Patient Account Representative - Ambulatory ED Job at Lifespan

Lifespan Providence, RI

Interviews and registers patients for Emergency/Trauma Center or Ambulatory treatment by obtaining demographic, third-party insurance, and related financial information, entering same to on-line computer system. Completes third-party documentation, discusses any existing balances for previous Hospital services rendered and makes preliminary determination on welfare eligibility. Request cash deposit approximating charge for scheduled services or co-insurance if applicable, and/or the co-payment required by third party coverage for clinic visits and outpatient ancillary service. Arranges payment terms. Contacts Patients Accounts Advocate, when applicable. Determines eligibility for free service when necessary.

Work Schedule Details:

Shift 3

Part Time: 12:15am-8:15am rotating every other weekend and holiday

Responsibilities:

· Competes Hill-Burton application when patient lacks evidence of adequate health insurance coverage, according to established criteria for provision of uncompensated hospital services. Requires patient to sign statement of financial responsibility. Assists patient to apply for welfare coverage if no coverage is obtained or if cannot pay. Determines eligibility for Rhode Island Hospital free service for clinic visit only, using sliding scale and based on established guidelines for same.

· Advises Senior Patient Advocate of patients lacking health insurance coverage and/or sources of income sufficient to reimburse Hospital for services rendered.

· Completes documentation required to initiate commercial insurance, Workers’ Compensation and/or CHAMPUS claims.

· Verifies third-party insurance plan numbers and benefit level. Documents all information obtained in PMAS accounting notes. Contacts insurance carrier when necessary to obtain treatment authorization and co-payment information.

· Obtains authorization for treatment from health maintenance organizations, verifying coverage as needed.

· Discusses existing Hospital account balances and arranges payment schedule for same. Requests evidence of coverage or requested payment ranging from partial to full cost for clinic visit or entire treatment series. Requires completion of financial information to make payment arrangements when patient unable to pay entire amount. Upon determination that a liability claim exists, completes lien form and notes in PMAS accounting file.

· Collects cash/credit card payment for Outpatient/Emergency/Trauma services when possible.

· Posts payments to specific general ledger account.

· Prepares bank deposit for pickup by cashier twice daily.

· Registers all patients on-line by entering appropriate data to computer system via terminal. Embosses identification card to initiate or update patient Hospital record.

· Follows up on third-party documentation from Private Physician’ offices and other hospital off-hour ancillary areas.

Qualifications:

· A level of knowledge generally obtained through completion of High School.

· Six to twelve months of previous clerical support experience is required, preferably in a setting that demonstrates ability to function effectively in high-volume clinics.

· Previous experience with on-line data entry/access system required.

About Lifespan

Lifespan, Rhode Island's first health system, was founded in 1994 by Rhode Island Hospital and The Miriam Hospital. A not-for-profit comprehensive, integrated, academic health system with The Warren Alpert Medical School of Brown University. Lifespan's present partners also include Rhode Island Hospital's pediatric division, Hasbro Children's Hospital; Bradley Hospital; Newport Hospital; Gateway Healthcare; and Coastal Medical.

Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, ethnicity, sexual orientation, ancestry, genetics, gender identity or expression, disability, protected veteran, or marital status. Lifespan is a VEVRAA Federal Contractor.

Job Type: Part-time

Work Location: One location




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