Patient Registration Representative, DS Admissions

MISSION STATEMENT:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

The Patient Registration Representative performs general registration functions including appointment scheduling, collection of applicable co-pays, co-insurance, and deductibles and utilizing the computer system. Obtains complete and accurate patient demographic, insurance, financial information and patient benefits/eligibility; referral/pre-authorizations/pre-certifications approvals from insurance companies and physician offices.

• High School Diploma/GED is required.
• Computer skills required with knowledge of Microsoft Office suite.
• Good written and verbal communication skills required.
• Bilingual – English/Spanish.

• Must be able to respond to patient needs by interpreting facial expressions and to communicate effectively utilizing verbal and written communications.
• One (1) year of related customer service experience
• Requires reasoning ability and good independent judgment.
• Requires working with frequent interruptions and have strong customer service skills.
• Must have good working knowledge of computers.
• Knowledge of medical terminology and the ability to communicate in both Spanish and English is strongly preferred.

• Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices
• Demonstrates high quality Service Excellence, positive customer service and telephone etiquette by treating all customers with dignity and respect; utilizing age specific skills and knowledge.
• Ensures patient confidentiality requirements are met in accordance with HIPAA policies and procedures.
• Interviews patient or responsible party to obtain demographic information required to register the patient accurately.
• Obtains and reviews doctor’s orders for appropriate signature, date, diagnosis and admission status prior to registration.
• Communicates effectively with doctor’s office to obtain orders when missing or when additional diagnosis is needed for medical necessity.
• Reviews and confirms patient's financial information by obtaining the insurance carrier information, benefit information, policy number, group name and group number.
• Ability to identify the appropriate coordination of benefits for insurance carrier.
• Utilizes on-line verification systems, i.e. TMHP, FISS, and Availity, etc., for eligibility.
• Explains rates, estimates charges for services and hospital policy regarding up-front collections as needed.
• Opens and closes cash batches appropriately and uses the approved naming guidelines.
• Collects deductibles, co-pays, unpaid balances and co-insurance payments and provides patient a receipt.
• Determines financial status and refers patient for financial screening as appropriate.
• Adheres to Administration on-call schedule, if Financial Counselor is off duty.
• Performs appointment scheduling functions and registers patients for ancillary services.
• Initiates Order Management to enter orders as needed.
• Reviews records of any prior patient visits to determine status of any unpaid balances.
• Ability to take over the counter payments from patient statements.
• Ensures referral/pre-authorization/pre-certification requirements have been met.
• Accurately completes the Medicare Secondary Payer (MSP) form as appropriate.
• I…