WVU Medicine
Location
Wheeling, Illinois
This role involves performing administrative and clerical duties focused on managing patient registration, collecting necessary demographic and financial information, and processing claims. Key duties include obtaining patient data, handling insurance pre-certifications, preparing consent forms, and collecting co-payments and deposits.
require a high school diploma or equivalent, along with passing a state criminal background check. Candidates must possess strong organizational skills, attention to detail, the ability to multitask, and basic knowledge of medical terminology and insurance requirements.
EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High school graduate or equivalent. 2. State criminal background check and Federal (if applicable), as required for regulated areas. CORE JOB DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification. Provides to the patient, information concerning insurance, payment of bills and hospital procedures. 2. May complete managed care responsibilities in regard to obtaining pre-certification and authorizations. 3. Prepares WVU Medicine standard consent form, notice of privacy practice and/or other necessary paperwork related to registration and presents to patient/family/legal guardian for signatures. Obtains electronic signature for consent to treat and patient financial obligations. 4. Collects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. 5. Prepares armband for patient identification. 6. Balances daily receipts and cash drawer for patient payments as needed. Follows up on accounts as indicated by system flags (courtesy dismissal/comments/red stickers). 7. May initiate various screenings and obtains all pertinent information for coverage and completes appropriate paperwork. 8. Performs medical necessity checks and completes Advanced Beneficiary Notice as needed. 9. Schedules, reschedules, or cancels patients in accordance with hospital workflows. 10. Checks for order completeness and validate order against scheduled service. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, and grasping. 2. Visual acuity must be within normal range. 3. Manual dexterity to operate keyboards, fax machines, telephones, and other business equipment. 4. Sitting and/or standing for extended periods of time. 5. Reading and comprehension ability. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. High volume, fast paced environment. 2. Exposure to communicable disease. 3. Frequent interactions with patients, medical staff, and support staff daily on a continual basis. SKILLS AND ABILITIES: 1. Ability to accurately utilize applicable computer software and equipment for access processing & demonstrates ability to follow down time procedures. 2. Demonstrate knowledge of procedure to report and/or document unsafe/hazardous conditions, incidents and defective equipment in compliance with hospital policy. 3. Requires considerable attention to detail, the ability to be organized and to be able to perform multiple tasks simultaneously. 4. Requires the ability to memorize a considerable amount of information, and to be able to reference information not retained from written sources or from appropriate personnel. 5. Requires the ability to understand medical insurance requirements for payment and basic knowledge of covered services. 6. Excellent written and verbal communication skills and the ability to understand written and verbal communication. 7. Basic knowledge of medical terminology. Additional
Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: WH Wheeling Hospital Inc. Cost Center: 8488 WH Podiatry Address: 1 Medical Park Drive Wheeling West Virginia Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment. Thank you for your interest in working for WVUM. Please explore our open opportunities in the list below and apply for any positions in which you would like to be considered. You'll be able to keep track of your progress on our site. The West Virginia University Health System is West Virginia’s largest health system and the state’s largest employer with more than 3,400 licensed beds, 4,600 providers, 35,000 employees, and $7 billion in total operating revenues. The Health System is comprised of 25 hospitals – including J.W. Ruby Memorial Hospital, an 880-bed academic medical center, and the 150-bed WVU Medicine Children’s Hospital in Morgantown, West Virginia – and five institutes. To learn more, visit WVUMedicine.org.