Emergency Department Business Services Clerk I

Under indirect supervision, exercising knowledge and judgment, performs variety of patient registration, telephone, reception and other clerical duties.

Determines proper financial class.

Prices visit records according to health plan or non-plan rates and collects payment at point-of-service (POS).

Makes billing arrangements when payment is not made at POS.

Maintains database integrity of system.

Maintains quality and professional care of patients requiring medical attention.

Educates parties regarding business practices and health plan benefits.
Essential Functions:

– Greets patients, referring them to appropriate areas of clinic/department or directs to emergency department medical screening nurse

– Assesses patient data on mainframe system to verify membership status and group benefit structure; refers to SC File and group listings when mainframe system is down; obtains medical record number from MPI if none available

– Establishes patient financial class type at point of registration; obtains demographic and necessary health plan insurance information; ensures appropriate forms are completed/initiated/routed; photocopies insurance and other cards; obtains credit card imprint and informs patient of collection of fees at discharge and remaining charges to be billed

– Verifies insurance eligibility of non-members in system; determines if patient has been identified as delinquent payer in mainframe system; notifies financial counselor of non-member-s arrival

– Registers patients on computer systems entering accurate demographic, financial class, insurance information; makes revisions to systems database immediately as errors are recognized to ensure database accuracy

– Answers incoming phone calls and transfers calls to appropriate areas of department/clinic/hospital

– Informs patients of financial responsibility and estimated costs of ed; obtains signature on promissory note; collects payments from Non-Kaiser patients; verifies patient identify with name on visit record upon discharge

– Reads department documentation sheets to discharge patients on patient registration log or registration system entering accurate diagnosis, time in/out, provider code number, disposition, location seen, admitted to, etc.; makes revisions to registration system immediately as errors are recognized

– Determines charges based on patient financial class or Kaiser group plan; applies appropriate charges according to fee schedules; reads emergency department documentation to ensure all services rendered as indicated on visit records are collected or billed at pos; explains payment arrangements to patients who are unable to pay; informs patient of possible additional charges that may be billed later

– Completes cash jacket and accounts for shortages/overages/account posting errors; makes debit/credit adjustments as necessary; forwards necessary back-up documents to lead and/or general accounting for review; makes department copies and reports unreconciled cash jackets to supervisor

– Prepares bank deposits at end of shift, ensuring accuracy and completeness of cash register items; walks deposit to business office; ensures/obtains change for emergency department business services

– Additional functions as listed in the complete job description
Basic Qualifications:

– One year of cashiering in a medical setting or related experience

– High School Diploma

– Demonstrated knowledge of and skill in adaptability, customer service, and oral communication

– Talking to co-workers, customers, outside vendors, and on the telephone

– Reading, writing, speaking and understanding English

– Training/giving and receiving instructions

– Mathematical ability, attention to detail (organization, prioritization, proofing), concentration, and alertness
Preferred Qualifications:

– Reception and emergency department registration experience

– Post high school coursework in anatomy, physiology, or business, training in insurance billing

– Type 30 wpm and 10-key by touch

– Knowledge of health plan benefits, knowledge of medical terminology, and familiarity of medical insurance processing

– Demonstrated knowledge of and skill in word processing, spreadsheet, and database PC applications