Patient Registration Spec
Patient Registration Spec
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Job Description
Overview
Patient Registration Specialist Admitting & Registration
PRN/OCC Variable Hours and Shifts
About Claiborne Medical Center
Claiborne Medical Center a member of Knoxvillebased Covenant Health offers a full range of medical services including emergency care general and orthopedic surgery rehabilitation and diagnostic services. Our radiology services are certified by the American College of Radiology in Computerized Tomography (CT) Mammography Magnetic Resonance Imaging (MRI) Nuclear Medicine and Ultrasound. Claiborne also provides skilled and longterm care through Claiborne Health and Rehabilitation Center. Our team of physicians and staff is dedicated to putting our patients first every day. For more information visit ClaiborneMedicalCenter.
Position Summary:
Coordinates the centralized scheduling of all outpatient diagnostic and surgical procedures. Accurate collection and data entry of the required financial and demographic information for all patients registered to our facility. Ensures verification of benefits and precertification requirements are met prior to scheduled appointment/admission. Follows 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 copayments/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 to the Coordinator updates to existing policies 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 workers compensation patient or any noncovered 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. Enters faxed reservations into the scheduling system.
- Schedules operative and diagnostic procedures utilizing the 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 precertification from various thirdparty 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 utilizing the computer system to record data. Enters verification and precertification notes into the financial system as crossreference.
- 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.
- Professionally deals with patients physicians visitors and other hospital staff members.
- 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.
- Recognizes situations that necessitate supervision seeking appropriate resources.
- 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 preregistration process by utilization of phone and mail techniques advising the patient during the conversation of any copay 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).
- Updates schedules daily of unexpected procedures cancellations or changes and communicates with all individuals affected by revisions.
- Shows initiative to crosstrain in all duties related to; scheduling registration verification and precertification.
- Prepares the patient account folder by scanning all vital registration/scheduling/verification documents into the optical imaging system. Examples of documents: insurance cards financial agreements ER charge sheets verification sheets precertification letters and physician orders. Will also index the document(s) using the optical scanning system placing the document(s) in the correct electronic file folder.
- Demonstrates promptness in reporting for and completing work ensuring followthrough on assigned task.
- Demonstrates the ability to handle varying tasks and setting priorities.
- 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 Bachelors degree in a directlyrelated 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.
Employment Type
Unclear
