Description :

1. Obtained, confirmed, entered and updated insurance information for all patients.
2. Consistently completed the Medicare Secondary Payer (MSP) questionnaire.
3. Verified insurance to determine coordination of benefits and obtains authorization and/or referrals as required.
4. Accurately updated the emergency department room tracking system.
5. Verified financial information to determine insurance coordination of benefits, pre-certification/prior authorization requirements by contacting the insurance company or through other verifying technology.
6. Informed self-pay patients of prepayment requirements or screens for funding sources Prepared estimate of procedures, calculated advance payment requirements, informed patients of acceptable payment arrangements on previous and current balances.
7. Referred potentially eligible patients to contract eligibility vendor(s) to pursue funding reimbursement.
8. Coordinated with clinical areas to establish patient financial expectations and assist in the resolution of revenue cycle issues.

Experience

2-5 Years

Level

Executive

Education

Business Management

Description :

1. Provides on-going communication with clinical staff regarding patient status.
2. Collects and enters all necessary demographic, clinical, billing and insurance information from patients or responsible parties.
3. Explains processes and forms to patients prior to securing signatures and ensures that all documents are properly signed and witnessed as required.
4. Determines and accepts required payments, including co-pays and deductibles.
5. Responsible for accurate and timely patient registration utilizing Medical Center ADT System Ability to assign diagnosis code and CPT codes relative to patient registration.
6. Accurately utilizes facility medical necessity tool to verify appropriate diagnosis and coverage criteria when applicable.
7. Collaborates and communicates with a variety of medical disciplines providing exceptional customer service to physicians, patients, family members and all other medical professionals.

Experience

2-5 Years

Level

Junior

Education

Diploma

Description :

1. Complete registration process for patients in all admit type settings Complete scheduling for outpatient services.
2. Review registration and scheduling records for completeness, accuracy and compliance with regulations.
3. Answer telephones, direct calls, and take messages.
4. Communicate with customers, employees, and other individuals to answer questions, explain information and address complaints.
5. Compile, copy, sort, and file physician orders.
6. Compute, record, and proofread data and other information, such as physician orders and patient records.
7. Maintain and update filing and database systems, either manually or using a computer.
8. Operate office machines, such as photocopiers and scanners, facsimile machines, voice mail systems, and personal computers.

Experience

7-10 Years

Level

Senior

Education

Behavioral Health

Description :

1. Answer telephones and direct calls to appropriate staff.
2. Schedule and confirm patient diagnostic appointments, surgeries, or medical consultations.
3. Greet visitors, ascertain purpose of visit, and direct them to appropriate staff.
4. Operate office equipment, such as voice mail messaging systems, and use word processing, spreadsheet, or other software applications to prepare reports, invoices, financial statements, letters, case histories, or medical records.
5. Interview patients to complete documents, case histories, or forms, such as intake or insurance forms.
6. Receive and route messages or documents, such as laboratory results, to appropriate staff.
7. Compile and record medical charts, reports, or correspondence, using typewriter or personal computer.

Experience

2-5 Years

Level

Junior

Education

Psychology

Description :

1. Creates accurate and thorough registration records for each patient visit.
2. Secures appropriate signatures, financial information and documents.
3. Screens for payer medical necessity requirements and benefit eligibility on appropriate accounts.
4. Pre-registers scheduled accounts via contact with patients, physicians or appropriate information sources.
5. Obtains insurance eligibility, benefits for inpatient and outpatient, scheduled and nonscheduled visits.
6. Updates demographic and insurance information in system as needed.
7. Initiates collection process by contacting patients/representatives about date of service deductibles, coinsurance and copayments.
8. Establishes financial arrangements with patients according to policy.

