Patient Registration Specialist
1 week ago
Overview:
Under general supervision, this role is accountable for the registration of Inpatients, Outpatients, and Ancillary patients in the Emergency Room. The position involves gathering comprehensive and precise information for hospital records and ensuring timely reimbursement.
Maintains efficient patient flow and finalizes the admitting process promptly to facilitate immediate patient care.
Establishes effective working relationships with colleagues, nurses, physicians, and other hospital personnel to ensure smooth workflow.Welcomes and assists all customers and visitors, whether in person or via telephone, employing guest relation techniques while professionally embodying the values and vision of AHMC Healthcare.
This role necessitates a complete understanding and active participation in achieving the mission of AHMC Healthcare. It is anticipated that the employee will exhibit behavior aligned with the core values of AHMC Healthcare.The employee is expected to support AHMC Healthcare's strategic objectives and the direction of the performance improvement plan.
Additionally, the employee will be required to uphold all organizational expectations, including but not limited to; Customer Service, Patient Rights, Confidentiality of Information, Environment of Care, and AHMC Healthcare initiatives.
Responsibilities:
A. Consistently implements infection control policies and practices.
- Understands and adheres to standard precautions for self and others during patient care activities.
- Recognizes and applies appropriate disease-specific isolation protocols.
- Handles and disposes of sharps (i.e., needles, etc.) as mandated.
- Ensures the sterility of supplies and equipment.
C. Participates in department-specific education/training, in-services, and staff meetings.
- Attends mandatory in-services/educational/training sessions.
- Submits all required documentation punctually.
- Confirms, by signature/initials, attendance at staff meetings or acknowledgment of staff meeting minutes.
- Actively contributes to unit performance improvement monitoring.
- Understands and applies the PDSA Model for Performance Improvement.
- Demonstrates comprehension of performance improvement principles in job execution.
- Interviews patients to gather demographic data, utilizing alternative sources when necessary, such as family members, transferring facilities, physician's offices, and/or nursing homes. Secures all required signatures.
- Accurately inputs and updates patient information via computer using proper registration protocols.
- Ensures all insurance information is collected and verified using available systems. Alerts Insurance Verifier of any potential insurance or benefit issues. Secures accounts by correctly identifying procedures requiring prior authorization and ensuring it has been obtained.
- Demonstrates a solid understanding of third-party payor requirements necessary for optimal fiscal reimbursement. Ensures financial classes and insurance codes are identified and accurately entered.
- Informs customers of their financial responsibilities and collects patient liability amounts, including deposits, co-pays, share of costs, deductibles, etc.
- Prioritizes and coordinates essential job functions.
- Completes and documents all applicable registration forms.
- Obtains eligibility, PCP, and insurance information through available systems and web-based insurance companies.
ER Specific:
Complies with all EMTALA/Cobra ER requirements.
F. Collects the patient's financial responsibilities, including co-pays, deductibles, and co-insurance, when applicable.
- Obtains insurance co-pay amounts from insurance verification and informs the patient.
- Utilizes alternative methods when standard procedures do not yield the required information.
- Follows up on all registrations when additional information is needed to ensure prompt reimbursement.
Maintains effective patient flow and completes the admitting process promptly to facilitate immediate patient care.
- Introduces themselves and explains the registration process to the patient. Communicates in a moderate tone and refrains from discussing the patient's condition unless necessary for job-related conversations.
- Interactions with customers and guests are conducted professionally, minimizing extraneous conversation to expedite registration.
- Adheres to hospital and departmental guidelines and procedures. Responds and adapts to new procedures, processes, and memos. Adjusts easily to fluctuating volumes of registrations.
- Shares an equitable percentage of registration volume and completes the registration process within established departmental standards of accuracy.
Utilizes customer service skills with patients and maintains effective working relationships with colleagues, nurses, physicians, and other hospital staff to ensure workflow efficiency.
- Answers the telephone within three rings in a respectful and pleasant manner. Asks open-ended questions to uncover facts and remains calm and polite regardless of circumstances.
- Receives and greets all customers and family members courteously and professionally, employing guest relation techniques and confidentiality standards.
- Effectively manages upset or potentially distressed customers or patients.
J. Must achieve a chart audit with a minimum error rate of 95% or better.
Qualifications:
- Ability to communicate effectively.
- Strong customer service and interpersonal skills.
- Proficient computer and typing skills required.
- Familiarity with medical terminology preferred.
- General knowledge of third-party payors, with a minimum of 1-2 years of Admitting/Registration or equivalent healthcare experience preferred.
- Bilingual (English/Spanish) preferred (as applicable).
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