1 ST. JOSEPH'S HOSPITAL AND HEALTH CENTER Customer ...

23. Responsible for detailing verification/benefit/authorization information into the ADM/BAR system: i.e. group
names, group numbers, policy numbers, deductibles, co-pays and authorization information.
24. Assists in reviewing Admission Face Sheets for complete and accurate third party billing information and
promptly correct if necessary.
25. Utilize Meditech Verification Work-list for non-verified accounts on a daily basis.
26. Coordinate with the Denials Management Coordinator on any denials/errors received regarding
authorization or verification.
27. Has a basic understanding of the various scheduling systems to know when patients are arriving and where
they need to be seen for services.
28. Directs and/or escorts patients to care where services are to be delivered.
29. Responsible for working Returned Mail according to departmental guidelines.
30. Works in conjunction with Supervisor to provide support and backup coverage as needed.
31. Assists with training of staff when deemed appropriate by Supervisor.
32. Communicates with insurance companies, health maintenance organizations, managed care contract
companies and other third parties to obtain insurance verification data and pre-certification approval for
admissions; maintain liaison with physicians, nurses and administrative staff to resolve problems and to
address interdepartmental complaints.
33. Conducts patient transport activities including transport by wheelchairs, stretchers and/or van/valet service.
Coordinate information services provided by patient information desks and clinical customer services.
34. Ensures compliance with standard St. Joseph’s policies relating to patient registration, scheduling, insurance
verification and billing.
35. Timely and accurate posting of all self-pay payments received on site, including balancing to local bank
deposit slips.
36. Reporting of all patient compliant detail to CBO.
37. Assistance with the research and resolution of complaints and systematic service problems.
38. Communication of all special payment arrangements to CBO.
39. Performs other duties as assigned.
BASIC FUNCTIONS:
A. Demonstrates excellent customer service performance and displays a positive attitude and behaviors
consistent with the CHI Standards of Conduct and Core Values.
B. Actively supports and participates in quality improvement.
• Participates in quality teams and unit activities.
• Applies in safe and proper manner correct body mechanics, proper transfer techniques, BSI
techniques, chemical usage and other hazardous materials, and use of equipment.
• Takes immediate action in unsafe situations.
• Uses down time to benefit the department and SJHHC.
• Investigates and reports patient, staff and visitor incidents immediately in appropriate manner.
• Understand role and follows procedures in all codes and drills.
• Adheres to all hospital and departmental safety standards thus promoting safety practices to ensure
a safe and healthful environment for patients, staff and visitors
C. Demonstrates and supports the CHI Standards of Conduct, Core Values and Policies and Procedures of the
Hospital.
• Exercises good faith and honesty in all dealing and transactions. (Integrity)
• Creates a workplace that fosters teamwork, respects the inherent dignity of every person, promotes
employee participation and ensures safety and well-being. (Reverence)
• Provides accurate and truthful information in all transactions. (Integrity)
• Maintains and protects the confidentiality of patient, employee and organizational information.
(Compassion)
• Exercises responsible stewardship of both human and financial resources. (Compassion)
• Avoids conflicts of interests and/or the appearance of conflicts. (Integrity)
• Uses tact, sensitivity, sound judgment and professional attitude in communication and relationships
with others. (Compassion)
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