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Registration Review Specialist

1 month ago


Springfield, United States CoxHealth Full time

Summary Best in Class Work Environment

5x Modern Healthcare Best Places to work America’s Greatest Workplaces 2023 – Newsweek Best Employers for New Grads 2023- Forbes Greatest Workplace for Women 2023 - Newsweek

Benefits

Robust, fully customizable benefits package including Medical/Vision/Dental and more

No cost eCare visits Employer-provided mental health services for employees and eligible family members

Retirement with employer match up to 5% Tuition discounts and reimbursement available for continuing your education CoxHealth Fitness Center and Child Care discounts

Job Summary

A Registration Review Specialist works in a high volume, fast paced environment. They receive incoming and make outgoing phone calls while serving as a liaison between patients, payers, and other health care team members. The Registration Review Specialist must be able to work efficiently under pressure in urgent situations. They are responsible for order management as well as verifying patient demographics, insurance information, medical necessity, and pre-authorization requirements. Calculates patient estimates based on the service scheduled, the contracted plan and reimbursement allowances, benefits, and out of pocket thresholds. The Registration Review Specialist may also assist in rescheduling patient appointments when required. May perform a preliminary Financial Assistance screening to determine eligibility for assistance programs, facilitate applications, and schedule appointments with the Financial Navigation Team.

Job Requirements

Education

Required: High School Diploma or Equivalent Experience

Preferred: 1 year pre-registration, scheduling, financial counseling or equivalent education/experience Skills

Excellent customer service and interpersonal skills

Knowledge of medical terminology or CPT or procedure codes

Strong computer and relevant application use skills

Ability to multi-task in a fast paced environment

Ability to effectively adapt and respond to urgent needs and requests

Demonstrates initiative and self-motivation

Working knowledge of health insurance plan benefits

Demonstrates understanding and consistent practice of need for privacy and confidentiality Licensure/Certification/Registration

Preferred: CHAA or CRCR

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