REGISTRATION REPRESENTATIVE

The purpose of the position is the collection of patient demographics and insurance information by registering the patient for medical treatment.

RESPONSIBILITIES:

• Interview the patient/patient representative for Direct Admissions, Outpatient services, Ambulatory surgery, Minor surgery and/or procedures performed in all ancillary departments and direct patients to appropriate departments.
• Perform correct and accurate data entry of patient demographic information and medical insurance.
• Verify insurance via HDX, websites, & various Insurance plans via report. Follow-up on questionable insurances with Patient Accounting to verify coverage.
• Responsible for notifying insurance companies of Inpatient Admissions/Outpatient services at the hospital.
• Able to handle the printing and distribution of Admission/Registration forms, face sheets, labels, NY state and federally mandated forms to patients or nursing units as appropriate.
• Responsible for obtaining and witnessing signatures for insurance assignments and guarantor statements.
• Responsible for timely data entry and changes to patient information when required.
• Responsible for quality assurance – reviewing registration data for accuracy and satisfying delinquent data.
• Ensure receipt of documentation of expired patients, communicate between funeral homes, physician offices, nursing units, and organ bank.
• Perform Point of Service collections for expected out-of-pocket and patient responsibility expenses.
• Maintain a quiet, calm, clean, and professional office environment.
• Identify and register all patients of all age groups: newborns, pediatrics, adolescents, adults, and geriatrics.
• Direct and/or escort patients to areas for their services.
• Complete all on-line courses as assigned by the Health System and attend department trainings and meetings.
• Complete work queues/lists to assist Patient Accounting department on prompt and accurate billing.
• Offer departmental assistance and informative support to current and newly hired colleagues.
• Perform other duties as required.
• Death Protocol:
  • Maintain log of deceased patients, documenting all pertinent information.
  • Notify physician that death certificate needs signature and call funeral home when signed.
  • Identify and refer potential problems to senior staff. EX: Body in morgue over 24 hours, death certificate not signed within 24 hours.

EXPERIENCE: 

• Minimum of 3 months Healthcare experience preferred

EDUCATION:  

• High School diploma or equivalent, required. Bachelors, preferred

LICENSE/CERTIFICATION:

• N/A

OTHER:  

• Telephone, copier, computer, scanners, fax machines. Must adhere to HIPAA rules and regulations as it relates to patient privacy and confidentiality, must be reliable and maintain professional attire and demeanor.  Knowledge of medical insurances (Medicare, Commercial, HMO’s, PPO’s, etc.); EMTALA regulations, hospital billing and collection processes. Microsoft office products such as Excel, Word, PowerPoint, and Outlook. Document imaging systems and vendor management. Have knowledge of concepts, practices of hospital operations and procedures. Possess interviewing and communication skills.  Must be comfortable with data entry utilizing multiple patient access programs and software. Must be able to multi-task and work effectively in a fast-paced environment prioritizing and completing tasks in a timely manner. Problem solving skills and attention to detail to assess and resolve conflict in a timely manner. Proficient in oral and written communication. Handle difficult situations while exhibiting professionalism and compassion. Communicate cooperatively and constructively with patients, area supervisors, families, co-workers, administration, other clinical departments, providers, community agencies, referral sources, and other health team members.