Brief Summary:
Responsible for overall support to the Patient Accounts Department. This may include assisting the Patient Benefits Coordinator, Pharmacy Billing Clerk, Medical Billing Clerk or Registrars.
Qualifications:
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Job Functions
- Investigate credit balances, research unidentified cash accounts.
- Set up payment plans if needed.
- Compile billing forms from various departments and uploads daily to billing service.
- Research problem accounts for billing service.
- Verify benefits and explain dental benefits to patients and providers.
- Complete pre-certifications when necessary.
- Collect co-pays on self-pay portions at time of service.
- Ensure correct HCPCS Codes are on Pyxsis slips for billing service.
- Notify Pharmacy of any medications that need pre-certification or justification.
- Answer incoming phone calls promptly and courteously.
- Collect patient health insurance information and/or third-party payor information.
- Obtain a copy of the patient’s insurance card and/or tribal membership card.
- Assist patient in completing and updating forms for the RPMS Patient Registration System; including outpatient, inpatient, emergency and specialty clinic patients.
- Identify patients whose health benefits are subject to prior approval and notify medical personal such.
- Obtain signatures from patients on required forms for alternate resources and contacts health services prior to patient being seen in the clinics for billing purposes.
- Enter all patient health and billing-related information into RMPS; updating & making corrections as necessary.
- Interview patients at the initial time of service in order to determine available accessible resources for which the patient is eligible.
- Assist in making and/or coordinating arrangements with or for the patient in order to complete any required paperwork for the alternative resource.
- Call to remind patients of their appointments, check demographic information at that time.
- Perform other clerical and administrative duties as assigned.
Education & Experience
- High school diploma or general education degree (GED). Some accounting experience or training preferred.
Arctic Slope Native Association, Ltd.: Exercises its rights in Native Hire Preference, Contracting/Subcontracting and Employment Practices applicable by law is committed to maintaining a drug free, smoke free workplace.
