Registration/Billing Functions

Correctly enters patient demographic, insurance information, and obtains signatures on all required forms (Conditions of Admissions, Important Message from Medicare, Self-pay Restricted, Release of information, ABN), as necessary for hospital billing.

Responsible for obtaining physician orders, scanning orders and/or transcribing them into EPIC/Paragon when required.

Verifies insurance eligibility within EPIC/Paragon and accessing on-line resources. Reads return responses to ensure active coverage on the account for the date of service.

Confirms if an insurance authorization is required per insurance specific requirements and will enter auth/precert number in the appropriate EPIC/Paragon field

Maintains competency using EPIC estimator tool for all contracted insurance plans to ensure maximum financial reimbursement for the health system.

Collects the self-pay portion of a patient’s out of pocket expenses at the time of registration and provides receipt of payment to the patient or other responsible party.

Post payment to account and balance cash drawer at the end of each shift to ensure cash, checks and payments made by credit card are accounted for.

Works collaboratively as a team to meet defined monthly UPH Point of Service collection goals.

Proficient with hospital billing workques to resolve timely.

Identifies patients who are self-pay status or those who may need financial counseling assistance and refers them to Patient Financial Coordinator

Personal Accountability/Teamwork

Places patients, customers and other individuals that we service as a top priority.

Places organization / department needs ahead of personal conveniences (breaks / lunches).

Takes accountability for completing work functions in a timely manner and audits own work for accuracy and completion.

Completes cross-training in all areas of the department / campus and willingly moves to the area of the department where most needed including cross campus locations.

Demonstrates a willingness to meet the department work schedule and willingly picks up additional shifts when necessary.

Uses good judgment in making decisions and demonstrates this with diplomacy.

Completes other job functions in between registrations to maximize productivity.

Participates in performance improvement initiatives and demonstrates initiative to improve quality and customer services with a goal to exceed customer expectations.

Uses AIDET principles to greet patients and visitors in a positive and courteous manner and will determine the need for assistance with directions, escort, or transport services.

Answers questions about the registration process and provides information to others as needed.

Anticipate the need to assist co-workers and adapt to staff coverage in any registration area or site.

Regulations

Responsible for maintaining knowledge of EMTALA and adhering to following proper protocol.

Will follow registration standards pertaining to patient identification and maintaining patient privacy.

Completes Medicare Secondary Payer (MSP) questionnaire with accuracy and upon every encounter.

Ensures that medical necessity has been resolved when the ABN warning is fired. If unable to obtain a payable diagnosis and a new order from the physician, an ABN waiver must be signed by the patient before proceeding.

Follows all health system policies regarding red flag regulations to minimize patient identity theft.

Education:

Minimum Requirements

High School Diploma or equivalent

Preferred or Specialized

Medical related diploma or certificate

Experience:

Minimum Requirements

Customer Service/ Reception/Front desk experience

Preferred or Specialized

Prefer previous experience in a healthcare setting completing registration, scheduling, insurance, and/or billing functions.

License(s)/Certification(s):

Valid driver’s license when driving any vehicle for work-related reasons