Job Description Summary
MUSC EDS center primary care is located in West Ashley and is an annual subscription concierge program connecting Ehlers-Danlos Syndrome (EDS) patients with a doctor specializing in primary care. The physician and support team will focus on preventive medical care and create wellness plans customized to patients' unique needs while enhancing the patient experience by providing a high level of customer service. This dedicated partnership between patients and their physician includes convenient and immediate attention through same-day or next-day appointments, customized wellness plans, personalized care, direct access to physician and referral management to specialty care.
Entity
Carolina Family Care, Inc. (CFC)
Worker Type
Employee
Worker Sub-Type
Regular
Cost Center
CC004965 CFC PC West Campus EDS
Pay Rate Type
Hourly
Pay Grade
Health-21
Scheduled Weekly Hours
40
Work Shift
Job Description
Greets and welcomes patients and families in person or on the telephone. Optimizes the patients’ experience and clinic efficiency time by scheduling appointments appropriately, either by phone or in person. Maintains patient accounts by obtaining, recording, and updating personal and financial information accurately and effectively. Collects Co-pays and prior patient balances. Protects patients' rights by maintaining confidentiality of personal and financial information. Position also involves customer service, message distribution, ancillary scheduling and referrals management. Ability to interact with medical professionals and other care team members from diverse cultures and backgrounds.
Responsible for evaluating scheduled patient visits to identify and resolve funding/coverage with either assistance applying for Medicaid, disability, financial assistance, insurance coverage, or resources identified revealing the ability to pay out of pocket for MUHA & UMA services; and provide patients co-payment/deductible/deposit information to be paid prior to services rendered.
Job Duties and Responsibilities:
Obtain and update demographic and insurance information for all patients.
Meet standard productivity metrics while performing the pre-registration and registration process.
Complete all regulatory and compliance related forms for the visit.
Complete verification and payment workflow, including screening for potential funding sources, and setting patient expectations for reimbursement.
Demonstrate commitment to positive patient and family experiences and excellence in customer service.
Function as integral member of the health care team to reflect a culture of cooperation, enthusiasm and mutual respect.
Notify patients of copayments/deductibles/deposits prior to services being rendered and collect when applicable.
Provide estimates using the fee estimation tool in Epic, assist in resolution with processing of Financial applications.
Minimizes patient complaints through effective and accurate communication and education related to patient out of pocket costs for hospital and physician services.
Proactively identifies discrepancies within EPIC Tool and works with appropriate teams to resolve.
Accepts payments made in advance of service and hands off to appropriate billing office for posting to patient account.
For patient/families with insurance, calculate patient estimate based on plan, benefits and out of pocket thresholds; discuss and finalize method of payment. Ensures all activities are documented within EPIC.
Obtain and record accurate patient data, assure compliance with all state and federal regulations to include informing patients about our programs (FAP, Cobra.)
Work closely with internal and external peers and communicate at a high level of professionalism.
Interact with State workers and external partners to accomplish work efforts. And, ensure that all the patient accounts are appropriately processed and worked for financial counseling, including noting all areas so that work is visible to the Health Care…