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Date: Feb 13, 2018

Location: Durango, CO, US 81301

Company: Centura Health

Located in the scenic, historic and charming Southwest Colorado town of Durango, Mercy Regional Medical Center (MRMC) is a full-service, acute care hospital with Level III Trauma designation. Recognized by Healthgrades (a leading, independent health care ratings company) with awards for Outstanding Patient Experience and Patient Safety Excellence, as well as an “A” Hospital Safety rating  from The LeapFrog Group,  Mercy Regional Medical Center blends state-of-the-art technology  with a serene and comfortable environment to promote well-being and healing.  Specialty services include emergency care, surgical care, cardiac care, an Orthopedic and Spine Center of Excellence and a Family Birthing Center equipped with every amenity and a dedicated surgical suite.  Durango residents experience an exceptional quality life with world-class outdoor recreation including snow sports, river sports, hiking, biking and more. Learn more about us at: http://www.mercydurango.org/



Job Description/Job Posting ID: 122690



Recruiter Contact: Alison Williams - alisonwilliams@centura.org



Clinic/Department: 8767 MRMC PATIENT FINANCIAL 



Hospital: MERCY REGIONAL MEDICAL CENTER 



Schedule: Full Time



Shift: Days


Position Summary



Accountable for making decisions supported by policy based on confidential financial information both from the facility and from patients to determine qualification for CICP (as applicable), Centura Charity programs, or payment arrangements. Utilizes scheduling and registration information to verify coverage and authorization for all scheduled procedures. After verification of benefits and authorization, HBA/FC populates price estimate tool to decide patient portion. Obtains authorization and benefit information by contacting patients, doctor’s offices and hospital departments. Responsible for collecting payment from the patient when applicable. Acts as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies. Experience using Microsoft Office and EMR preferred



Minimum Education Requirements




  • High School Diploma or GED required



Minimum Experience Requirements




  • 1 year Health Care experience preferred

  • Knowledge of ICD-10 and CPT coding Medical terminology with good customer service skills

  • Knowledge of registration and billing and credit scoring preferred



License/Certifications




  • CPR Certification (as required by facility)



Position Duties (essential functions denoted with an * )



QUALITY




  • Must demonstrate accurate documentation electronically on account information and updates in a timely manner.*

  • Runs estimator tool for patient portion amount.*



SERVICE




  • Obtains pre-certification and benefits from insurance companies for the admission or expected admission of a patient to comply with the rules and regulations of the patient’s insurance carrier.*

  • Acts as hospital liaison between insurance companies, case managers, central business office, third party Medicaid eligibility vendor and registration.*

  • Must demonstrate and maintain knowledge of registration pathways.*

  • Compliance with current eligibility technology.*

  • Must maintain patient/employee confidentiality.*



COST




  • Collects patient portion as determined by patient’s insurance or payment plans.*



Physical Requirements




  • Sedentary Work - prolonged periods of sitting and exert/lift up to 10 lbs. force occasionally)


Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V. 



 


Nearest Major Market: Durango
Nearest Secondary Market: Colorado

Job Segment: HR, Medical, Orthopedic, Clerical, Medicaid, Healthcare, Human Resources, Administrative