Job Description
SUMMARY:
Processes monies/payments/adjustments related to patient accounts and ensures proper verification, reconciliation, and reporting of transactions. Assists all staff in the department with clerical support. Alternate working at the reception area meeting and greeting patients.
ESSENTIAL FUNCTIONS:
Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication.
Collects partial payments in accordance with hospital policy.
Reviews admissions records to ensure accurate financial and biographical data and documentation have been obtained and properly entered into hospital records.
Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence.
Manages the assigned Bankruptcy and Lien WQs to include follow up.
Records, reviews, and applies monies/payments/adjustments received for patient accounts and provides information/forms to appropriate departments.
Maintains current working knowledge of payer regulations, contractual agreements, computer updates, and new collection tools including understanding of the Fair Debt Collection Practice Act.
Provides information about external financial assistance, including recommending third parties.
Processes Accounts Payable transactions such as: checks and posts payments to accounts receivable as needed.
Works with the Supervisors to complete the ordering of all supplies needed in the department. Clear understanding of the monthly supply budget.
Initiates related computer-generated reports.
Adheres to TMCH organizational and department-specific safety and confidentiality policies and standards.
Performs related duties as assigned.
MINIMUM QUALIFICATIONSEDUCATION: High School diploma or General Education Degree (GED), completion of vocational medical office training desired, or an equivalent combination of relevant education and experience.
EXPERIENCE: One (1) year of related experience such as cash handling, data entry, administrative assistant, customer service, financial billing or scheduling experience for diagnostic testing and/or surgery. Experience in a medical office or hospital setting preferred.
LICENSURE OR CERTIFICATION: None required.
KNOWLEDGE, SKILLS AND ABILITIES:
Knowledge of medical insurance practices and policies and regulations.
Knowledge of third party payers and AHCCCS guidelines.
Knowledge of medical terminology and coding.
Skill in evaluating bills and paying or requesting collection in a timely manner.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals,
Ability to complete routine reports and correspondence.
Ability to listen and accurately interpret others communication or instructions to take appropriate action.
Ability to speak effectively before groups of customers or employees of organization.
Ability to calculate figures and compute rate, ratio, and percent and to draw and interpret bar graphs and ability to apply basic algebraic concepts.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Ability to deal with problems involving several concrete variables in standardized situations.