Company: United Health Centers of the San Joaquin Valley
Posted on: January 10, 2022
This position is responsible for the efficient and effective
pre-registration of scheduled appointments. Confirms patient
appointments per established protocols. Secures patient
demographics information for charting, billing and record keeping
purposes. Ensures that billing information is obtained in order to
pre-register patients. Screens and evaluates processes necessary to
determine a patient's eligibility for third party coverage.
Additionally, is an expert in UHC's Sliding Fee and has knowledge
of UHC's covered services, billing, and reimbursement procedures.
Representative must be able to identify any schedule conflicts and
take appropriate action to ensure smooth patient flows and the
highest level of resource utilization possible. Answer incoming
telephone calls from patients regarding their appointments. Deliver
excellent customer service and communication.
SUMMARY OF RESPONSIBILITIES:
+ Overall knowledge of the revenue cycle process, registration,
insurance verification, pre-certification, billing compliance,
payer contracts, patient estimation.
+ Obtaining updated insurance and demographic information, entering
it in the computer system, and ensuring completion of all necessary
+ Answer incoming calls on a multi-line phone
+ Make outbound calls to confirm and obtain pre-registration
+ Promptly and courteously answers phone calls from patients.
Checks voicemail frequently.
+ Obtaining/updating patient records with registration and
+ Providing outstanding customer service to internal and external
+ Reporting any potential customer concerns or complaints
immediately to management
+ Utilizes protocol for patient look up to ensure accurate
identification of patient to ensure data integrity and patient
+ Review of appointments for eligibility purposes.
PERFORMANCE AREA 1:
+ Representative will screen and review patient insurance
information to determine what payer to use for service date.
+ Representative will check eligibility for each patient on a daily
+ Representative will place a call to the patient to verify
demographic and insurance information prior to rendering
+ Representative will also inform the patient of pending account
balances and/or information needed from the patient.
+ Representative will communicate with Health Care Associate's at
multiple sites on a daily basis to collect or instruct staff on
information missing or needed.
EDUCATION AND LICENSE/CERTIFICATION:
+ High School Graduate or equivalent. Associates Degree
+ Minimum 2 years of office experience preferably in a health
+ Knowledge in scheduling or call center environment.
+ Knowledge of billing processes.
+ Demonstration of strong understanding of front office processes
and patient intake.
+ Bilingual (English/Spanish) preferred
+ Team player, work well with others
+ Customer-service oriented
+ Strong computer skills
+ Positive professional insight
+ Flexibility and dependability
+ Demonstrated good problem-solving skills; sound judgment
+ Modern office practices and procedures including email
+ Intermediate computer skills
+ Attention to detail and excellent follow-through on work
+ Able to handle multiple tasks simultaneously
+ Works efficiently and accurately
# of Openings: 6
Street: 3875 w. Beechwood Ave.
Keywords: United Health Centers of the San Joaquin Valley, Fresno , Pre-Registration Specialist, Other , Fresno, California
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