Essential Functions and Responsibilities of the Job
Ability to process timely verifications to include eligibility, benefits, and authorization numbers
Avoids HIPAA violations by choosing the correct MRN and pre-registers, and registers patients timely and accurately in Epic.
Knowledgeable of Commercial plans, IPA’s, Medicare, Workers Comp, Medi-Cal, and Cal-Optima
Ability to interpret and advise patients of their financial responsibility (copay, coinsurance, deductible)
Monitors and manages work queues to fix errors.
Ability to interpret insurance benefits, authorization requirements, and admission requirements
Ability to role model outstanding customer service skills using AIDET principles.
Ability to communicate effectively in written and verbal form
Serves as a knowledgeable resource to the staff
Ensures all registration forms are complete, signed, and scanned. Enters notes in Epic as required.
Collects and posts payments timely and accurately. Immediately drops payment in safe or cash drawer.
Maintains registration accuracy rate of 95% or better.
Ability to be at work and be on time.
Ability to follow company policies, procedures and directives.
Ability to interact in a positive and constructive manner and promotes conflict resolution.
Ability to prioritize and multitask.
2 or more years of experience in Admitting, insurance verification, or business office
Strong customer service skills
Ability to communicate effectively and clearly in both written and verbal form.
General knowledge of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & Cal-Optima
Bi-lingual (English/ Spanish, or English/ Vietnamese) preferred
Positive work ethic
General computer skills required including: electronic medical record and Microsoft Office
Knowledge of medical terminology
Internal Number: ORA001730
About MemorialCare Orange Coast Medical Center
Let us introduce ourselves. We're MemorialCare, a nonprofit health system that includes four hospitals, two medical groups, imaging centers, surgical centers and much more. As one of the leading health systems in Orange County and Los Angeles County, we're confident that no matter what your needs are, we have the teams, tools and know-how to support you every step of the way.
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