Northwell Health Clinical Practice Plan Representative in New Hyde Park, New York

Req Number 001UPM

Job Category Billing Clerical

Job Description

Assures patients understand their financial obligation to pay for medical services rendered; obtains all necessary information and enters it into the billing system for timely and accurate billing and collection.

Responsibilities Include:

  • Registers/re-registers patients

  • Demonstrates good judgment when reviewing registration forms for completeness and accuracy

  • Consistently reviews registration information according to CPP policies and procedures

  • Seeks assistance from CPP Coordinators when problems arise during the registration process

  • Performs additional tasks required to successfully complete registration

  • Maintains a polite attitude when assisting patients or guarantors in completing the registration forms and reviewing insurance information.

  • Verifies insurance coverage for elective surgeries, high dollar services and patients with on-going courses of treatment.

  • Verifies insurance coverage on a timely basis when appropriate;

  • Arranges for adequate blocks of time to perform insurance verification;

  • Notifies patient and arranges for alternative payment methods when insurance coverage did not cover services course of treatment.

  • Collects point of service payments, as appropriate.

  • Requests payments from patients and guarantors where appropriate;

  • Demonstrates good judgment when explaining physician or department’s policy for point of service payments;

  • Assists patients or guarantors in answering their questions;

  • Maintains good relationship among the physicians, patients, and guarantors.

  • Prepares batches and performs data entry for charges, registration information and payment information.

  • Arranges for adequate blocks of time to perform data entry;

  • Uses knowledge of the IDX system when entering information concerning registration, charge entry and point of service payments;

  • Notifies CPP Coordinators when there are problems associated with preparing batches on a daily basis and entering information before the close of the business day;

  • Performs data entry on a daily basis.

  • Functions as a financial counselor and arranges budget plans in accordance with CPP criteria.

  • Conducts oneself in a professional manner and speaks to patients and guarantors in a courteous fashion;

  • Assists patients or guarantors in answering any questions

  • Uses good judgment when arranging budget plans in accordance with CPP criteria;

  • Obtains approval from Business Office Account Representative Supervisor regarding expectations to standard budget plan policies.

  • Performs point of service account follow-up for all outpatients seen in area including reviewing account balances, discussing outstanding balances and requesting payment/insurance information and entering payments, as appropriate.

  • Performs related duties, as required.

Qualifications

  • High School Diploma or equivalent, required.

  • Prior experience with accounts receivable or related area, required. Keypunch/ data entry experience, required. Experience with managed care, record keeping, bookkeeping, and typing, preferred.

  • Ability to communicate effectively.