Admissions & Collections Clerk - MSC Outpatient Registration

Work Schedule 5/40: Monday through Friday, 8:00am - 4:30pm Responsibilities Review patient personal data to evaluate eligibility for medical assistance programs using formal guidelines. Review patient insurance forms and cards to ensure completeness and accuracy as required by assistance programs and private insurance carriers. Evaluate possible assistance eligibility and refer patients to Medi‑Cal and MISP as appropriate. Contact patient insurance carriers to obtain authorization for treatment and verify eligibility and coverage. Assist patients with scheduling hospital or clinic appointments in person or over the phone. Pre‑register scheduled services during scheduling or at any time prior to receiving services as directed by supervisor or manager. Receive and record payments for medical treatment from patients. Record payment information on patient payment receipt and log this information on appropriate forms. Complete patient medical information or MISP Share of Cost Forms; attach cash payment receipt to ensure reimbursement from medical assistance programs. Refer patients with problem accounts to Patient Accounts for review of account status. Receive required information from patients and complete medical forms to ensure accuracy of patient data. Collect and prepare receipt for monies. Register patients for medical services such as emergency treatment and non‑emergency walk‑in treatment. Serve as a resource person for patient registration in RUHS clinics. Assist in conducting outpatient registration audits and participate in RUHS quality assurance initiatives. Reconcile daily charge sheets of patient visits to ensure charges for healthcare services rendered are captured in a timely manner. Experience Options Option I: Two years of clerical experience, including three months performing admissions, collections or billing functions in a hospital, mental health or other healthcare setting. Completion of 18 semester or 27 quarter units from an accredited college or university in secretarial sciences, office practices, business education or a closely related field may substitute for one year of the non‑specialized experience. Option II: Two years of clerical experience, including three months performing admissions, collections or billing functions in a hospital, mental health or other healthcare setting. Completion of 360 hours of training from a recognized occupational training program in secretarial sciences, business education or a closely related field may substitute for one year of the non‑specialized experience. Option III: Two years of clerical experience, including three months performing admissions, collections or billing functions in a hospital, mental health or other healthcare setting. Six months of clerical experience in a medical setting may substitute for one year of the non‑specialized experience. Knowledge and Abilities Knowledge: Modern office procedures, including preparation of reports and correspondence and filing; operation of standard office equipment and medical terminology. Abilities: Perform complete registration cycle, including collection of monies; effectively interview to obtain personal, family and financial information; gather, record and evaluate data in the admission of hospital patients and handling of patient accounts; maintain accurate records; apply rules and regulations pertaining to admission of patients, private and public medical insurance, billing procedures, credit authorizations and payment agreements; work with very ill, injured and emotionally distressed people. Physical Requirements Occasionally lifting/carrying up to 10 pounds or pushing/pulling small objects; sitting most of the time. Preferred Qualifications Professional experience with commercial and government insurances is preferred. #J-18808-Ljbffr