Registration Coordinator

Job Description

Reports to the Business Manager, and is guided by the procedures of Inpatient and Outpatient services, the Registration is responsible for providing support to all intensive (Inpatient, Partial Hospitalization, Intensive Outpatient Program, consult Liaison and Electroconvulsive Therapy) patients seeking services at Langley Porter Psychiatric Hospital- UCSF Health. The Registration is responsible for reception, registration, insurance coverage verification, relaying financial information, providing financial need applications, and patient processing. Along with supporting the Utilization Review Coordinator with analyzing patient records to determine legitimacy of admission, length of stay, and compliance with insurance reimbursement. Receives assignments in the form of objectives with goals and the processes by which to attain them.

Responsibilities

RESPONSIBILITIES

• Communicates LPPHC administrative and financial policies clearly to patients, answering patient account questions and knowing when to refer patients to financial counseling, billing partners, patient relations or other support departments for additional help.
• Obtains and documents insurance authorizations for established patient visits, referrals and procedures or ancillary services. Communicates clinical information from medical records authorization requests to insurance companies.
• Works RFI work queues to secure information for accurate billing submissions or to respond to denials such as retro authorizations, clinical documentation, and addended authorizations with add on CPT codes.
• Secures prior authorization for procedures, specialty visits and ancillary testing and coordinates with Hospital Admissions Department as needed.
• Collects and verifies insurance and referral/authorization information for first appointment ensuring referral records and Hospital Accounts Records (HARS) are created and assigned to the appointment.
• Secures complex insurance authorizations for services, medications, or testing and is able to track the authorizations for renewal based on insurance company driven limits of time frames or numbers of visits or services.
• Understands how to identify and interpret a patient’s insurance benefit package, including pharmacy and mental health carve outs.
• Address patient complaints from patients regarding billing and complaints related to billing that come out of Patient Relations.
• Understands the concept of managed care and is knowledgeable about the resources available to the staff in regard to knowing the specific requirements of individual managed care plans. Assist patients to understand the concept of managed care.
• Coordinates care for patients amongst the various services of Langley Porter Hospital and UCSF Health
• Interacts via telephone and face to face with a wide range of adult clinical populations
• Triages urgent matters to appropriate resources in collaboration with patient, family members, primary care providers, mental health providers, insurance companies, and medical groups
• Follows up as needed with patients and stake holders
• Provides excellent customer service skills with patients and staff
• Prioritizes multiple tasks
• Maintains good working relationships with staff, patients, and providers
  
  

Qualifications

QUALIFICATIONS

• This position requires flexibility to orient and work at all UCSF Medical Center locations.
• One year related experience.
• Bachelor's degree in related area and / or equivalent experience / training.