Tanana Valley Clinic (TVC) has provided state-of-the-art medical services to the Fairbanks Community and Interior Alaska for over 50 years. TVC is a 73-provider multi-specialty group. We have an excellent group of physicians and clinical staff, many of whom have been at TVC for 20+ years, as a testament to our friendly work environment. Our passionate staff seek to make TVC the Medical Home for the people of the Interior of Alaska.
This position provides subject matter expertise, as well as advanced support in registration optimization, insurance, compliance, reimbursement, and problem resolution. This position greets patients and families, conducts patient registration, and obtains financial reimbursement and applicable insurance information for all patients accessing service at FHP medical facilities. Reviews all account information to optimize collection efforts and system recording events. Expedites reimbursement, ensures compliance, and resolves issues as they arise to promote point of service decisions. Performs financial counseling when appropriate. Explains and obtains signatures on registration materials and legal forms, such as Consent for Healthcare Services, Financial Agreement, Advance Directive, Patient Grievance policy. Collects and releases patient valuables in accordance with Administrative Policies. Leads and mentors other registration reps.
Assists the supervisor with registration rep training, development, and retention. Fosters a culture that reflects the core values and polices of the department and Foundation Health Partners. Acts as a knowledge resource for internal customers. Serves as a primary resource in complex and/or sensitive cases. Oversees patient flow during the shift, and assists the Supervisor with staff assignments. Ensures patient flow is maintained at an optimal level. Resolves employee/patient issues that arise during shift. Communicates employee issues to the supervisor for follow up. Provides a certain level of backup to the supervisor in his/her absence.
Performs pre-registration/registration processes, verifies insurance coverage and obtains authorizations and notifications. Calculates patient liability according to verification of insurance benefits, collects deposits and co-payments. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Obtains all necessary signatures and documentation requires by the patients insurance plan. May conduct patient visits for bedside registration to expedite the completion of the patient registration.
Provides financial counseling to patients and their families. Explains FHP financial policies and provides information as to available resources and avenues for alternative payment arrangements. Assists patients and their families in completing financial assistance paperwork when appropriate.
Communicates with physicians and other employees to resolve outstanding issues and/or patient concerns.
Acts as a liaison between the patient, billing department, and payor to enhance account receivables performance, resolve outstanding issues and/or patient concerns, and to maximize service excellence.
Meets or exceeds productivity standards. Completes daily assignments and maintains accurate production logs. Audits the demographic and financial files created during shift for payor compliance and completeness. Identifies opportunities to improve work processes and practices good work group dynamics.
Provides a variety of patient services and financial services tasks. May be assigned to functions such as transporting patients, provide training for new staff, collecting and releases patient valuables in accordance with FHP policies, posting daily deposits, or conducting other work assignments of the Patient Financial Services team.
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.
NOTE: The essential functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager.
High school diploma/GED or equivalent working knowledge.
Requires skills normally acquired over three (3) or more years of medical office work. Requires previous experience with clinic and/or hospital registration and prior authorizations. Must possess the ability to function independently, and must possess knowledge and abilities to float most areas within the clinic. Requires demonstrated knowledge of medical terminology and a broad understanding of all common insurance and payor types and authorization requirements. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences.
Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required.
As is typical in this industry, variable shifts and hours, and on-call duties may be required.
Work experience with the FHPs systems and processes is preferred.
Notary license and experience preferred.
Additional related education and/or experience preferred.
Requires extensive sitting with periodic standing and walking.
May be required to lift up to 20 pounds.
Requires significant use of personal computer, phone and general office equipment.
Needs adequate visual acuity, ability to grasp and handle objects.
Needs ability to communicate effectively through reading, writing, and speaking in person or on telephone.
May require off-site travel
Foundation Health Partners is an EEO/AAP employer; q ualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.