VISION:

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.

POSITION SUMMARY :

The 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.

POSITION EDUCATION/QUALIFICATIONS :

¨ High School Diploma/GED is required.

¨ Excellent customer service skills.

¨ Computer skills required with knowledge of Microsoft Office suite.

¨ Good written and verbal communication skills required.

¨ Bilingual – English/Spanish.

JOB KNOWLEDGE/EXPERIENCE :

¨ 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.

POSITION RESPONSIBILITIES :

¨ 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.

¨ Initiates Allscript Compliance Advisor to determine if an ABN will need to be provided to patient for services identified as not medically necessary.

¨ Provides patient the Important Message from Medicare for all Medicare inpatient admissions.

¨ Ensures patients are provided Conditions of Admission form and signature is obtained.

¨ Scans photo ID, insurance cards, doctor’s order in the appropriate document type in RegAssist.

¨ Utilizes Form Fast to print or reprint forms and labels.

¨ Verifies and places appropriate wrist bracelet on patient with the two required patient identifiers.

¨ Accurately reconciles cash drawer, creates deposit and adheres to security measures.

¨ Completes the necessary reports and patient logs, on a daily basis.

¨ Ability to assemble patient charts in the proper order for next day schedule.

¨ Effectively communicates information about scheduled case procedures to various departments and personnel.

¨ Consistently adheres to Doctors Hospital at Renaissance dress policy.

¨ Other duties as assigned.

LINES OF REPSONSIBILITES :

Director… Assistant Director…Manager … Supervisor…Lead Registration Representative