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Long Beach, CA, USA, United States MemorialCare Health System Full time{"title": "Registration Coordinator", "description": "Job SummaryMemorialCare Health System is seeking a skilled Registration Coordinator to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely patient registration, insurance verification, and billing processes.Key ResponsibilitiesObtain accurate...
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Registration Coordinator, Utilization Management
3 months ago
DescriptionTitle: Registration CoordinatorLocation: Long Beach, CADepartment: OPSC Utilization ManagementStatus: Full-TimeShift: DayPay Range*: $21.37/hr - $30.97/hrMemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability.Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.Position SummaryThe Registration Coordinator position represents the beginning of the revenue cycle for the medical center in aspects of demographic and financial data gathering/ processing that will result in appropriate exam/procedure(s) and reimbursement of hospital services. This position is also responsible for initial patient intake, including scheduling, order entry, OP appointments, financial navigation providing out of pocket estimates to patients. Also responsible for reviewing previous visit reports to ensure appropriate appointment scheduling. Eligibility review and obtaining authorizations from referring physicians and/or requesting authorization for insurance payers. Conducts interviews with patients representing the medical centers admission and financial policies that adhere to JCAHO standards. Under minimum supervision, performs specialized clerical duties which require frequent independent judgment and thorough understanding of applicable procedures. Duties include receiving and/or conveying information, preparing summaries, sorting and matching documents and filing records. Customer service, listening skills and the ability to work in a multi-cultural / multi-ethnic environment are critical. Adherence to high quality standards and use of lean principles to continuously improve performance.Essential Functions and Responsibilities of the JobTriage patient intake for appropriate appointment schedule, review prior visit history, correct diagnosis, correct appointment and correct date/time.Obtain initial patient demographics, including referring/ordering physician and third party/guarantor information.Obtain accurate and current patient demographic and financial information to establish a valid medical record and patient billing account. Expedite third party billing and collection in accordance with established hospital billing policies and standards. Facilitate professional fee billing for outpatient clinic visits.Complete and document the hospitals Condition of Admission and advise patient of other related forms to ensure compliance with JCAHO regulations.Inform patients of and collect insurance information, co-payments, deductibles, or deposits. Follow established cash handling procedures. Provide out of pocket estimates for patients.Manage work queues to resolve errors in a timely manner.Ensure that clinical record systems are maintained in compliance with state and federal regulations.Direct patients and visitors appropriately giving clear and concise directions. Escort patients to service site when necessary.Prepare billing to ensure proper collection of required professional and/or technical billing in accordance with department service areas.Cross-train to cover front desk, scheduling and registration for specialty areas including, but not limited to: all department service areas.Performs other duties as assigned.*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCarethat includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And theres more... Check out our MemorialCare Benefits for more information about our Benefits and Rewards.QualificationsMinimum RequirementsQualifications/Work Experience:3 + years experience in hospital or outpatient/large medical group practice admitting setting required. Experience and understanding of the hospital, outpatient, medical environment and government agencies. Knowledge of medical and insurance terminology. Electronic medical records experience a plus. Demonstrated critical thinking and analysis skills are required. 40 WPM typing/keyboard skills preferred . Bilingual Preferred.Education/Licensure/Certification:Associates degree preferred or any combination of education and experience, which would provide an equivalent background. Bachelor's degree in health science, health care administration or related discipline preferred. Business-related courses and experience is a plus.
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