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Registration Representative

4 months ago

Edinburg, United States DHR Health Full time
POSITION SUMMARY:

Responsible for processing registrations and pre-registrations of all hospital reception areas and offsite locations. To answer any patient questions regarding the patient's scheduled case procedure and any related charges.

POSITION EDUCATION/ QUALIFICATIONS:
• High School Diploma/GED is required.
• Working knowledge of medical terminology is strongly preferred.
• Medical terminology with good customer service strongly preferred
• Willingness to be crossed trained to other areas.
• Organizational skills are necessary
• Good written and verbal communication skills required.
• Ability to read, write and speak English
• Ability to communicate clearly and concisely with all levels of nursing, administration, and physicians

JOB KNOWLEDGE/EXPERIENCE:
• Must be able to respond to patient needs by interpreting facial expressions and to communicate effectively utilizing verbal and written communications.
• One (1) year of related customer service experience
• Requires reasoning ability and good independent judgment.
• Requires working with frequent interruptions and have strong customer service skills.
• Must have good working knowledge of computers
• Knowledge of medical terminology and the ability to communicate in both Spanish and English is strongly preferred.
• High degree of competency/experience in general.
• Requires good communication and organizational skills.

POSITION RESPONSIBILITES:
• Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices
• Demonstrates high quality Service Excellence, positive customer service and telephone etiquette by treating all customers with dignity and respect; utilizing age specific skills and knowledge
• Ensures patient confidentiality requirements are met in accordance with HIPAA policies and procedures
• Obtains required demographic information from the patient or responsible party to register the patient accurately
• Communicates effectively with doctor's office to obtain orders when missing or when additional diagnosis is needed for medical necessity
• Reviews and confirms patient's financial information by obtaining the insurance carrier information, benefit information, policy number , group name and number
• Ability to identify the appropriate coordination of benefits for insurance carrier
• Utilizes on line verification systems, i.e. TMHP, Availity, Relay Assurance etc for eligibility
• Explains rates, estimate charges for services and hospital policy regarding up-front collections as needed
• Opens and closes cash batches appropriately and uses approved naming guidelines
• Collects deductibles, co-pays, unpaid balances and co-insurance payments and provides patient with a receipt
• Determines financial status and refers patients for financial screening as appropriate
• Performs appointment scheduling functions and registers patients for ancillary services
• Initiates Order Management to enter patient orders
• Reviews records of any prior patient visit to determine status of any un paid balances
• Ability to take over the counter payments from patients statements
• Ensures referral /pre-authorization/pre-certification requirements have been met
• Accurately completes the Medicare Secondary Payor (MSP) form as appropriate
• Initiates Pathway Compliance Advisor to determine if an ABN will need to be provided to the patient for services identified as not medically necessary
• Ensures that patients are provided with the Conditions of Admissions form and signature is obtained
• Scans photo ID, insurance cards, doctor's orders in the appropriate document type in Reg/Assist
• Utilizes Form Fast to print or re-print forms and labels
• Verifies and places appropriate wrist bracelet on patient with the two required patient identifiers
• Accurately reconciles cash drawer, creates deposit and adheres to security measures
• Completes the necessary reports and patient logs on a daily basis
• Effectively communicates information about scheduled case procedures to various departments and personnel
• Consistently adheres to DHR Health dress policy
• Determines hospital privileges of physician attending patient by checking the listing of active medical staff.
• Obtains patient demographic information, type of insurance, diagnosis and procedure requested.
• Call third party payor to obtain effective dates of coverage, billing addresses, existing condition clauses and network information.
• Accurately review the Doctor's orders for appropriate signature and diagnosis prior to registration.
• Posts all payments received to patients accounts
• Copy and Paste the patient's insurance eligibility on all walk-ins and add-on patients
• Print patient's itemized bills when requested
• Other duties as assigned.

LINES OF REPSONSIBILITES:

1. Office Supervisor → 2. Office Manager → 3. Practice Administrator → 4. Director of Radiology → 5. Vice-President of Imaging Services