Clerical Associate - IV-7 Positions (Promotional Opportunity Permanent Incumbents Only)

1. Conduct comprehensive interview to obtain complete demographic information and determine payer for service.
2. Screen for Medicaid/CHP eligibility, complete and submit Medicaid application electronically via AIM / or THE MARKETPLACE. Review AIM/THE MARKETPLACE reports and follow up on outstanding applications. When eligibility is received enter information into all applicable accounts for billing.
3. Establish appropriate fee scale for all patients utilizing SOARIAN “Maintain HHC Options” function (as per HHC Policy & Procedure). Scan required proof and follow up to obtain any missing documents.
4. Verify all insurance using EDI, SOARIAN, telephone or insurance web site and obtain any authorizations required for payment.
5. Educate patients on the insurance and self-pay polices of Coney Island Hospital, placing emphasis on the Managed Care polices and procedures and how they relate to them and any needed follow-up care.
6. Update, verify and correct all patient data in the SOARIAN system. Scan all required registration (consent, billing authorization) and financial documents into EDM (Document Imagining). Scan all necessary documents into EPIC system.
7. Adjust self-pay bills and handle patient inquiries.
8. Must be able to work rotating shifts, weekends and holidays.
9. Treat all patients in a courteous and respectful manner with special regard to confidentiality.
10. Respond to complex inquiries from patients and payers to resolve any billing issues if unable to resolve, direct patient to appropriate department.
11. Complete all necessary documentation and insure that patient(s) signs “Consent for Treatment” and “Insurance Release” forms and that they are scanned into EDM (Document Imaging)
12. Provide coverage in the following areas: Behavioral Health, Ambulatory Surgery, Colonoscopy, and the Patient Rep office.