Registration Improvement Spec - CardiologyPulmonology

Why work for Nebraska Methodist Health System
At Nebraska Methodist Health System we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care a culture that has and will continue to set us apart. Its helping families grow by making each delivery special conveying a difficult diagnosis with a compassionate touch going above and beyond for a patients needs or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay excellent benefits and a great work environment where all employees are valued! Most importantly our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:

Responsibilities:

Essential Functions

Identifies analyzes and researches eligibility errors to track root cause and assist in development or edits process change or retraining.

• Proactively works with team members clinics coding and revenue cycle training to educate and reduce future errors.
• Uses reports and various internal software to monitor error patterns.
• Make recommendations to management on corrections and process improvements.
• Identify and report trends related to registration errors within the department and work to resolve with leadership.

Participate in developing plans to improve registration processes aimed at reducing errors in billing and enhancing patient experience.

• Develop metrics and clear responsibilities to measure performance improvement.
• Illicit feedback from staff on process improvement to improve adoption of changes.

Functions as the primary trainer for onboarding new employees services and/or work tools.

• Trains registration team members on new workflow process or tools; i.e. use of new tools new scripting or scripting changes methods of denial prevention etc.
• Collaborates with leadership to evaluate system resources required for onboarding new services.
• Collaborates with leadership to develop training materials and reference guides for new tools functions directions print screens etc.

Reviews Experian worklist daily for any errors regarding patient checkin information insurance messages and fixes then in a timely manner.

• Monitor identify and report trends related to registration errors within the department.

Analyzes denial data in order to develop plans for process standardization quality outcomes and a positive work environment.

• Determines which rejections are avoidable and assists in creating a plan for intervention.
• Complies with state and federal regulations accreditation/compliance requirements and Methodists policies including those regarding fraud and abuse confidentiality and HIPAA.
• Serves as a resource for revenue cycle personnel to expediently address and resolve questions and/or concerns.

Performs the duties of a registration staff member.

• Registers patients in the electronic registration system in a courteous and timely manner.
• Makes sure all patent information (insurance PCP phone numbers) payer information and scans identification and payer documents and enters the information into computer accurately (ID Health Insurance card etc.
• Reviews and explains all registration forms prior to obtaining signatures from the patient or patient representative. Scans patient identification documents into the registration encounter.
• Verifies eligibility of coverage with Experian or payer websites or via telephone.
• Completes Medicare Secondary Payer questionnaire and other payer specific documents (including ABN) as required.

Maintains teamwork spirit positive mentoring.

• Positively and actively assists with the implementation of new procedures schedules and job tasks necessary to ensure success.
• Contributes to department training and orientation.
• Assists coworkers as needed.
• Escalates ideas instead of complaints.

Performs periodic situational and other duties as required.

• Operates and assists in the maintenance of all office equipment.
• Performs a wide variety of clerical functions.
• Processes and distributes written communication and documents (forms letters mail) accurately.
• Reviews daily returned mail.

Schedule:

Job Description:

Job Requirements

Education

• High School Diploma or General Education Development (G.E.D. required.
• Associates or Bachelors Degree in Business or related field preferred.

Experience

• 1 year experience with medical terminology ICD and CPT coding required.
• 23 years experience health care insurance billing or operations required.
• Experience working in a medical clinic setting preferred.

License/Certifications

• N/A

Skills/Knowledge/Abilities

• Knowledge of insurance and 3rd party billing rules coverage payment policies.
• Knowledge of patient patient insurance.
• Skilled in prioritizing organizing and performing assigned work tasks.
• Skilled in operating a computer including a computer mouse/keyboard and navigating scheduling registration and patient care applications.
• Ability to follow written and verbal instructions.
• Ability to work in a diverse healthcare environment with diverse customer expectations.
• Ability to work as a team.
• Ability to keep patient information confidential.
• Ability to read write and comprehend various written reports and documents.
• Ability to manage multiple tasks simultaneously and efficiently.

Physical Requirements

Weight Demands

• Medium Light Work Exerting up to 35 pounds of force.

Physical Activity

• Not necessary for the position 0:
  • Climbing
  • Crawling
  • Kneeling
• Occasionally Performed 133:
  • Balancing
  • Crouching
  • Distinguish colors
  • Lifting
  • Pulling/Pushing
  • Standing
  • Stooping/bending
  • Twisting
  • Walking
• Frequently Performed 3466:
  • Carrying
  • Fingering/Touching
  • Grasping
  • Keyboarding/typing
  • Reaching
  • Repetitive Motions
  • Sitting
  • Speaking/talking
• Constantly Performed 67100:
  • Hearing
  • Seeing/Visual

Job Hazards

• Not Related:
  • Chemical agents (Toxic Corrosive Flammable Latex)
  • Physical hazards (noise temperature lighting wet floors outdoors sharps) (more than ordinary office environment)
  • Equipment/Machinery/Tools
  • Explosives (pressurized gas)
  • Electrical Shock/Static
  • Radiation Alpha Beta and Gamma (particles such as Xray Cat Scan Gamma Knife etc)
  • Radiation NonIonizing (Ultraviolet visible light infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
  • Mechanical moving parts/vibrations
• Rare 133: Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa more than 30 clinic locations a nursing and allied health college and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891 service to our communities has been a top priority. Financial assistance health education outreach to our diverse communities and populations and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race color religion sex age national origin disability veteran status sexual orientation gender identity or any other classification protected by Federal state or local law.