St. Anthony Hospital is located in the western Denver suburb of Lakewood and is a Level I Trauma Center with four dedicated trauma rooms including the T-10 room, a dedicated field-to-surgery suite ready 24/7 for trauma surgeons and specially trained teams who provide life-saving care to the most severely ill and injured patients. St. Anthony proudly provides a full range of medical specialties and health care services to Denver and the surrounding region with a state-of-the-art medical campus. If you’re looking to be part of a fast-paced environment where you can practice to the top of your profession in trauma, cardiology, stroke, neurosciences, breast imaging, cancer/oncology care, surgery and more, we encourage you to apply. In addition to a new campus, supportive team and faith-based mission, we’re proud to be the recipient of numerous awards, certifications and accreditations from the American Heart Association; Chest Pain Center (CPC); American College of Cardiology; The Joint Commission’s National Quality Approval; Healthgrades (for Stroke, Critical Care and Prostate Surgery Excellence); the Emergency Nurses Association Lantern Award; NAPBC Accreditation; American College of Radiology and many others. For more information about St. Anthony Hospital, visit http://www.stanthonyhosp.org/.
Job Description/Job Posting ID: 135345
Recruiter Contact: MikalaFord@centura.org
Clinic/Department: 8783 SAH FINANCIAL COUNSELING
Hospital: 84th AVENUE NEIGHBORHOOD HC
Schedule: Full Time
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. Makes calls to patients, doctor's offices, and hospital departments to gather sufficient information to obtain authorization and benefits Collection of patient portion. Acts as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies.
Minimum Education Requirements
High School Diploma or GED required
Minimum Experience Requirements
1 year healthcare experience
Knowledge of ICD-9 and CPT coding
Medical terminology with good customer service skills
Preferred knowledge of registration and billing and credit scoring
CPR Certification (as required by facility)
Job Responsibilities (essential functions identified with a * )
Must demonstrate accurate documentation electronically on account information and updates in a timely manner.*
Runs estimator tool for patient portion amount.*
Screens self pay patients to make the determination of eligibility for CICP (as applicable), Centura Charity programs, or payment arrangements.*
Interacts with the Victims Compensation representative through the District Attorney's office and CBO for payment of patient bills.*
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.*
Collects patient portion as determined by patient's insurance.*
Sedentary work -(prolonged periods of sitting and exert up to 10lbs 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.
Find your ideal career at Centura Health! With 16 hospitals, physician clinics, hospice services, home care and senior living communities, Centura Health's vast network of care spans Colorado and Western Kansas so you can experience a balanced lifestyle and enjoy a fulfilling career anywhere you want to work, live and play in Colorado. From the fast pace of a Denver-area Level 1 Trauma Center to a smaller rural or mountain hospital – we proudly offer a more diverse range of work settings and locations than any other health care employer in the state. Centura is an equal opportunity employer.