Patient Access Registration Specialist

7 days ago


Saint Clair Shores, Michigan, United States Corewell Health Full time
Job Summary

As a Patient Access Registration Specialist at Corewell Health, you will play a vital role in ensuring a smooth and timely registration and admission process for our patients. You will be responsible for obtaining accurate demographic, clinical, and insurance data, as well as collecting co-pay/deductible, residual, and prior balances. Your excellent communication and customer service skills will be essential in providing a positive experience for our patients and their families.

Key Responsibilities
  • Greet patients promptly and provide a warm and friendly reception, directing them to the appropriate setting and explaining any delays.
  • Register patients for each visit type and admit type, collecting and documenting all required demographic and financial information.
  • Accurately and efficiently perform registration and financial functions, including thorough interviewing techniques and timely documentation of demographic and financial data.
  • Scrutinize patient insurance(s) and identify the correct insurance plan, selecting appropriately from the electronic medical record (EMR) and documenting correct insurance order.
  • Verify patient information with third-party payers, collect insurance referrals and documents, and communicate with patients and physicians regarding authorization/referral requirements.
  • Review and obtain hospital consent forms, notice of privacy practices, and advance directive information, educating and providing information as necessary.
  • Screen outpatient visits for medical necessity, provide cost estimates, and collect and document Medicare Questionnaire and Medicare Inpatient Letter information.
  • Manage all responsibilities within compliance guidelines, including Meaningful Use requirements.
  • Provide financial advocacy, screening patients for self-pay and out-of-network patients, and referring them to the Financial Advisor as necessary.
  • Initiate payment plans, obtain payment, and inform patients/families of applicable government and private funding programs and other cash payment plans or discounts.
Requirements
  • High School Diploma or equivalent
  • 1 year of relevant experience in a customer service role or healthcare industry
  • Must be 18 years of age, as required to co-sign legal documents


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