Patient Registration Rep (per-diem), Webster - U Mass Memorial Health : Job Details

Under the general direction of the Registration Services Team Lead, Lead Registrar, Supervisor, Manager, and/or Director, performs a variety of complex duties for the registration of patients.

II. Major Responsibilities:

1. Accurately obtains and enters demographic, insurance, and other related patient information into the computer-based patient registration/scheduling system. Ensures all patient and/or witness signatures are collected on appropriate paperwork such as HIPAA, Consent to Treat, etc.

2. Obtains and verifies patient insurance coverage and follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. Follows up to correct discrepancies as required.

3. Obtains and verifies workman's compensation and automobile coverage when required.

4. Schedules and/or arrives Radiology, Lab, and basic ancillary service appointments.

5. Arrives and completes Emergency Department and Labor & Delivery demographic and insurance collection.

6. Coordinates the provision of multiple services to patients.

7. Collects patient liabilities including deductibles, copays, coinsurances, self-pay payments, cosmetic procedure payments, and patient balances as appropriate, prior to or on the date of service.

8. Performs surgical day admissions.

9. Performs bed control, transfers, discharges, and admissions tasks.

10. Provides patient with standard information regarding their personal preparation for scheduled procedures and services.

11. Assesses patients' financial needs and directs accordingly to financial counseling and refers to appropriate person or area.

12. Provides a variety of related clerical duties, such as retrieving medical and other records, faxing, collating, typing, transcribing, taking and relaying messages, transcribe paper orders when applicable, mailing packets, etc.

13. Maintains accurate and timely records, logs, files, and related information as required.

14. Completes online death certificate registry.

15. Receives and secures patient valuables.

16. Monitors and maintains Patient Access and Revenue Cycle Work queues to ensure accurate and timely billing.

Standard Staffing Level Responsibilities:

1. Complies with established departmental policies, procedures, and objectives.

2. Attends variety of meetings, conferences, seminars, and on-going training as required or directed.

3. Demonstrates use of Lean Methodology and Quality Improvement in daily operations.

4. Complies with all health and safety regulations and requirements.

5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility, and acceptance toward all employees, patients, and visitors.

6. Performs other similar and related duties as required or directed.

All Responsibilities are essential job functions unless otherwise noted.

III. Position Qualifications:

License/Certification/Education:

Required:

1. High School Diploma.

Preferred:

1. Associate or Bachelor's Degree in Business or Healthcare related field.

Experience/Skills:

Required:

1. Minimum of 1-2 years of data entry experience.

2. Proficient data-entry skills with attention to detail.

3. Must have computer skills that include use of Windows and the ability to navigate.

4. Strong customer service skills both verbal and written; with a variety of internal and external customers.

5. Demonstrated knowledge of medical terminology.

6. Ability to work in a high volume, team-oriented environment.

7. English speaking, reading, and writing skills.

Preferred:

1. Experience in hospital admissions, insurance, billing, scheduling, or telephone customer service.

2. Previous insurance verification and/or authorization.

3. Bilingual speaking, reading, and writing skills.

IV. Physical Demands and Environmental Conditions:

Work is considered light. Position requires work indoors in a normal office environment. Holiday and/or weekend shift work, as well as after-hours coverage as required.