Experience

2-5 Years

Level

Executive

Education

Associate's In Science

Description :

1. Register patients to the hospital, receive admissions, and pre-register.
2. Secure patient account by obtaining appropriate demographic, insurance and medical information, entering data into the STAR system.
3. Verify benefits via Gaffey and obtain authorization, assist patient with making appointments for mammograms and various radiology tests and maintain confidentiality of all information related to patient.
4. Receive patient co-payment and collect deductible by cash, check or credit card.
5. Complete presumptive Medicaid forms and charity care applications.
6. Promote positive customer service and patient satisfaction.
7. Disposition emergency room charts, train new employees and solve customer and patient complaints.

Experience

2-5 Years

Level

Executive

Education

Associates In Directing

Description :

1. Registered all patients presenting to emergency room, outpatient diagnostics or admission.
2. Obtained accurate demographic, employment, health and insurance information for patients.
3. Verified primary and secondary insurance coverages for all patients presenting for medical care.
4. Maintained confidentiality of patients and provided information regarding each patients privacy rights under HIPPA guidelines.
5. Obtained proper patient consent for treatment.
6. Verified insurance status of all patients at time of visit.
7. Collected patients deductible or co-payments due at time of service and for uninsured patients provided information to make payment arrangements.
8. Provided professional customer-driven care.

Experience

2-5 Years

Level

Junior

Education

Diploma

Description :

1. Check patients into registration in the ER.
2. Verify patients insurance and personal information.
3. Coordinate communication between patients, family members, medical staff, administrative staff, or regulatory agencies.
4. Interview patients or their representatives to identify problems relating to care.
5. Maintain knowledge of community services and resources available to patients.
6. Refer patients to appropriate health care services or resources.
7. Investigate and direct patient inquiries or complaints to appropriate medical staff members and follow up to ensure satisfactory resolution.
8. Explain policies, procedures, or services to patients using medical or administrative knowledge.

Experience

2-5 Years

Level

Junior

Education

Human Resources Management

Description :

1. Conducting interviews with patients in a HIPAA compliant format prior to scheduled services.
2. Gathering and entering of all demographic, financial and social information required for registration into the hospital information system (HIS) in a timely manner with accuracy.
3. Collection & Processing of all co-payments, deductibles and coinsurance prior to the time of service.
4. Informing patients about advanced directives and their patient rights.
5. Obtaining consents for medical treatment & procedures.
6. Coordinating with Nursing Supervision to expedite the transfer of patients into and throughout the facility.
7. Training for new Registration Associates.

Experience

2-5 Years

Level

Junior

Education

Diploma

Description :

1. Interviewed new patients and collected needed medical and insurance information.
2. Entered patient data into hospital's electronic system.
3. Understands patient confidentiality and HIPAA rules.
4. Screen calls by urgency and route calls promptly, accurately, and professionally to appropriate party.
5. Gather, verify and enter demographic and insurance information on new and established patients necessary for completion of electronic health record and insurance claim.
6. Greet and check in patients in a friendly manner.
7. Collect co-payments and verify insurance coverage.
8. Self motivated and assertive with the ability to exceed patient expectations.

Experience

0-2 Years

Level

Entry Level

Education

High School

Description :

1. Responsible for daily registration of patients in EPIC computerized medical record.
2. Verify insurance coverage status in PASSPORT verification system.
3. Collect patient copayments, coinsurance, and deductible in CHASE ORBITAL.
4. Work surgery schedule to locate history and physical reports for next day surgeries.
5. Answer phones from clinical staff and patients regarding scheduled appointments.
6. Scheduled patients in EPIC for diagnostic testing.
7. Verify ICD-9 & CPT codes in PROXSYS system for processing Medicare and commercial insurance claims.

Experience

0-2 Years

Level

Entry Level

Education

Diploma

Description :

1. Verification of medical insurance and corresponding co pays.
2. Performed electronic correction of co pays based on insurance verification.
3. Identification of duplicate medical records.
4. Coordinated bed assignment for inpatients with Admitting Department.
5. Identified duplicate medical records 100% of the time for consolidation.
6. Verified and corrected 100% of medical insurance information including co pays for billing purposes.
7. Provided timely registration of inpatients and outpatients within a 6 minute interval.

Experience

2-5 Years

Level

Junior

Education

Health Information Technology