Patient Registration Spec

Position: PATIENT REGISTRATION SPEC
Overview Patient Registration Specialist, Breast Center Full Time, 72 Hours Per Pay Period, Day Shift Covenant Health is the region's top performing healthcare network. Each of our more than 10,000 employees, physicians, and volunteers are unified by one covenant: to put our patients first every day, to strive for excellence in everything we do, and to make Covenant Health the first and best choice in our region.

Cumberland Medical Center is a 189-bed hospital in Crossville, Tennessee, with more than 650 employees and 175 active physicians. It offers a full range of specialty services, including cardiology, gastroenterology, surgery, orthopedics, maternity services, cancer care, and advanced wound care. *

Emergency Department: 24 emergency beds
* Intensive Care Unit (ICU): 12 ICU beds
* Labor & Delivery: 12 LDRP suites
* Med/Surg: 37 beds
* Surgery: 9 operating room surgery suites
* Telemetry 37 beds Fully accredited by the Joint Commission, Cumberland Medical Center is an acute care hospital offering all private patient rooms as well as specialized services not usually found in the rural medical system. For seriously ill patients, advanced medical and surgical care is provided at CMC including telemetry monitored beds and an intensive care unit. Additionally, Cumberland Medical Center offers an outpatient imaging center, same day surgery unit, cardiac and pulmonary rehab programs, a sleep disorder center, breast center, cancer center, and hyperbaric medicine and wound center.

"Cumberland Medical Center offers a unique, family-oriented healthcare setting in a rural environment. We strive to deliver exceptional care to our patients, their loved ones, and each other. We look forward to welcoming team-focused people to grow their careers with us!"
-Chief Nursing Officer, Cumberland Medical Center

Position Summary:

Coordinates the centralized scheduling of all outpatient diagnostic and surgical procedures. Accurate collection and data entry of the required financial and demographic information for all patients registered to our facility. Ensures verification of benefits and pre-certification requirements are met prior to scheduled appointment/admission. Follows up as necessary on all urgent or unscheduled registrations for consistency in the process. Establishes controls so unscheduled patients understand and receive accurate information on their patient liability.

Responsibilities
* Collects co-payments/deposits based on verification information obtained, generates receipts to the payer, and delivers all cash transactions to the cashier for proper posting to the patient account.
* Maintains strict confidentially of patient information.
* Recommends to the Coordinator updates to existing policies and procedures that support our values and are intended to increase efficiency and promote data integrity.
* Notifies the Financial Counselor immediately upon scheduling or registering any potential self pay, worker's compensation patient, or any non-covered procedures.
* Makes patient type changes based on information given from Medical Records Staff and/or Care Coordinators, ensuring documentation is present in the medical record to support the change.
* Ensures all reservations are properly documented to support departmental statistics. Enters faxed reservations into the HBOC scheduling system.
* Schedules operative and diagnostic procedures utilizing the HBOC scheduling system. Documents each scheduled procedure/event with detailed information. Notifies departments of any special resources required for procedure/event.
* Verifies insurance benefits and obtains pre-certification from various third-party payers. Has extensive knowledge of insurance plan requirements. Provides necessary documentation to DHS and Med Assist staff for patients potentially in need of financial assistance or Tenn Care enrollment.
* Efficiently gathers all demographic, medical and financial information for scheduling, registration, and verification of patient accounts utilizing the HBOC computer system to record data. Enters verification and pre-certification notes into SMS financial system as cross-reference.
* Participates with clinical and care management areas to address opportunities to improve overall collections and cash flow.
* Analyzes claims denial data for opportunities to achieve improved collections, enhance relations with insurance companies and physician practices, and improve workflow process.
* Reports pertinent procedural changes/updates to appropriate leadership.
* Professionally deals with patients, physicians, visitors, and other hospital staff members.
* Demonstrates ability to keep abreast of regulatory and insurance requirements ensuring that changes are incorporated in daily job functions.
* Assures the registration process is handled in a professional manner, maintaining registration accuracy rate of 95 to 100 percent.
* Explains a variety of necessary information to the patient/family member, such as: consent for…