JOB SUMMARY

Responsible for the registration of patients, including patient interviews, pre-admissions, and information accuracy (including insurance information verification). Handles routine patient inquiries and problems. Facilitates patient throughput by collecting co-payments, obtaining signatures, making patient type changes, and completing tasks to eliminate delay. Communicates well with patients, physician office staff, and other Hospital departments to ensure an exceptional patient experience. Greets patients and processes them through to the appropriate area.

• Employee required to work rotating schedules.

EDUCATION

High School Diploma or GED General Studies Required

EXPERIENCE

Prior Medical terminology and health insurance experience Preferred

ADDITIONAL KNOWLEDGE, SKILLS, AND ABILITIES

• Cash handling skills.
• Keyboard skills and computer experience.
• Ability to handle multiple priorities.
• Must perform good communication skills.
• Attention to detail.
• Enjoy working with the public.
• Ability to work independently and self-motivated

PHYSICAL AND BEHAVIORAL REQUIREMENTS

• Occasional stooping, standing, kneeling, and crawling.
• Frequent sitting, walking, and reaching.
• Medium physical force is required (exerting 20 to 50 pounds of force occasionally, or 10 to 25 pounds of force frequently, or up to 10 pounds of force constantly to move objects).
• Visual acuity to accurately enter and view information via the computer.
• Ability to hear and speak is required to effectively communicate with the public in person and via the telephone.
• Manual finger dexterity for chart preparation, answering telephone, assisting patients, and accurately type information.
• Ability to effectively manage a high stress environment resulting from a multilevel fast paced office requiring accurate and detailed tasks.

JOB SPECIFIC DUTIES

• Patient Registration: Pre-registers all scheduled patients for admission, partial hospitalization, and outpatient services. Reviews registration form for any missing data, and correctly enters information with limited keying errors. Obtains patient’s and/or responsible party’s signatures on consent and other legal documents. Updates registration system when applicable, and collects any payment due.
• Pre-Certifications/Pre Admissions: Secures needed pre-certifications, authorizations and referrals and enters information properly in the registration system, with no more than 5 instances of error during quarterly review. Correctly routes paperwork, flags pre-admissions for any incomplete/missing information and communicates with service departments when orders are incomplete for scheduled patients.
• Insurance Verification: Verifies insurance using the best and most cost-effective method for the particular insurance, such as software, payer website, or voice verification. For pre-registered patients, confirms insurance information entered into system is complete and accurate. Ensures that the insurance verified matches the plan filed with no more than 5 instances of error per quarter. Correctly assigns Guarantors, taking into consideration compliance requirements (hospital transfers, SNFs, etc.) with no more than 5 instances identified at quarterly review.
• Insurance Benefit Information: Enters insurance benefit information on a patient’s account in a standardized format and location within the main information system, and scans supporting documentation as appropriate. Correctly selects insurance plans and enters them in the correct coordination of benefits order, with no more than 5 instances of error. Enters appropriate Account Notes and uses Standard Notes when required.
• Patient Payment Administration: Calculates money owed by patients, based on confirmed insurance benefits and informs patients of estimated amounts owed and options for payment. Administers the Hospital Credit and Collection policy, offering the Prompt Pay discount and identifies patients for referral for Medicaid eligibility and charity care consideration based on outcomes of FAU screening tool. Correctly administers alternate payment options such as Mosaic finance and Employee Wage Deduction. Completes fax notification daily of designated payers.
• Medical Record Numbers: Accurately selects patient from the Master Patient Index or assigns a new medical record number as needed. Ensure duplicate medical record numbers are reported via online tool and account hot coded to indicate that reporting has occurred. Incurs no more than 3 errors as identified during quarterly review.
• Patient Type Changes: Assigns the correct patient type according to pre-admitted status or service for non-pre-admitted patients. Correctly converts a registration from one patient type to another, changing all appropriate data elements and notifying Clinical Denial Management as appropriate. Correctly selects pre-admitted accounts for conversion and accurately selects appropriate appointments. Makes necessary patient type changes as requested by Clinical Denial Management staff by next business day.
• Customer Service: Greets patients arriving to the department and directs as needed. Answers telephone calls and disposition properly. Distributes parking passes according to procedure. Correctly explains and distributes HIPAA privacy information and appropriately updates each registration, addressing the NPP and opt out status.
• Teamwork: Serves as backup for team members following department rules and regulations.
• Reporting: Monitors assigned report(s) and corrects all problem accounts each workday, prints report(s) and provides to coordinator at end of each day.
• Professionalism: Upholds a professional working relationship at all times and adheres to department rules. Practices teamwork and adheres to Standards of Behavior.
• Other Duties: Performs other duties as assigned by management