Claims Processing Clerk, Sr. jobs in Green Bay, WI

Performs receptionist, registration, and clerical duties associated with direct and scheduled patient admissions.

Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness and accuracy.

Distributes and explains forms, documents, and educational handouts to patients or family members.

Meets with patient or patient's caregiver before or after admission to exchange necessary information and documentation. Provides explanation of process and addresses concerns and questions.

Communicates with admitting physician's office, nursing unit staff, and/or other appropriate personnel regarding admission to exchange necessary information and determine placement.

Verifies insurance benefits and obtains precertification/authorization as necessary. Determines and accepts required payments, including co-pays and deductibles, or refers to financial counselors for follow up.

Follows established policies and procedures, objectives, safety standards, and sensitivity to confidential information.

Operates switchboard and paging system and routes all calls and requests courteously. Monitors alarm system according to hospital policy.

Maintains, utilizes and provides patients with necessary paperwork per legislative regulation and Hospital policy.

Obtains and documents all intake information on all patients for initial OT/PT/Speech visits.

Represents Bell Hospital in welcoming all patients and/or visitors in admitting, outpatient registration, ancillary registration areas and the emergency department.

Conducts oneself in a manner appropriate to the maintenance of good guest relations.

Cross-trains within the department and business office to effectively handle the functions of pre-admission, admission, outpatient registration, emergency room registration and bed control.

Reviews admissions, outpatients and emergency room face sheets and data collected for thoroughness and accuracy of patient information.

Assigns appropriate rooms and hospital services codes in conjunction with nursing staff and physician orders along with proper discharges of all patient types.

Witnesses and obtains patient signatures on all forms required for admission registration. Communicates with nursing staff any incomplete paperwork/signature.

Maintain records and paperwork for documentation for patient care as required.

Collects appropriate money, writes receipts and maintains account information. Deposits money and valuables from patients in accordance with hospital practice.

Maintains a well organized and clean environment to work at maximum efficiency and prevent the transmission of infection and disease.

Alerts necessary personnel of private pay patients, Medicaid, Medicare and other contractually governed patients to insure proper authorizations are obtained and financial arrangements are made.

Files patient billing information in the department regularly to maintain current billing files.

Updates computer entry information.

Maintain all items for stock.

Report repair issues to IT or Maintenance as appropriate.

Participates in staff meetings, provides input and ideas in a positive and problem solving manner.

Maintains confidentiality in accordance with HIPAA regulations.

Support the culture of service excellence throughout the organization.

Actively seek ways to demonstrate a commitment to continuous improvement and participate in professional development opportunities.

Performs other related duties as assigned.

Completes annual educational requirements.

Understands and adheres to Bell's compliance standards as they appear in Bell's Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy.

Other Skills: Computer and/or keyboarding skills required. Excellent human relations and oral/written communication. Excellent organizational abilities. Demonstrated teamwork skills. Ability to deal with change. Demonstrates a positive attitude towards initiating continuous improvement. Ability to respond appropriately even in challenging situations. Ability to work without direct supervision. Familiarity with Medical Terminology.

Minimum Education High school diploma or equivalent X Required

Required Skills Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Minimum Work Experience Minimum: 2 years experience as an admitting clerk.