Patient Account Representative - Maternal Fetal Testing
Company: Providence Health & Services
Posted on: June 19, 2022
Advance your career working at a Magnet recognized hospital
known for clinical quality and patient safety. Providence St.
Joseph Health offers a comprehensive range of benefits including
but not limited to professional advancement, extensive health and
program wellness offerings as well as competitive compensation,
PTO, and retirement plans. We look forward to hearing from you!
We are looking for Patient Account Representative for the Maternal
Fetal Testing Department at St. Joseph Hospital Orange.
Location: Orange, CA
Work Schedule: Full time - 80 Biweekly Hours
Shift: 8 hour, Day
The ministry's primary representative for all financial concerns of
our patients. Provides all services needed to resolve a patient's
financial needs, without referring the patient to another
specialist (except in highly unique situations.) Performs all
financial clearance functions, including insurance verification,
authorization, benefit analysis, financial counseling, and initial
financial application completion. Understands all components of
patient accounting and provides assistance with any billing or
collection issue. Performs all pre-registration and registration
functions for patients. Conducts patient interviews, explains
hospital policies, collects patient liabilities and financially
clears the patient prior to or at the time of service. Provides
financial counseling when appropriate. Greets and serves patients
in a professional, friendly, and respectful manner.
- Able to perform full duties and tasks of a Registrar and able
to understand, screen and assist patients with basic Financial
- Identifies all emergent/urgent admission accounts by pulling
standard admission/census reports.
- Verifies insurance eligibility and benefits on all
emergent/urgent admissions to inpatient and observation and
determines if an authorization or referral is needed for type of
- Contacts patient's family or physician offices to obtain
missing insurance information which can include policy number,
group number, date of birth and insurance phone number if patient
does not have insurance cards during emergent/urgent admission.
- Notifies payer of all emergent/urgent admissions to inpatient
or observation, communicates clinical requirements and contact
information to Care Management department in a timely fashion.
- Verifies patient demographics, obtains signatures on incomplete
consent forms and inquires about other insurance and accident
details for urgent/emergent admissions.
- Documents all communication with patient, payer and Care
Management in Meditech notes.
- Screens for Medicare medical necessity and issues ABNs when
- Identifies all scheduled patient accounts by pulling standard
scheduling reports and initiates pre-registration/registration
process 4 days prior to service.
- Collaborates with Central Scheduling, Ancillary Department
Scheduling and Surgery Scheduling to identify add on patients
(patient's scheduled for services less than 2 days from booking
- Acts as liaison for patients with staff in the Patient
- Answers any questions posed by a patient related to a billing
or financial issue.
- Gains a deep knowledge of insurance benefits and understands
fully intricacies of third party liability and workers'
- Calculates patient liability and provides estimates, as per
- Understands TEFRA rules and identifies cases where TEFRA may
apply, including financial calculations and completion of formal
proposal for ministry coverage.
- Understands and implements appropriately the ministry's
policies on discounts, patient payment plans, and global services
and offers these options to patients appropriately, including
completion of patient contracts.
- Understands fully the Authorization Policy and works closely
with Case Management and leadership on patients whose services may
- Human development knowledge / skills. Ability to work with
patients of all ages and explain payer benefits.
- Demonstrates knowledge of all applicable compliance and legal
requirements of the job based on the scope of practice of the
- Excellent knowledge of applicable rules/regulations/guidelines
governing Managed Care and Government sponsored coverage and
- Preferred: Bilingual - fluent in English and Spanish.
- Preferred: Knowledge of and demonstrated proficiency of the
application of medical terminology, CPT and ICD9 Coding
- Preferred: Type 30 words per minute.
Minimum Position Requirements:
Education: Coursework/Training Pass Hospital Admitting Services
formal Training and Competency Program within 6 months of hire.
- 1 year Healthcare experience within a Patient Registration or
Business Office setting.
- Experience with insurance eligibility systems including
Medicaid (Medi-Cal), Medicare and other commercial and private
payer eligibility systems.
Preferred Position Qualifications:
Education: Associate's Degree Health Care or Business
Experience: Experience with MEDITECH system.
Licenses and Certifications: CHAM certification through the
National Association of Healthcare Access Managers (NAHAM).
Apply Today! Applicants that meet qualifications will receive a
text message with additional questions from our Modern Hire
Compassion. Dignity. Justice. Excellence. Integrity.
These timeless values form the heart and soul of St. Joseph
Hospital. They are the prime reason that we attract and retain
high-caliber employees who believe in the sanctity of their work in
our faith-based setting.
As a result of this affinity, most of our employees have remained
with us for at least five years. Over 40 percent of our new
employees were either referred by friends or applied to work at St.
Joseph based on our reputation. It is little wonder, then, that
retention rate is significantly higher than the average for
healthcare institutions in our community.
When you take the latest in medical technology and place it in the
hands of highly skilled clinicians, recognition is sure to follow.
In July 2007, 2008 and 2009, St. Joseph Hospital was named one
"America's Best Hospitals" for Orthopedic Care by U. S. News and
World Report. This highly esteem recognition is testimony to our
unique blend medical science and compassionate, values-based
A haven that feels like home.
St. Joseph Hospital offers a unique environment in which healthcare
givers who share a kindred spirit can do important work and grow
both spiritually and professionally. Here, values-based employees
view their jobs not simply as careers but also as callings.
Care to get acquainted? Then we warmly invite you to explore the
many career opportunities offered by St. Joseph Hospital!
St. Joseph Hospital provides equal employment opportunities (EEO)
to all employees and applicants for employment without regard to
race, color, religion, sex, national origin, age, disability or
genetics. In addition to federal law requirements, St. Joseph
Hospital complies with applicable state and local laws governing
nondiscrimination in employment in every location in which the
company has facilities. This policy applies to all terms and
conditions of employment, including recruiting, hiring, placement,
promotion, termination, layoff, recall, transfer, leaves of
absence, compensation and training.
Positions specified as "on call/per diem" refers to employment
consisting of shifts scheduled on as "as needed basis" to fill in
for staff vacancies.
Company: St. Joseph Hospital Orange
Category: Community Services
Req ID: R344225
Keywords: Providence Health & Services, Orange , Patient Account Representative - Maternal Fetal Testing, Other , Orange, California
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