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LRF#2176

Schedule/Status:

Day; Part-time

Standard Hours/Week:

20

General Description:Under the direct supervision of the Manager, Patient Registration, the Registrar, accurately gathers confidential patient demographic and financial data, obtains all signatures, copies of insurance/patient identification; assists patients in understanding their insurance policies, benefits and requirements of their plan; contacts scheduled patients obtaining all pertinent information for the pre-registration process; demonstrates good skills in all forms of communication; works well with others and fosters the sense of teamwork and cooperation within the department and hospital; adheres to established hospital and department guidelines and protocols supporting the hospital's mission, vision and values; obtains and releases valuables.

Key Responsibilities:

Point of Service Registration:

Interview and register patients via hospital information system following established protocols in a prompt, professional, courteous and confidential manner ensuring accuracy and timeliness

Utilize problem-solving skills to verify patient identification in order to identify and minimize duplicate medical records

Ensure orders are complete and legible

Request new or corrected order from ordering provider’s office if order is incomplete or illegible

Document relevant information including details regarding insurance or provider’s requests

Obtain patient or guardian signatures

Scan orders, identification cards and insurance cards or other coverage documentation into account, ensuring images are legible

Finance:

Utilize appropriate strategies; including phone calls and online databases to verify insurance coverage, obtaining benefit information such as deductibles, co-payment and co-insurance amounts

Identify payer requirements for medical necessity, precertification, prenotification and/or preauthorization

Document all proper insurance and authorization information to assure guarantee of payment

Assess patient payment responsibility and educate patient accordingly

Collect point of service payments due

Additional Revenue Cycle-Specific Responsibilities:

Remain current on revenue cycle policies, procedures, standards and software

Work Daily Preregistration Report to ensure majority of patients are preregistered

Complete preregistrations for site-specific reference facilities

Assist Central Scheduling with cataloguing orders in fax order management system

As time permits, work fax order management folders

Requirements:

Formal Education:

High School diploma or GED

Work Experience:

1-2 years front-end revenue cycle experience preferred

Preferred:

Authorization and referral management knowledge

Medical necessity processing

Scheduling module

Registration module

Insurance verification systems