Patient Account Associate - Tmcone - Billing Services

Tucson Medical Center Tucson , AZ 85704

Posted 3 months ago

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:

Exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff.

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 WQ's 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 QUALIFICATIONS

EDUCATION: 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.

See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Patient Access Service Representative II Per Diem Tmcone Obstetrics

Tucson Medical Center

Posted 7 days ago

VIEW JOBS 11/11/2018 12:00:00 AM 2019-02-09T00:00 SUMMARY: Serves as first point of contact for customers of TMC HealthCare; initiates the entry point for requested healthcare services and revenue management. Responsible for computerized patient scheduling, registration, and insurance authorization and/or benefits information for either ancillary or surgical procedures. Maintains and fosters effective public relations with patients and visitors. ESSENTIAL FUNCTIONS: Exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff; adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication. Collects deposits or deductibles and advises patient or guarantor of insurance benefits and anticipated cost estimates; ensures that cash handling follows corporate policies. Ensures completion of financial documentation in accordance with TMCH's credit and collection policies. Explains all necessary compliance forms and obtains patient signature as required for regulatory agencies. Performs medical necessity screening and ensures compliance with system requirements. Interacts with physicians and/or physicians' office staff to secure diagnosis, procedure details or authorizations and information for denials as needed. Uses medical terminology and scheduling knowledge to select correct procedure when scheduling and coordinates information with other departments as needed. Demonstrates knowledge of resources, staffing, instrumentation, and equipment specific to procedures to avoid scheduling conflicts. Performs patient registration activities to ensure accurate financial and biographical data and documentation have been obtained and properly entered into hospital records. Completes insurance processing; including account creation, insurance verification, notification, and authorization functions, follow ups on denials and no response claims. Communicates with departments/physicians for special requests, emergent cases, overbooking and add-ons; informs management about issues/problems with tools/times. Handles incoming telephone calls and exercises judgment in scheduling caller for correct procedure in appropriate service area; receives telephone requests to schedule from patients, physicians, physician office staff, employers, and hospital personnel, if applicable. Explains procedure preparations to patients so they are properly prepared before arriving at the hospital or clinics as needed. Documents all notification, authorization and eligibility information in the registration systems, uses electronic verification tools and web-based resources. Analyzes patient accounts, determines non-collectable accounts, and recommends bad debt or charity write-offs when applicable; analyzes and processes contractual write-offs. Arranges payment methods or extensions of credit with patients or representatives; evaluates accounts and determines payment dates based on patient's ability to pay and hospital policies; explains charges, services, and hospital policy regarding payment of bills. Arranges account collections and contacts carriers to follow-up on balances due. 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 and verifies account balances; prepares, reconciles, balances, and batches daily deposits and prepares receipts for deposits; verifies totals on reports and forms as required. Reviews accounts with unusual balances after posting payments and adjustments. Researches and transfers monies between logs, as needed. TMCOne – Assists medical care givers with patient management, tracking and monitoring requirements. Answers phones, pre-screens using appropriate triage skills, within allowable parameters calls in prescription re-fills, calls patients with test results and schedules patients for next appointments. Also may serve as a Medical Assistant when also holds a Medical Assistant Certification. Perform extensive centralized scheduling, insurance verification, referral, billing and payment posting responsibilities. Adheres to TMCH organizational and department-specific safety, confidentiality, values policies and standards. Performs related duties as assigned. MINIMUM QUALIFICATIONS: EDUCATION: 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: Two (2) years of medical office and/or hospital experience to include six months healthcare eligibility and benefit analysis or scheduling experience for diagnostic testing and/or surgery. LICENSURE OR CERTIFICATION: Some positions may require certification as a Medical Assistant (CMA). KNOWLEDGE, SKILLS AND ABILITIES: * Knowledge of office management practices, including billing and scheduling within healthcare. * Knowledge of basic computer familiarity and experience and the ability to operate basic office equipment. * Knowledge of patient care protocols and practices. * Knowledge of general patient care practice, methods and regulations. * Skill in evaluating patient's needs or following up with a care-giver and then providing follow up support to patients. * Skill in scheduling appointments and referrals. * Ability to read or listen and comprehend simple instructions, short correspondence, and memos. * Ability to write simple correspondence; ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. * Ability to read and interpret documents such as safety rules, procedure manuals, and governmental regulations. * Ability to effectively present information and respond to inquiries or complaints from patients and/or their representatives and the general public. * Ability to interpret and explain insurance benefits and patient financial responsibility. * Ability to provide excellent customer service via phone and walk-ins. * Ability to apply common sense understanding to carry out simple/detailed written or oral instructions. * Applicants must have basic computer familiarity and experience and the ability to operate basic office equipment. Tucson Medical Center Tucson AZ

Patient Account Associate - Tmcone - Billing Services

Tucson Medical Center