Pre-Registration Specialist I

3 weeks ago

Oklahoma City, United States Oklahoma Heart Hospital Full time

Overview ONE TEAM. ALL HEART. At Oklahoma Heart Hospital (OHH), patient care is at the heart of everything we do. This physician owned hospital was designed by cardiologists to ensure that patients receive expert, individualized care with utmost comfort. OHH offers a competitive benefits program to all team members from the first day of employment. Top Tier Benefit Packages: Medical, Dental, and Vision 401 (k) plan Paid Time Off (PTO) Extended Medical Benefit (EMB) Location: 7800 NW 85th Terrace, Oklahoma City, OK 73132 Shift: Full-Time, Days. Responsibilities The Pre-Registration Specialist is often the first point of contact for our patients and therefore must represent Oklahoma Heart Hospital ("OHH") with highest standard of customer service, compassion and perform all duties in a manner consistent with OHH mission and values. The Pre-Registration Specialist will facilitate all components of the patients' entrance into any OHH facility. This will include registration and financial clearance, including taking payments over the phone, helping set up payment plans and giving financial assistance information. This position will also be responsible for ensuring that the most accurate patient data is obtained and populated into the patient record. This team member must have an exceptional attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal, state and accreditation guidelines. Performs pre-registration and insurance verification within 24 hours of receipt of notification for both inpatient and outpatient services. Follow scripted benefits verification. Contact physician to resolve issues regarding prior authorization or referral forms. Assign plans accurately. Performs electronic eligibility confirmation, when applicable and document results Researches patient visit history to ensure compliance with payor specific payment window rules. Completes Medicare secondary payor questionnaire, as applicable. Calculates patient cost share and be prepared to collect via phone or make payment arrangement. Qualifications Education: High school graduate or equivalent required. Experience: One (1) to three (3) years of clerical experience required, preferably in a medical setting. Experience with medical terminology and insurance plans preferred. Working Knowledge: Windows based operating systems preferred. Professional verbal and written communication skills. Essential Technical/Motor Skills: CRT, typing 45 wpm and 10 key required. Every team member at OHH plays an integral role in our patients' experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care. Learn more about diversity at Oklahoma Heart Hospital.
The Pre-Registration Specialist is often the first point of contact for our patients and therefore must represent Oklahoma Heart Hospital ("OHH") with highest standard of customer service, compassion and perform all duties in a manner consistent with OHH mission and values. The Pre-Registration Specialist will facilitate all components of the patients' entrance into any OHH facility. This will include registration and financial clearance, including taking payments over the phone, helping set up payment plans and giving financial assistance information. This position will also be responsible for ensuring that the most accurate patient data is obtained and populated into the patient record. This team member must have an exceptional attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal, state and accreditation guidelines. Performs pre-registration and insurance verification within 24 hours of receipt of notification for both inpatient and outpatient services. Follow scripted benefits verification. Contact physician to resolve issues regarding prior authorization or referral forms. Assign plans accurately. Performs electronic eligibility confirmation, when applicable and document results Researches patient visit history to ensure compliance with payor specific payment window rules. Completes Medicare secondary payor questionnaire, as applicable. Calculates patient cost share and be prepared to collect via phone or make payment arrangement.
Education: High school graduate or equivalent required. Experience: One (1) to three (3) years of clerical experience required, preferably in a medical setting. Experience with medical terminology and insurance plans preferred. Working Knowledge: Windows based operating systems preferred. Professional verbal and written communication skills. Essential Technical/Motor Skills: CRT, typing 45 wpm and 10 key required. Every team member at OHH plays an integral role in our patients' experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care. Learn more about diversity at Oklahoma Heart Hospital.

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