Registers patients according to Cherokee Nation policy and procedures. Ensures accurate and timely entry of patient information (i.e. patient demographics, billing information, Medicare, Medicaid, private insurance, and Meaningful Use criteria). Provides excellent customer service for the benefit of the patient and Cherokee Nation.
Greets and assists all patients and visitors in a courteous and friendly manner. Determines the eligibility of patients seeking healthcare, who have not been previously treated within the Cherokee Nation Health system, by obtaining a Certificate of Degree of Indian Blood (CDIB) card or other documentary proof of tribal membership in a federally recognized tribe. Assists patients in completing new or updated forms and gathers patient signatures as required. This includes inpatient, outpatient, emergency and after-hours patients. Interviews all new and existing patients to obtain pertinent registration information necessary to ensure proper healthcare standards. Verifies patient billing information through automated processes, registration interfaces (Emdeon), patient contact and payer contact by phone as necessary. Photocopies all third party healthcare cards and explains to patients why it is necessary for the hospital to bill for services rendered. Maintains current knowledge of beneficiary eligibility requirement for Medicare and Medicaid. Maintains current knowledge and implements the Privacy Act, Health Insurance Portability and Accountability Act (HIPAA), and other applicable patient confidentiality rules and regulations. Enters Medicare, Medicaid and private/commercial insurance (I.e. medical, pharmacy, dental, behavioral health, vision, etc.) billing information. Reviews notes and communicates with the Patient Benefit Advocate/Patient Benefit Coordinator to exchange billing information and ensure coordination of patient eligibility and benefits. Maintains acceptable production and quality assurance standards. Uses strong interpersonal/human relationship skills in order to provide exceptional customer service. Maintains a positive attitude in the work place. Directs patients' inquires to the appropriate personnel. Other duties may be assigned.
This job has no supervisory responsibilities.
High school diploma or general education degree (GED).
At least one year experience in a related field.
To perform this job successfully, an individual should have knowledge of Database software.
CERTIFICATES, LICENSES, REGISTRATIONS
OTHER SKILLS AND ABILITIES
Ability to answer intelligently, tactfully, and accurately patient questions.
Knowledge of interview techniques and business office billing requirements.