department and third party payers.
• Pulls medical record charts daily for all service areas.

• Billing

• Checks billing sheets daily for accuracy and complete information
• Inputs patient data, charges and adjustments on a daily basis
• Generates statistical billing data s requested by manager/director.

• Rehab Support

• Assists with rehabilitative services for patients of all ages under the direct supervision of the therapists and/or assistant.
• Transports patients to and from therapy in accordance with patient schedule.
• Prepares the patient and treatment area prior to and following treatment procedures.
• Maintains inventory of rehabilitation equipment and assists for ordering of supplies.
• Provides coverage for other staff when needed.
• Demonstrates support for and participates as requested in accomplishing Rehab Services goals and objectives.

• Schedules all appointments and maintains efficient Master schedule for OT/PT/SLP. Keeps manager informed of concerns regarding wait times.

• Answers phone and greets customers in a friendly manner.

• Registers patients, verifies physician’s orders, updates demographics and insurance on existing patients and obtains signature for proper billing.

• Pre-certifies patients insurance when needed to ensure payment and correct billing.

• Completes discharge process on all patients. Forwards appropriate record information to Health Information.

• Participates in Competency Assessment Process.

• Performs other duties as assigned or requested.

Required Skills

• Understands and applies payor prior-authorization requirements, and stays current with payor changes.
• Interacts effectively with physicians and/or office staff when receiving information regarding hospital outpatient diagnostic services and referrals services needed.
• Provides information and assistance for Utilization Review and Patient Financial Services.
• Primary function is to receive and coordinate pre-authorizations/RQI’s on patient accounts for all outpatient services and schedule inpatient admissions.
• Coordinates physician referrals on patient accounts deemed appropriate for additional services. Schedules, coordinates and pre-authorizes needed services ordered by the physicians.
  • Coordinates phone calls in a positive and professional manner to meet departmental goals.
  • Prioritizes scheduled patients in accordance with managed care pre-auth requirements and medical necessity requirements.
  • Utilizes the account note function to record all telephone conversations, consultations, pertinent case specific information, and rationale for decision on cases, all reference numbers and authorization information.
  • Provides excellent customer service by adhering to quality standards and case management/confidentiality policy and procedures.
  • Communicates daily with appropriate parties for prior approval on patient accounts (case management or nurses at doctor’s offices).
  • Maintains/documents accurate record of insurance/pre-auth company information.
• Communicates barriers or process improvement opportunities to management.
• Assists in training new personnel or in implementing new procedures.
• Performs other duties as assigned.

Required Skills

• Assists clinic in meeting goals related to quality and patient satisfaction by providing assistance, guidance, and direction to visitors and patients, in person and over the phone in a manner designed to yield a high level of patient satisfaction. Communicates patients needs through the tasking mechanism of the electronic health record. Accountable for achieving quality and patient satisfaction standards, including anticipating patient needs, grievances, and service recovery. 
• Schedules, reschedules and coordinates patient appointments. Reviews new patient requests.  Appropriately triages patients in urgent/emergency situations over phone or in person.  Monitors patient flow through reception and works with team to minimize and notify patients of waits and delays.  Schedules interpreters if needed.
• Responsible for accurate registration of patient demographics and insurance. Utilizes a variety of external websites to confirm patient’s eligibility.  Determines appropriate copay, registration conversation, and insurance to bill based on appointment type.  Collects patient financial responsibility at the time of registration, including current and past due balances   Determine and provide age appropriate documentation to be completed by each patient.  Obtains and validates proper consent for patient treatment.   
• Assists clinic in meeting goals related to days in accounts receivable by working as part of a team responsible for several front-line billing aspects which may include but is not limited to, charge entry, charge submission, posting of payments, charge adjustments, and cash management, including bank deposits. Reviews and corrects demographics/insurance errors.  Assists in the clinic’s overall financial performance by monitoring accounts for bad debt balances, pre-payment requirements, patient portions at the time of service, and other old balances. 
• Responsible for several tasks related to the paper flow through office. This may include, but is not limited to; working with incoming mail and faxed correspondence.  Assists in scanning correspondence and paper medical records and conducting quality assurance and quality audits, if requested. 
• Performs opening and close of day activities. This may include running various reports, cash management, and completing required work lists.
• Complies with all reimbursement rules and regulations, including Corporate Compliance and HIPAA. Applies the Minimum Necessary Standard when accessing protected health information.  Complies with established clinic policies and procedures and safety standards. 
• Manages task lists within the electronic health record.
• Demonstrates support for and participates in accomplishing team goals and objectives.
• Assists clinic in meeting goals related to maintaining required government programs, such as NCQA and Meaningful Use programs.
• Performs other related work as required or requested.

Required Skills

• Utilizes electronic software or by telephone to determine insurance eligibility and coverage for inpatient and/or outpatient claims.

• Creates and examines daily listings for assigned billing claims and determines which require further analysis action.

• Investigates assigned billing claims with incomplete/incorrect information and resolves problems or errors to ensure complete and complaint information accompanies the claim.

• Follows up and investigates unpaid items and other issues associated with unpaid claims. Contacts patients, guarantors or other sources of third party payment and secures arrangements for prompt payments.

• Analyzes reports containing rejected account information, and performs the necessary research to resolve the reason(s) for the rejection and secures any other required information.

• Responds to request from internal departments regarding the proper coding, billing and processing of insurance claims.

• Processes and post electronic vouchers from designated insurances.

• Communicates and resolves issues with a variety of internal and external sources to resolve issues involving medical insurance claims. This may include internal department, patient (or other responsible parties), third party payors, social service agencies and collection agencies.

• Provides input regarding system edits designed to identify and ensure consistent and complaint data necessary for processing medical insurance claims.

• Initiates corrections to charges and contractual allowances within scope of expertise and authority granted.

• Identifies accounts that require secondary billing and processes accordingly.

• Identifies and calculates write-off amounts and secures the necessary approvals from management for processing.

• Identifies accounts that require insurance pre-certifications and communicates with the insurance companies accordingly.

• Ensures compliance to managed care contract guidelines and processes at each work step to facilitate accurate and timely reimbursement to the organization.

• Documents online systems and electronic files to ensure accurate data is noted regarding the status of claims and payments.

• Performs other related work as required or requested.