Pre-Registration Representative Department: Patient Access Services
Schedule: Full Time Shift: Days Hours: M-F 8:30 am to 5 pm Job Details:
- The Representative is responsible for the pre-admission and
pre-registration of all patients into the hospital in a respectful and
courteous manner. This position ensures reimbursement for services
rendered through verification of insurance eligibility/benefits,
obtaining insurance authorization within required time frame,
identification and collection of patient financial obligation . He/She
is responsible for interviewing and gathering complete and accurate data
to complete the admission/registration process accurately, efficiently
and expeditiously. The Representative is responsible for verifying all
benefits, obtaining precertification and notifying patients of financial
responsibility. Major Duties: Meets organizational expectations as
defined by the Employee Standards of Performance, hospital and
department policies and procedures, and the hospital's strategic goals.
Verbalizes a clear understanding of continuous quality improvement and
customer satisfaction measures and actively participates in improvement
initiatives. Accurately completes demographic data, financial data and
medical information data collection. Pre-admit and/or pre-register
patients for scheduled services. Verifies benefits on patients. Obtains
precertification on workman's comp, and obtains pre-certification number
on all managed care if necessary. Identifying and notifying patient
financial obligation amounts, i.e. co-payments, co-insurance,
deductibles, etc. Determining estimated cost of services being rendered.
Collecting accident information. Responds to and resolves verbal and
written inquiries. Recognizes, identifies and resolves problems and
issues that arise without direct supervision. Assumes responsibility and
accountability for skills, performance and behavior in accordance with
hospital and registration policy and procedures. Performs other duties
as assigned or directed to ensure smooth operation of the organization.
Education/Knowledge/Skills/Abilities: Required: Typing and computer
skills. Good organizational skills. Good customer relation skills. Good
communication/phone skills. Ability to maintain confidentiality in daily
operations. Ability to conduct duties in a professional manner.
Associates degree or high school diploma. A minimum of 1 year medical
experience. Preferred: A minimum of 3 years medical experience
preferably in Patient Access or Business Office. CPAT