Join one of the nation’s leading and most impactful health care performance improvement companies.Over the years, Health Catalyst has achieved and documented clinical, operational, and financial improvements for many of the nation’s leading healthcare organizations. We are also increasingly serving international markets.Our mission is to be the catalyst for massive, measurable, data-informed healthcare improvement through:
- Data: integrate data in a flexible, open & scalable platform to power healthcare’s digital transformation
- Analytics: deliver analytic applications & services that generate insight on how to measurably improve
- Expertise: provide clinical, financial & operational experts who enable & accelerate improvement
- Engagement: attract, develop and retain world-class team members by being a best place to work
Role: Patient Account Rep - Thibodaux Regional Internal Medicine Clinic
Team: Tech-Enabled Managed Services (TEMS) - Ambulatory Clinics
Location: Thibodaux, LA
Job Summary:
Individual will be responsible for the scheduling, registering, pre-registering, obtaining authorizations/pre-certs, and coordinating charge entry processing for the physician practice. This position will be responsible for answering inquires from patients and insurance companies in a professional manner.
PRIMARY RESPONSIBILITIES:
- Scheduling:
- Build the physician/office schedules.
- Schedule patient visits based on the type of service.
- Schedule outside procedures at the hospital and surgery center by providing the demographic and authorization/pre-cert information.
- Assist with the physician hospital schedule.
- Registration:
- Enter and verify patient demographics and insurance information.
- Copy license and insurance cards.
- Scan all information for future reference.
- Pre-Registration:
- Pre-registers patients by contacting them by phone in a courteous manner.
- Obtains and enters accurate patient demographics and insurance information.
- Responsible for contacting the patients by phone and explaining to the patient their insurance benefits, deductibles and co-pays that will be due prior to service.
- Coordinates the accurate and correct billing for clinic and hospital charges.
- Reviews all packages for accurate billing of all charges.
- Reviews the internal controls for each practice.
- Matches charge report to vendor report to verify all charges have been properly billed.
- Reviews Financial Classes to verify they are properly recorded.
- Reviews diagnosis and CPT information for errors.
- Researches missing information.
- Working knowledge of ICD-10 and CPT Codes.
- Reconcile charge entry and record it in the compliance software for review.
- Request patient payments at the time of service.
- Request patient payments during pre-registration.
- Posts all payments accurately. Use correct comment codes when posting.
- Compute required deposit information for an upcoming procedure or surgery.
- Communicate to patient the required deposit for upcoming procedures or surgeries.
- Work reject reports by correcting errors from charge data provided by the outsourcing company.
- Verify insurance information is accurate.
- Choose correct mnemonics; financial group, financial class, insurance etc.
- Request authorizations/pre-certs from payers.
- Provide the hospital needed authorizations timely.
- Ordering:
- Ordering physician medication electronically.
- Ability to answer questions from patients concerning their bill.
- Ability to discuss with the managed care companies or other payers charge, payment or authorization information so that the claim can be billed appropriately.
- Assist in process improvement based on the Patient Satisfaction Reports
- Performs other assignments as requested.
SERVICE EXCELLENCE:
- Provides prompt, courteous service to all internal and external customers. Prioritizes and addresses customer needs and demands in a professional manner, providing follow-up and developing cooperative relationships.
- Identifies opportunities and recommends methods to improve customer service, work processes and financial performance. Assists in design and implementation of quality improvement initiatives on departmental and organizational levels.
- Assists team members in completion of tasks and assignments to ensure continuity of service. Orient new co-workers and actively support team development.
AGE SPECIFIC CONSIDERATIONS:
May provide patient care for people of the following age group:
- Neonates (Birth – 28 days)
- Pediatrics (29 days – 14 years)
- Young Adult (15 years – 24 years)
- Adults (25 years – 64 years)
- Geriatrics (65 years and older)
QUALIFICATIONS:
Educational and/or Professional Qualifications:
1. High school diploma or GED preferred.
Previous Experience:
A minimum of 6 months experience working in a medical business office, clinic, or hospital setting required. Insurance and collection experience is preferred.
Other Special Training/Skills:
Able to operate a computer. Possess basic mathematical skills.
SUPERVISION EXERCISED:
No direct line of supervision.
CONTACTS INSIDE AND OUTSIDE THE ORGANIZATION:
- Daily contact with patients/family members
- Daily contact with physicians
- Daily contact with supervisors/managers
- Daily contact with coworkers
- Daily contact with payers
EQUIPMENT, MATERIALS, AND VALUABLES:
- Computer
- Fax Machine
- Photocopier
- Shredder
- Scanner
SCHEDULE:
Typical work hours are Monday through Friday from 8:00 a.m. to 4:30 p.m.
HAZARDS:
PHYSICAL EFFORT:
[Note: In terms of an 8 hour day (shift length), “Occasionally” equals 1-33%, “Frequently” equals 34-66%, and “Continuously” equals 67-100% of the time].
- Constant sitting.
- Intermittent standing and walking.
- Occasional lifting, carrying, pushing and pulling up to 15 pounds.
- Occasional bending, squatting, and twisting Must be able to see (near, far, and have depth perception), hear, talk, have use of right and left hands, have dexterity in fingers.
The above statements describe the general nature and level of work being performed in this job function. They are not intended to be an exhaustive list of all duties, and indeed additional responsibilities may be assigned by Health Catalyst.Studies show that candidates from underrepresented groups are less likely to apply for roles if they don’t have 100% of the qualifications shown in the job posting. While each of our roles have core requirements, please thoughtfully consider your skills and experience and decide if you are interested in the position.
If you feel you may be a good fit for the role, even if you don’t meet all of the qualifications, we hope you will apply. If you feel you are lacking the core requirements for this position, we encourage you to continue exploring our careers page for other roles for which you may be a better fit.At Health Catalyst, we appreciate the opportunity to benefit from the diverse backgrounds and experiences of others. Because of our deep commitment to respect every individual, Health Catalyst is an equal opportunity employer.
