Registration Specialist Senior, Admitting and Registration

SUMMARY
We are currently seeking a Registration Specialist Seniorto join our Admitting and Registration department. This 0.50 FTE (40 hours per pay period) role will primarily workon-site (Day and Every Other Weekend; hours 8:00 AM - 4:30 PM).

Purpose of this position: Registration Specialist Senior provides revenue cycle services and assumes responsibility for successful completion of patient account set-up under the general supervision of the Registration Management team. The individuals in this role coordinate critical departmental duties including but not limited to gathering critical patient information, point of service collections, customer service, and inpatient registration, completion of admission and discharge compliance forms.

RESPONSIBILITIES

• Gathers or confirms information from patients, guardians, clients/family members, HHS clinical areas, third party payers, etc. both in-person, by telephone, and via websites to register patients, gather or update information, complete appropriate compliance forms (State and Federal), determine benefits and eligibility (insurance, public programs, etc), determine financial responsibility and/or to identify sources of payment for services, such as co-pay collections
• Requests, inputs, verifies, and modifies patient’s demographic information, including collection of information to enable health disparity reduction and meet Meaningful Use requirements. In addition, verifies payor information using appropriate online resources, including real time eligibility resources as well as payor websites. Conducts accurate patient arrival in ED Triage by prioritizing acuity by understanding chief complaints, in accordance with the EMTALA act
• Completes registration functions via bedside registration in high volume locations such as the ED, APS, inpatient units, outpatient lab, and other areas as determined
• Utilizes various databases and specialized computer software for coverage and eligibility verifications, determine patients’ out of pocket financial responsibility and/or to identify sources of payment for service
• Partners with colleagues in Emergency Department/Acute Psychiatric Services and other critical care areas to quickly establish the accurate identity of patients to ensure optimal patient flow
• Explains, answers questions, and communicates a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies
• Plays a critical role in revenue cycle and reimbursement, by ensuring accurate and eligible payer information, along with financial responsibility, prior to claims processing
• Makes appropriate referrals (i.e. Patient Financial Counselors, Billing) based on individual patients’ situation and needs, such as uninsured or underinsured status
• Provides excellent customer service and timely response to questions and issues. Exhibits de-escalation skills when working with patients in high stress situations. Ensures patient and employee safety by completing organization safety events
• Complies with all state and federal laws and regulations related to patient privacy and confidentiality, such as HIPAA
• Works daily assigned work queues for all compliance related admission and discharge forms (IMM, MOON, SON), billing account and claim edit WQs, and AMRTC workflows
• Assist with mentoring and onboarding of new staff, as directed by Team Coordinator
• Rounding to collect outstanding co-pays, and compliance forms
• All job functions at discretion of management team

QUALIFICATIONS

Minimum Qualifications:

• 2 or more years clerical experience in health care revenue cycle operations, collections, admissions, registration, etc
• Bi-lingual strongly preferred, required in some positions

-OR-

• An approved equivalent combination of education and experience

Preferred Qualifications:

• Demonstrated organizational skills and the ability to prioritize and manage tasks based on established criteria
• Excellent verbal and written communication and interpersonal skills
• Ability to work independently with minimal supervision, within a team setting and be supportive of team members
• Proficient with Microsoft Office
• Ability to analyze issues and make judgments about appropriate steps toward solutions

Knowledge/ Skills/ Abilities:

• Knowledge of registration process
• Increased knowledge of insurance coverages and payer policies
• Increased knowledge of Medicare billing requirements for admission, continued stay and discharge
• Ability to communicate with patients and families under sometimes stressful circumstances
• Strong in-person and telephone communication skills
• Experience with electronic health record or similar software program; EPIC preferred
• Knowledge of payor programs
• Knowledge of applicable federal and state regulations
• Detail oriented; critical thinking skills