General Summary of Position
Responsible for primary value patients accounts prior to billing. Obtains financial clearance, authorizations, insurance benefits and eligibility for designated department accounts. Interacts with patients and/or representatives in providing information associated with medical insurance coverage and financial responsibility.

Primary Duties and Responsibilities

• Communicates timely updated insurance information to appropriate departmental parties. May assist registration with appropriate insurance guidance as needed. Stays up-to-date on insurance procedure and benefit changes and attends insurance seminars when available. Identifies insurance issues and provides feedback to appropriate supervisor.
• Completes preadmission/pre-registration, maintenance of reservation files. Acts as a resource person to other departments, public and physicians concerning financial/insurance matters. Updates online computer files (SMS).
• Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations.
• Counsels patient or representative, as needed, concerning: substantial unpaid or non-covered charges (preadmission, ASU, POP and concurrent admission); specific insurance coverage terms and limits (deductibles, co-insurance, etc); clarification of patient or guarantor responsibility to pay bill. Identifies accounts requiring insurance authorizations and benefits. Calls insurance companies and utilizes online insurance verification systems in a timely manner. May use CPT and ICD9 coding books as a resource, when needed by insurance carriers.
• May interview patient or representative to: obtain basic patient demographic and financial information required for registration, and secure supplemental data concerning specific third party coverage.
• Obtains the authorizations required to provide service. Ensures needed forms and signatures are obtained according to predetermined regulations and/or hospital policies. Notifies and secures HMO approvals. Screens and refers patients to advocacy when needed. Notifies and collects deposits (copays, deductible, etc.) from patients. Adheres to MedStar Financial Assistance Policy and procedures. Follows established Cash Reconciliation policy guidelines and may complete daily departmental deposit.
• Verifies, analyzes, interprets and documents patient health insurance coverage, health plan provisions, or other third party hospital payment arrangements. Utilizes online verification tools.
• Participates in meetings and on committees and represents the department and hospital in community outreach efforts. Participates in multidisciplinary quality and service improvement teams.

Minimum Qualifications
Education

• High School Diploma or GED required or
• equivalent required and
• knowledge of medical terminology preferred

Experience

• 1-2 years Related experience required and
• Medical terminology preferred

Knowledge, Skills, and Abilities

• Proficient use of hospital registration and support systems.
• Working knowledge of various computer software applications.
• Good analytical and problem-solving skills.
• Excellent customer service skills.
• Excellent organizational skills to manage multiple tasks in a timely manner.
• Ability to work independently and as a member of a team.
• Ability to work with third party payors.
• Verbal and written communication skills.

Why MedStar Health?
At MedStar Health, we understand that our ability to treat others well begins with how we treat each other. We work hard to foster an inclusive and positive environment where our associates feel valued, connected, and empowered. We live up to this promise through:

• Strong emphasis on teamwork—our associates feel connected to each other and our mission as an organization. In return, our effective team environment generates positive patient outcomes and high associate satisfaction ratings that exceed the national benchmark.
• Strategic focus on equity, inclusion, & diversity—we are committed to equity for all people and communities. We continue to build a diverse and inclusive workplace where people feel a sense of belonging and the ability to contribute to equitable care delivery and improved community health outcomes at all levels of the organization.
• Comprehensive total rewards package—including competitive pay, generous paid time off, great health and wellness benefits, retirement savings, education assistance, and so much more.
• More career opportunities closer to home—as the largest healthcare provider in the Baltimore-Washington, D.C. region, there are countless opportunities to grow your career and fulfill your aspirations.

About MedStar Health
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It’s how we treat people.

MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations, and we comply with the federal, state and local laws governing each of those locations. MedStar Health makes all decisions regarding employment, including for example, hiring, transfer, promotion, compensation, benefit eligibility, discipline, and discharge without regard to any protected status, including race, color, creed, religion, national origin, citizenship status, sex, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, political affiliations, or any other characteristic protected by federal, state or local EO laws. If you receive an offer of employment, it is MedStar Health's policy to hire its employees on an at-will basis, which means you or MedStar Health may terminate this relationship at any time, for any reason.