Located minutes from Boulder, CO, in the charming community of Louisville, Avista Adventist Hospital is a comprehensive medical center that provides a full-range of medical specialties and exceptional health care to residents of Louisville, Broomfield and the surrounding Boulder area communities. With 114-beds, this full-service facility has been honored for excellence in cardiac, mom/baby and emergency care. It is also home to one of the area’s top joint and spine care centers specializing in hip and knee replacement, as well as spine surgery. Avista is proud to be recognized for its award-winning New Life Center, the area's most innovative birth center and large Neonatal Intensive Care Nursery. In 2013, Avista was named among the Top 100 Hospitals for Patient Experience by Women Certified® (womencertified.com) for quality physician communications, nurse/staff responsiveness, superior cleanliness and referrals by other women. With some of the lowest turnover and highest associate satisfaction scores in the industry, Avista Adventist Hospital has an excellent local reputation for its supportive culture, visionary leadership, strong team and daily living of what it means to truly care for the whole person – body, mind and spirit.
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)
Position Duties (essential functions denoted with an * )
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/lift up to 10 lbs. 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.