Patient Registration Spec

Position: PATIENT REGISTRATION SPEC
Location: Tazewell

Overview

Patient Registration Specialist

PRN/OCC, Variable Hours & Shifts

Claiborne Medical Center Overview:

Claiborne Medical Center, a member of Knoxville-based Covenant Health, offers a full range of medical services including emergency care, general and orthopedic surgery, rehabilitation, and diagnostic services. Our radiology services are certified by the American College of Radiology in Computerized Tomography (CT), Mammography, Magnetic Resonance Imaging (MRI), Nuclear Medicine, and Ultrasound. Claiborne also provides skilled and long-term care through Claiborne Health and Rehabilitation Center.

Our team of physicians and staff is dedicated to putting our patients first, every day. For more information, visit

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 scheduling system.

* Schedules operative and diagnostic procedures utilizing the 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 computer system to record data. Enters verification and pre-certification notes into the 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 treatment, advance directives, medical/financial release, deposit requirements, billing and payment polices, and advanced beneficiary notices.

* Recognizes situations that necessitate supervision, seeking appropriate resources.

* Directs, escorts, and/or provides wheelchair assistance to the patient upon completion of the registration process to the appropriate nursing unit or diagnostic testing area.

* Performs pre-registration process by utilization of phone and mail techniques, advising the patient during the conversation of any co-pay or deductible amounts due upon admission.

* Maintains an accurate bed board, utilizing the computerized bed tracking system so wait times for admitted patients are kept to a minimum.

* Coordinates with Nursing Services the flow of inpatient and observation patient admissions.

* Displays competence in use of all Information Computer Systems that supply information regarding patient registration and scheduling (DeRoyal, HBOC, Account Link and Medifax).

* Updates schedules daily of unexpected procedures, cancellations, or changes and communicates with all individuals affected by revisions.

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