Northwell Health Clinical Practice Plan Representative in New Hyde Park, New York

Req Number 0025ER

Job Description

Assures patients understand their financial obligation to pay for medical services rendered; obtains all necessary information and enters it into the billing system for timely and accurate billing and collection.

Responsibilities Include:

  • Registers/re-registers patients

  • Demonstrates good judgment when reviewing registration forms for completeness and accuracy

  • Consistently reviews registration information according to CPP policies and procedures

  • Seeks assistance from CPP Coordinators when problems arise during the registration process

  • Performs additional tasks required to successfully complete registration

  • Maintains a polite attitude when assisting patients or guarantors in completing the registration forms and reviewing insurance information.

  • Verifies insurance coverage for elective surgeries, high dollar services and patients with on-going courses of treatment.

  • Verifies insurance coverage on a timely basis when appropriate;

  • Arranges for adequate blocks of time to perform insurance verification;

  • Notifies patient and arranges for alternative payment methods when insurance coverage did not cover services course of treatment.

  • Collects point of service payments, as appropriate.

  • Requests payments from patients and guarantors where appropriate;

  • Demonstrates good judgment when explaining physician or department's policy for point of service payments;

  • Assists patients or guarantors in answering their questions;

  • Maintains good relationship among the physicians, patients, and guarantors.

  • Prepares batches and performs data entry for charges, registration information and payment information.

  • Arranges for adequate blocks of time to perform data entry;

  • Uses knowledge of the IDX system when entering information concerning registration, charge entry and point of service payments;

  • Notifies CPP Coordinators when there are problems associated with preparing batches on a daily basis and entering information before the close of the business day;

  • Performs data entry on a daily basis.

  • Functions as a financial counselor and arranges budget plans in accordance with CPP criteria.

  • Conducts oneself in a professional manner and speaks to patients and guarantors in a courteous fashion;

  • Assists patients or guarantors in answering any questions

  • Uses good judgment when arranging budget plans in accordance with CPP criteria;

  • Obtains approval from Business Office Account Representative Supervisor regarding expectations to standard budget plan policies.

  • Performs point of service account follow-up for all outpatients seen in area including reviewing account balances, discussing outstanding balances and requesting payment/insurance information and entering payments, as appropriate.

  • Performs related duties, as required.


  • High School Diploma or equivalent, required.

  • Prior experience with accounts receivable or related area, required. Keypunch/ data entry experience, required. Experience with managed care, record keeping, bookkeeping, and typing, preferred.

  • Ability to communicate effectively.