Description
About NHRMC
NHRMC, established in 1967 in Wilmington, NC, is recognized as a preeminent healthcare organization focused on leading our community to outstanding health. We have an 855 bed network of hospitals and multi-specialty physician group practices with more than 200 physicians. With a network of primary, specialty, neighborhood clinics and regional medical centers; you will find our culture is the very definition of best in practice. Join us and find out how many ways NHRMC offers you the chance to focus on what really matters - our patients and community.
About the Job
Location: NHRMC Clinics
Department: NH Internal Medicine Wilm
Full Time Equivalent: FTE: 0.3
Work Schedule: 8HR DAY
Exempt from Overtime: Exempt: No
What You\'ll Do
Summary:
Under the general direction of the Manager, the Patient Access Technician is responsible for the accuracy and completion of patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies, to include pre-admit/admit/pre-register/register functions, ensuring all insurance requirements are met prior to patients\' discharge, and pursuing cash collection.
Responsibilities:
1. Analyze insurance coverage and benefits for service to ensure timely reimbursement, obtaining all PAC and/or authorizations as appropriate.
2. Facilitate payment sources for uninsured patients.
3. Determine if patient\'s condition is the result of an accident, performing complete research with law enforcement, employers, etc. to determine the appropriate source of liability/payment.
4. Admit/register/pre-register patients, correcting as necessary all patient demographic and financial data.
5. Resolve insurance claim rejections/denials and remedy expediently.
6. Calculate and collect cash payments appropriately for all patients, ensuring reconciliation of daily cash deposit.
7. Maintain general knowledge of CMS guidelines and third party payers, specifically, Medicare, Medicaid, Commercial insurances, HMO\'s, PPO\'s, POS, indemnity plans, and Worker\'s Compensation, etc.
8. Evaluate diagnoses to ensure compliance with the Local Coverage Determination (LCD).
9. Perform those duties necessary to ensure all accounts are processed accurately and efficiently.
10. Promote and maintain excellence in customer service.
Position Requirements
Credentials:
Education:
Essential:
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