Patient Registration Specialist - Patient Access * 12:30pm-9pm - 20hrs/wk
- High school diploma or G.E.D.
- Associate or bachelor’s degree or equivalent experience and education, preferred.
- One year or more of work experience in a customer service setting with an excellent attendance and punctuality record.
- Work experience in a health care environment, preferred.
- Knowledge of group health plans, government health plans, automobile and workers compensation plans, preferred.
- Customer-focused interpersonal and communication skills.
- Computer literacy and ability to enter a substantial amount of data while maintaining a high level of accuracy.
- Work independently in a rapidly changing environment.
- Adhere to high standards of teamwork by demonstrating adaptability, flexibility, and consistently sharing information and resources with others.
- Demonstrate dependability, initiative, ability to prioritize, and ability to accept direction.
- Maintain professional oral and written communication skills. Spell accurately and use proper grammar.
- Maintain the highest level of customer service, confidentiality, data integrity, and compliance.
- Meet departmental requirements pertaining to attendance and performance.
- Meet annual competencies timely.
- Obtain/verify patient demographic, the individual responsible for patient balances, and insurance data in accordance with department guidelines and expectations.
- Adhere to patient verification guidelines and accurately input all information into the electronic health record.
- Verify insurance eligibility using on-line systems and manual processes to ensure coverage is active and the patient is listed on the policy.
- Identify and resolve patient insurance discrepancies that could result in claim rejections or over-payments.
- Communicate with internal and external customers on behalf of the patient to resolve issues. When necessary, involve and guide the patient through the steps needed to achieve successful issue resolution.
- Identify patient balances and provide basic-level explanation on the source of the balance.
- Identify and escalate financially at-risk patients following unit policy and procedure.
- Complete system work queue activity within unit scope.
- Respond appropriately to general inquiries from patients and staff.
- Recognize process and system issues and take the appropriate steps to investigate and resolve them. Escalate issues to the appropriate person when necessary.
- Collaborate with other departments and insurance companies to ensure applicable protocols and processes are followed.
- Attend and participate in operational huddles, meetings, and one-on-one discussions.
- May work in other locations performing registration functions based on staffing needs.
- Based on location, may perform scheduling, arrival, check-in, and applicable prescreening procedures.
- Based on location, may provide information and obtain signatures as required by regulatory agencies while in compliance with federal and state regulations as well as other accrediting bodies.
- Based on location, may perform document imaging.
- Based on location, may collect and post payments.
- Based on location and within established guidelines, determine the necessity for immediate attention and conditions of an emergent nature.
- Perform other duties as assigned. These may include but are not limited to maintaining a current knowledge base of department processes, protocols, and procedures; pursuing self-directed learning and continuing education opportunities; participating on committees, task forces, and work groups as determined by leadership.
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