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Registration Lead Representative
4 months ago
JOB SUMMARY
Demonstrates knowledge of departmental financial clearance and displays Patient Access leadership skills to lead a wide range of duties in support of departmental efficiencies which may include but not limited to performing administrative duties, scheduling, registration, reception and patient check out functions, Revenue Cycle Reports, drive team performance and accountability, shift daily Patient Access Operations for department, collaborates with Department leaders in process and operational excellence.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
- Greeting customers following Conifer Standards of Care, provides world-class customer service, completes full patient registration on date of service, adheres to financial & cash control policies & procedures, thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.). Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services. Schedules diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed). Coordinates with clinical departments on schedule modifications.
- Administrative duties, to include but not limited to, schedule management for Patient Access departments, as well as providers including calendars and schedules for providers at various facilities. Takes meeting notes, minutes and follow up action items. Completes data entry assignments along with creating various reports for departments and management.
- Provides full patient financial counseling, education & referrals, employs and completes all patient liability collection escalations through proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
- Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors. Performs scheduling, checks out patients and coordinates after care for patients.
- Performs thorough analysis of workflow quality (registration audits, point of service collection audits, cash audits), Revenue Cycle Reports, completes departmental operational reports based on team performance accountability, shift daily Patient Access Operations for department, collaborates with Department leaders in process and operational excellence.
- Creates staff schedules, reviews time off requests, and facilitates team huddles & department meetings with Patient Access Leadership.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Minimum typing skills of 35 wpm
- High level working knowledge of all Software, programs and equipment, including PCs
- High level working knowledge of PC/CRT/printer
- Knowledge of function and relationships within a hospital environment preferred
- Advanced Customer service skills and experience
- Ability to work in a fast paced environment
- Ability to receive and express detailed information through oral and written communications
- Course in Medical Terminology required
- Advanced Understanding of Third Party Payor requirements preferred
- Advanced Understanding of Compliance standards preferred
- Advanced Patient Liability Collection performance and high achievement in productivity
- Must be cross trained in all Patient Access service areas
- Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
- Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
- Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
- Identifies opportunities to improve patient relations and shorten the time it takes to handle the registration processes
- Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
Include minimum education, technical training, and/or experience preferred to perform the job.
- High School Diploma or GED required
- 2 - 4 year college degree in Business, Accounting, Medical Administration or related area preferred
- 2 - 4 years administrative experience in medical facility, health insurance, or related area preferred
- 3 - 5 years experience in Patient Access preferred
- 1 - 2 years in supervisory or lead role preferred
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Must be able to sit at computer terminal for extended periods of time
- Occasionally lift/carry items weighing up to 25 lbs.
- Frequent prolonged standing, sitting, and walking
- Occasionally push a wheelchair to assist patients with mobility problems.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Hospital administration
- Can work in patient care locations which include potential exposure to life-threatening patient conditions.
- Must be available to work hours and days as needed based on departmental/system demands.
- Must be available for on-call scheduling support when required.
- Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients.
Compensation and Benefit Information
Compensation
- Pay: $21.50-$29.50 per hour.
- Shift differentials of $1.00-$2.50/per hour may be available depending on the shift worked.
- Conifer observed holidays receive time and a half.
Conifer offers the following benefits, subject to employment status:
- Medical, dental, vision, disability, and life insurance
- Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
- 401k with up to 6% employer match
- 10 paid holidays per year
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
Responsibilities
Serves in a lead capacity for Surgical Schedulers in addition to scheduling patients for surgery, completing facility paperwork. Scheduling patients for diagnostic tests such as bone scan, MRI, CT, EMG/NCS, ESI. Reviewing patient's meds and health history to determine pre-admission testing needs. Scheduling appropriate medical and cardiac clearances. Scheduling patient for follow-up appointments and tests. Other duties as assigned.
Qualifications
Education:
Required: High school diploma or GED. Evidence of medical terminology proficiency.
Experience:
Required: 2 years of experience in scheduling
Certifications:
Not applicable
Physical Demands: