Posting Note: **Part-time Day/Shifts: Mon-Fri, Sat,(Days Vary), Days, 8am-5pm (Experience with authorizations and medical administrative work **

Ensures the efficient and orderly pre-registration, registration insurance verification and authorization for facility based procedures. Prepares admission forms, obtains necessary documentation and signatures, and confirms demographic information when the guarantor presents for services. Collects co-pay and deductible amounts at time of service. Assists and provides support and organization to the departments.

1. Obtains and documents demographic and financial information
   • Contacts the patient/parent/responsible party by phone and obtains all current demographic and insurance and employer information, making updates and creating accounts in the appropriate Hospital Information System (HIM) for registration, scheduling and billing. This includes documenting employer changes within last 60 days and verification of insurance benefits using Emdeon, insurance carrier websites or by phone
2. Obtains Authorizations for procedures.
   • Obtains all necessary authorizations for scheduled procedures. This includes determining by payor which procedures require authorization. Accurately documents all information in the appropriate fields and/or account notes
3. Accurately documents in patient account and prioritizes work flow
   • Accurately documents in patient account and prioritizes work flow
   • Provide accurate and timely documentation for patient`s accounts explaining activities and interactions with family members, staff, and outside sources on behalf of the patient.
   • Organizes, prioritizes, and monitors daily work activity to ensure that complete, accurate, and compliant pre-registration, registration, billing and family counseling has been performed in a timely manner.
4. Registers and arrives patients into procedure area
   • Arrives patients who present for professional and hospital services that have been pre-registered and collect co-pay and deductible amounts. Obtains all necessary signatures from the guarantor at the time of registration or arrival. Performs registration in appropriate HIS system, verifies insurance coverage, obtains authorization for patients who present for professional and hospital services and have not been pre-registered. Accurately documents all information in the appropriate fields and/or account notes. Maintains accuracy when entering demographic and insurance information in the system.
5. Customer Service.
   • Courteously answers the telephone and the door. Answers all questions in a timely manner
6. Maintains positive relationship with all customers
   • Maintains a positive working relationship with patients/guarantors, insurance companies, government entities, clinical personnel, co-workers and management to promote teamwork, cooperation and a positive public image for PCH.
7. Continuing Education
   • Participates in a variety of unit and hospital educational programs to maintain current skill and competency levels.
   • Maintains a general understanding of the Federal Marketplace, Medicare, Managed Care, AHCCCS, and other third party payer rules, authorization and billing requirements.
8. Management Feedback
   • Provides feedback to management regarding work related problems and assists with resolution to provide excellent customer service
9. Administrative Duties
   • Provides administrative support for the unit including, but not limited to placing supply orders, facilitating communication and scheduling, as well as copying, faxing and providing electronic documentation. Prepares agendas and minutes of a variety of meetings, creates and maintains current calendar of meetings and notifies participants of changes to ensure timely communication.
10. Performs miscellaneous job related duties as requested.

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable