Position Summary :

Coordinates the centralized scheduling of all out patient diagnostic and surgical procedures. Accurate collection and data entry of the required financial and demographic information for all patients registered to our facility.

Ensuring verification of benefits and pre-certification requirements are met prior to scheduled appointment / admission.

Follow 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 updates to existing police 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.
• Schedules operative and diagnostic procedures utilizing the HBOC 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 TennCare enrollment.

Efficiently gathers all demographic, medical and financial information for scheduling, registration, and verification of patient accounts.

Enters verification and pre-certification notes.

• 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.
• 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.
• 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)

• Update schedules daily of unexpected procedures, cancellations or changes and communicates with all individuals affected by revisions.
• Shows initiative to cross-train in all duties related to; Scheduling, Registration, Verification and Pre-Certification.

Will also index the document(s) using the optical scanning system, placing the document(s) in the correct electronic file folder.

• Utilizes resources available appropriately, i.e. use of hospital equipment and / or supplies.
• Activates manual systems for computer network downtime, printing schedules in advance when necessary. Notifies leadership of unscheduled downtime occurrences.
• Coordinates scheduling of classrooms for meetings, conferences, etc, ensuring confirmation is provided for the correct date and time.
• Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
• Performs other duties as assigned.

Qualifications

Minimum Education :

None specified; will accept any combination of formal education and / or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED.

Preference may be given to individuals possessing a Bachelor’s degree in a directly-related field from an accredited college or university.

Minimum Experience :

One (1) year experience in a hospital or financial setting OR minimum three (3) years of total customer facing / customer service experience required.

Licensure Requirement :

None

Last updated : 2024-03-24