St. Joseph’s Healthcare System is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization’s outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation’s “100 Best Places to Work in Health Care”.
Responsible for following established policies and procedures, and various activities related to the patient registration process. This includes collection of demographic, financial, insurance information, and financial screening of patients prior to services being rendered. Completes collections of patient financial responsibility, and refer self pay patients to appropriate financial service when needed. Enters data accurately and ensures prompt service to all patients and acts as a liaison for other ancillary departments.
Obtains accurate demographic, guarantor, and medical information required to process the patient. Responsible for the identification of the correct insurance product, and selects appropriate insurance plan code in ADT (Admission, Discharge, and Transfer Billing System) System. Ensures policy number, group number, person number billing address and auth referrals numbers are entered in ADT System accurately. Ensures subscriber information is accurate and complete. Ensures the Medicare Secondary payer (MSP) questionnaire is completed accurately on all Medicare patients. Ensures HDX & Medicare DDE and any other insurance verification portals are accessed, reviewed, and accepted where applicable. Ensures the Advance Beneficiary Notice (ABN) check is done accurately. This to include accessing ABN Software, scanning of results, and entering results in ADT System for accurate Billing. Ensures all required documents are scanned into document imaging and ensures proper documentation is placed in ADT system on the proper account. Meets the needs of the department, to work all shifts, weekends and holidays if applicable. Meets all required competencies for department, unit and/or hospital. Responsible for performing all other duties as assigned.
Work requires a High School diploma or equivalent and up to one year of basic technical training in medical office practice plus 3 to 6 months of on the job training and orientation. Certified Healthcare Access Associate (CHAA) by National Association of Healthcare Access Management preferred. Bilingual preferred. Knowledge of Microsoft Office required. Knowledge of medical terminology is considered an asset.