Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.

Interviews patients for all types of pre-registrations/registrations. Obtains authorized signatures, verifies insurance benefits, begins pre-cert process for admissions/observations, follows-up with physician's offices for those insurances requiring pre-cert PRIOR to services, and validates medical necessity on specific tests identified by Medicare. Functions as an information source for all inquirers. Collects money at time of services, maintains/distributes petty cash as needed. Signs in/out people using the Hospitality House in the absence of the Case Management Secretary. Corrects patient status when requested by Case Management.

POSITION SUMMARY: Interviews patients for all types of pre-registrations/registrations. Obtains authorized signatures, verifies insurance benefits, begins pre-cert process for admissions/observations, follows-up with physician's offices for those insurances requiring pre-cert PRIOR to services, and validates medical necessity on specific tests identified by Medicare. Functions as an information source for all inquirers. Collects money at time of services, maintains/distributes petty cash as needed. Signs in/out people using the Hospitality House in the absence of the Case Management Secretary. Corrects patient status when requested by Case Management. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High school graduate or equivalent PREFERRED QUALIFICATIONS: EXPERIENCE: 1. Experience in registration and or healthcare insurance billing 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. Interviews patients or their representative to assure demographic and insurance information is accurate. Pre-registers scheduled patients by phone and/or in person. 2. Obtains authorizations prior to patient's arrival as required by the insurance payers. Verifies insurance eligibility. 3. Begins authorization process for new admissions and observations. 4. Communicates to Case Management any insurance changes for new admissions and observations and if any follow-up needed for authorizations with the insurance companies. 5. Informs patients of their co-pays, deductibles & out of pocket not met and collects at time of pre-registration and/or registration. Obtains signatures on Conditions of Admission and various other forms required for the registration process. 6. Balances the cash drawer for each shift daily. 7. Takes payments received the prior business day to the PFS Cashier daily. 8. Validates medical necessity for all ancillary tests & issues ABNs when appropriate. 9. Refers Self Pay patients or insurance paying patients with high deductibles/out of pockets to the Financial Counselor and/or Support Services. Maintains and distributes petty cash as needed. 10. Corrects patient status when requested by Case Management. Works various reports daily and as assigned. 11. Signs in/out people using the Hospitality House in the absence of the Case Management Secretary. 12. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs. Flexible, organized and functions well in stressful situations. 13. Interacts professionally with patient/family and provides explanations and verbal reassurance as necessary. Maintains a good working relationship both within the department and with other departments. 14. Answers the phone in a polite manner and communicates information to the appropriate staff/family member. Checks and stocks supplies as needed. 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. 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. SKILLS & ABILITIES: 1. Good computer skills including knowledge of Microsoft Office 2. Excellent verbal and written communication skills 3. Ability to carry out instructions furnished in written or oral form 4. Basic medical terminology

MINIMUM QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High school graduate or equivalent

PREFERRED QUALIFICATIONS :

EXPERIENCE:

1. Experience in registration and or healthcare insurance billing

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. Interviews patients or their representative to assure demographic and insurance information is accurate. Pre-registers scheduled patients by phone and/or in person.

2. Obtains authorizations prior to patient's arrival as required by the insurance payers. Verifies insurance eligibility.

3. Begins authorization process for new admissions and observations.

4. Communicates to Case Management any insurance changes for new admissions and observations and if any follow-up needed for authorizations with the insurance companies.

5. Informs patients of their co-pays, deductibles & out of pocket not met and collects at time of pre-registration and/or registration. Obtains signatures on Conditions of Admission and various other forms required for the registration process.

6. Balances the cash drawer for each shift daily.

7. Takes payments received the prior business day to the PFS Cashier daily.

8. Validates medical necessity for all ancillary tests & issues ABNs when appropriate.

9. Refers Self Pay patients or insurance paying patients with high deductibles/out of pockets to the Financial Counselor and/or Support Services. Maintains and distributes petty cash as needed.

10. Corrects patient status when requested by Case Management. Works various reports daily and as assigned.

11. Signs in/out people using the Hospitality House in the absence of the Case Management Secretary.

12. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs. Flexible, organized and functions well in stressful situations.

13. Interacts professionally with patient/family and provides explanations and verbal reassurance as necessary. Maintains a good working relationship both within the department and with other departments.

14. Answers the phone in a polite manner and communicates information to the appropriate staff/family member. Checks and stocks supplies as needed.

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.

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.

SKILLS & ABILITIES:

1. Good computer skills including knowledge of Microsoft Office

2. Excellent verbal and written communication skills

3. Ability to carry out instructions furnished in written or oral form

4. Basic medical terminology

Scheduled Weekly Hours:

4

Shift:

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

PCH Princeton Community Hospital

Cost Center:

500 SYSTEM Administration

Address:

122 12th Street

Princeton

West Virginia