Registrar - Patient Access

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* Employment Type:

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* Full time

** Shift:*
* Day Shift

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* Description:

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* ** JOB SUMMARY*
* Greets patient/family members and obtains/verifies demographic, clinical, financial and insurance information in the process of registering patients for service delivery.  This process includes benefit verification, notification and collection of patient liabilities, collection of patient signatures on all appropriate forms, and the imaging/copying of registration documents.  May provide escort or directional support to patients, family members, and visitors.  Duties should be performed while enhancing the patient experience throughout all interactions, the majority of which will be in person.

JOB DUTIES

** 1.  Actively
** demonstrates the organization's mission and core values, and conducts oneself at all times in a manner consistent with these values.

** 2.  Knows
** and adheres to all laws and regulations pertaining to patient health, safety and medical information.

** 3.  Ensures
** patient safety and maintains integrity of Electronic Master Patient Index by authenticating patient identity throughout all essential functions.  Ensures the patient is properly identified and has on armband prior to leaving registration area.

** 4.  Meets
** or exceeds established customer service, productivity, and quality standards in all essential functions.

** 5.  Maintains
** a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.  This includes all government notices and other payer notices.

** 6.  Completes
** entire registration process and maintains departmental objective for accuracy by validating/obtaining all required demographic, clinical, financial and insurance information in the registration computer system.  Activities may occur in multiple locations, including patient access points of service, ancillary departments, patient nursing units, the Emergency Department as well as via telephone.

** 7.  Ensures
** insurance card copies, consent forms and other required paperwork is documented in the patient's electronic medical record.

** 8.  Ensures
** all patients are checked in, in a timely manner, following specific departmental procedures.  Ensures patients have a valid physician order prior to registering the patient.

** 9.  Utilizes
** and validates information from multiple internal and external computer sources, such as various payers, Patient Access and Patient Accounting systems, or other healthcare providers, to ensure data accuracy.  This includes performing insurance eligibility/benefit verification utilizing a variety of mechanisms, primarily Electronic Data Interchange transactions, payer web access and, in some cases, calling payers directly and documenting that information in the registration system.

** 10.  Informs
** patient/guarantor of their liabilities and collects appropriate patient liabilities including co-payments, co-insurances, deductibles, and deposits prior to or at the point of registration.  In collection of funds, documents payments in the patient accounting system and provides patient with a payment receipt.

** 11.  Provides
** pricing estimates and communicates pre-service patient liability based on expected charges from price guide or Financial Counselor, and potential coverage, as requested.

** 12.  Performs
** bed control functions that relate to multiple patient types (Inpatient Admission, Outpatient Observation, Bedded Outpatients, Diagnostic Outpatients, Emergency Department) to ensure status is correct against the physician order for compliance and payment purposes.

** 13.  Validates
** medical necessity to ensure clinical and financial clearance.  Contacts scheduling, physician office and/or ancillary department staff for clarification on diagnosis and/or test(s)/procedure(s) as necessary.  Presents patient with Advanced Beneficiary Notice or waiver if medical necessity conditions are not met.

** 14.  Resolves
** account, system, and technology issues within the…