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Wisconsin, United States
Onsite
Why ThedaCare?
Living A Life Inspired!
Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.
At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.
Benefits, with a whole-person approach to wellness –
KEY ACCOUNTABILITIES:
Assigns accurate MRNs, completes medical necessity/compliance checks, provides proper patient instructions, collects insurance information, receives and processes physician orders, and utilizes overlay tools while providing excellent customer service as measured by Press Ganey.
Operates the telephone switchboard to relay incoming, outgoing, and interoffice calls as applicable. Adheres to ThedaCare policies and provides excellent customer service in interactions with the appropriate level of compassion. Is accountable for point-of-service goals as assigned.
Utilizes quality auditing and reporting systems to ensure accounts are accurate and complete. Conducts audits of accounts and ensures forms are complete, accurate, and timely to meet audit standards.
Performs pre-registration of patient accounts prior to patient visits including inbound and outbound calling to obtain demographic, insurance, and other patient information including patient financial liabilities and collecting point-of-service collections, past due balances, and bad debt. Provides information to the patient/representative or may create and process payment plan options.
Explains general consent for treatment forms to the patient/guarantor/legal guardian, and obtains necessary signatures. Explains and distributes patient education documents.
Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code. Enters benefit data to support point-of service collections and billing processes to assist with a clean claim rate.
Screens medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare. Distributes and documents other forms and pamphlets.
Performs other duties as assigned including answering the phones at other facilities.
QUALIFICATIONS:
High School diploma or GED preferred
Must be 18 years of age
PHYSICAL DEMANDS:
Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of fifty (50) pounds without assistance
Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties
WORK ENVIRONMENT:
Climate controlled office setting with daily movement throughout the facility
Interaction with department members and other healthcare providers
This position involves frequent phone communication with patients and staff. All inbound and outbound calls are recorded and monitored for quality assurance, training, and compliance purposes.
Position requires compliance with department specific competencies.