Registrar - Outpatient Center

Overview

Major Responsibilities — Performance of routine secretarial and clerical services in support of department activities.

This May Include

• Contacts physicians to obtain and clarify orders.
• Performs follow-up of verbal orders.
• Performs standing order review and creates accounts as appropriate.
• Open, sort, and route mail to the appropriate individuals.
• Greets patients and directs visitors.
• Answers multiple incoming telephone lines, accurately determining the appropriate recipient of the call or message and referring them promptly and appropriately.
• Orders forms and office supplies as needed
• Monitors and maintains various work queues and issue reports, and/or performs special projects as assigned.
• Receives, properly responds to, or redirects telephone, electronic, and in-person inquiries from patients, payers, physician and their staff, internal departments, external organizations and other persons or entities. Obtains, receives and documents accurate and thorough information when taking messages or redirects calls appropriately.
• Schedules appointments as applicable.
• Monitors the receipt and indexing of faxes received through the electronic storage software, fax scanning system. Performs maintenance on scanned faxes, including interpreting physician orders; and naming, sorting and filing of faxes.

Medical Record Services

• Upholds standards for accurate and timely medical records.
• Creates and maintains patient records and files within the department.
• Prepares charts for scanning, ensuring that all pages are present, completed and labelled with patient identification.
• Follows up with appropriate individual if documentation is absent or incomplete.
• Scans charts, ensuring that all pages are legible, upright, scanned to the correct account.
• Indexes scanned pages to correct document type.
• Accurately collects and analyzes all required demographic, insurance/financial and clinical data necessary to register/admit patients from all payer classes.

Additional responsibilities include understanding and following government, managed care and commercial insurance plan rules as they relate to patient access; ensuring accounts are in order for timely billing and collection; collecting and recording accurate patient, guarantor, insured and insurance information when registering patients' accounts; interpreting and validating physician orders for service; producing required forms and reports; verifying insurance eligibility; explaining insurance benefits and patient balances;

securing necessary signatures; assigning a unique medical record number; completing the Medicare Questionnaire for all Medicare patients; and performing revenue cycle activities to maximize revenue and cash collections.

• Using insurance eligibility software, validates demographic information and assures patients are eligible for service provided.
• Recognizes communication obstacles for patients with hearing or vision impairments and secures interpreter or assistance as needed.
• Explains, secures, and witnesses signatures for medical treatment, insurance benefits, and related requirements.
• Identifies and obtains needed authorizations, referrals and service approvals.
• Explains benefits and payment options to patients and negotiates resolutions for self-pay balances.
• Explains charity care process and updates system with charity applications.
• Using compliance checker software, screens orders against medical necessity criteria and initiates related procedures.
• Logs all patient visits and updates data as needed, including discharge information.
• Ensures insurance is updated and financial transactions are properly processed.
• Inputs and checks charges for accuracy and audits charges identified by clinical staff, making corrections as needed.

Performs revenue cycle activities and ensures appropriate financial disposition of account balances; posts payments and adjustments; processes payments and receipts; maintains records of payment transactions; and uses automated systems for card transactions.

• Initiates inquiries to insurance payers/claim administrators; provides eligibility information and benefits level.
• Identifies and obtains authorizations, referrals, and service…