Patient Management Clerical Associate Full Time Afternoon

Under general supervision, registers and schedules patients for health services ensuring appropriateness of setting for services provided. Obtains insurance, medical and/or demographic data to admit or pre-admit patients to the health facility.

• Greets or contacts patient; collects and verifies all necessary demographic insurance and related data
• Ensures that consent and other required forms are completed correctly, and patients/guardians signatures are obtained where required
• Schedules appointments, generates appointment notices, reschedules and posts cancellations
• Determines appropriate service settings in accordance with established policies and procedures
• Coordinates scheduling of all tests and/or services utilizing current clinical guidelines
• Verifies insurance coverage and benefit levels
• Secures authorizations and referrals
• Assesses patient liability amounts
• Provides financial counseling services to assist patients in identifying and obtaining alternate payment sources
• Reviews, monitors, and reconciles collected demographic and insurance data in order to ensure accurate bill production
• Ensures compliance with third party payer requirements
• Reconciles and corrects rejected erroneous data transactions as displayed on Transmission, Control and Errors (TCE) reports
• Accesses computerized system to enter and/or update electronic systems as needed and to answer patients, stakeholders and other pertinent parties inquiries
• Responds to general inquiries as required
• Maintains patient service records and performs related duties as requested
• Participates in bed management as defined by operating unit policies and procedures
• Communicates clinical, financial, and administrative information
• Assists nursing and technical staff in screening patients and performs a variety of moderately to highly complex patient registration duties
• Interacts with technologist and radiology nursing staff
• Interacts with customers/stakeholders to provide/distribute appropriate exam results in a timely and accurate manner
• Maintains patient charts and films as appropriate

• High school diploma or equivalent
• One to two years work experience in hospital healthcare insurance, medical records, billing or related area desirable
• Working knowledge of medical terminology desired
• A strong commitment to the DMC customer service standards

• Participates in bed management activities
• Verifies insurance coverage and benefit levels
• Assists patients in completing necessary forms and obtains patient signature
• Collects referrals and authorizations
• Facilitates securing referrals and authorizations from referring providers as necessary