Patient Account Representative

Laguna Hills, CA - USA

Monthly Salary: Not Disclosed

Posted on: 4 days ago

Vacancies: 1 Vacancy

Job Summary

This position requires the full understanding and active participation in fulfilling the mission of Saddleback Medical Center. It is expected that the employee demonstrate consistent behavior with our core values: Integrity Accountability Best Practices Compassion and Synergy. The employee shall support Saddleback Medical Centers strategic plan and participate in and advocate performance improvement/patient safety activities. The Patient Account Representative is responsible for the registration scheduling billing insurance verification and authorizations for the Radiology Therapeutic addition this position is responsible for maintaining organized and efficient admin functions to support the delivery of care. The Patient Account Representative will also serve as a subject matter expert on subjects relating to medical record systems downloading and uploading of patient information into our electronic medical record systems. Lastly this role is accountable for preparing requests for treatment for the Physicians and the Radiation Therapists.

Job Responsibilities:

Assists with the end-to-end processing of patient registration scheduling billing authorization and treatment planning to ensure accurate and timely reimbursement.
Maintains organized admirative support functions within the Radiology Therapeutic department including but not limited to file management report distribution and computer system utilization.
Interacts with patients to ensure understanding and overall positive patient care experience.
Enters emergent orders in accordance with outlined processes to support routine and prioritize emergent patient care needs.
Actively problem solves nonroutine billing and or cancellation occurrences requiring contractual interpretation.
Assists in training of new staff personnel to the Radiology Therapeutic Department.
Supports the development and maintenance of department procedural manual updates and creates new manuals as appropriate to support changing and evolving business needs.
Demonstrates the ability to maintain accurate records in accordance with any applicable regulatory guideline or standard.
Ability to be at work and on time
Ability to follow company policies procedures and directives.
Ability to interact in a positive and constructive manner.
Ability to prioritize and multitask.
Maintains Service Excellence with patients visitors and other staff members.
Appropriate level of expertise in registering verifies and updates patient information in EPIC in a timely and accurate manner.
Prioritizes and coordinates job duties to maximize the departments efficiency monitors work queues for account follow up and bill release.
Attends meetings as required. Responds appropriately and promptly to department/management and customer requests for information or other actions.
Ensures and obtains correct current eligibility benefit coverage and authorizations to secure patient accounts.
Maintains a neat organized work environment according to specific work-related supplies and reference material locations.
Other duties as assigned.

Skills: Required Skills & Experience:

One (1) year of experience in Radiology Therapeutic or Radiation Oncology field with an emphasis on scheduling registration authorization and billing.
Knowledge of insurance authorization and pre-certification billing.
Knowledge of medical terminology or Radiation Oncology procedures.
Proficient in computer functions data entry and windows platforms.

Education: Required Education:

High school graduate or equivalent.

Job Responsibilities:

Assists with the end-to-end processing of patient registration scheduling billing authorization and treatment planning to ensure accurate and timely reimbursement.
Maintains organized admirative support functions within the Radiology Therapeutic department including but not limited to file management report distribution and computer system utilization.
Interacts with patients to ensure understanding and overall positive patient care experience.
Enters emergent orders in accordance with outlined processes to support routine and prioritize emergent patient care needs.
Actively problem solves nonroutine billing and or cancellation occurrences requiring contractual interpretation.
Assists in training of new staff personnel to the Radiology Therapeutic Department.
Supports the development and maintenance of department procedural manual updates and creates new manuals as appropriate to support changing and evolving business needs.
Demonstrates the ability to maintain accurate records in accordance with any applicable regulatory guideline or standard.
Ability to be at work and on time
Ability to follow company policies procedures and directives.
Ability to interact in a positive and constructive manner.
Ability to prioritize and multitask.
Maintains Service Excellence with patients visitors and other staff members.
Appropriate level of expertise in registering verifies and updates patient information in EPIC in a timely and accurate manner.
Prioritizes and coordinates job duties to maximize the departments efficiency monitors work queues for account follow up and bill release.
Attends meetings as required. Responds appropriately and promptly to department/management and customer requests for information or other actions.
Ensures and obtains correct current eligibility benefit coverage and authorizations to secure patient accounts.
Maintains a neat organized work environment according to specific work-related supplies and reference material locations.
Other duties as assigned.

Skills: Required Skills & Experience:

One (1) year of experience in Radiology Therapeutic or Radiation Oncology field with an emphasis on scheduling registration authorization and billing.
Knowledge of insurance authorization and pre-certification billing.
Knowledge of medical terminology or Radiation Oncology procedures.
Proficient in computer functions data entry and windows platforms.

Education: Required Education: