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Patient Registration Specialist

2 months ago

Oklahoma City, Oklahoma, United States Healthcare Partners Investments Full time


$500 Sign-on Bonus for Full-Time Patient Access Representative

The Patient Access Representative plays a crucial role in ensuring the seamless and precise registration of all individuals seeking services at our facility. This position is tasked with accurately collecting and inputting patient information into the system as provided by the patient or the healthcare provider's office, confirming benefits for patients who are not pre-registered, and securing necessary signatures on essential documents. Additionally, this role involves collecting co-payments, deductibles, and co-insurance from patients at the time of service. The representative is responsible for facilitating an efficient, thorough, and timely patient registration process that embodies the customer service ethos of our organization.

Key Responsibilities:
  • Engage with clinical departments or Scheduling Representatives to obtain scheduled appointments and/or orders prior to the service date.
  • Pre-register 98% of all scheduled patients at least three (3) business days ahead of their arrival.
  • Collect, validate, and accurately enter patient demographic and insurance details into the system while maintaining a high accuracy rate (95% or more) as verified by routine quality assessments.
  • Thoroughly review the Master Patient Index to prevent duplicate medical record numbers.
  • Secure signatures on all required forms and documents mandated by healthcare regulations and law.
  • Ensure the completion of the MSP Questionnaire for every Medicare registration.
  • Collaborate closely with physician office staff, schedulers, and other departments to prepare necessary information before the patient's arrival.
  • Utilize online tools to verify insurance eligibility and benefits, documenting findings on the patient account. Assist with contacting insurance companies for pre-authorizations and pre-certifications as needed.
  • Effectively communicate with physician office staff to resolve authorization issues and coordinate registrations as necessary.
  • Collect co-payments, deductibles, or co-insurance as identified by the Insurance Verification Specialist or indicated on the insurance card or online eligibility system upon patient arrival.
  • In emergency registration, ensure compliance with regulations for all patients.
  • Record cash collected, generate receipts, and maintain balanced cash at all times.
  • Meet monthly cash collection targets as determined collaboratively by management.
  • Consistently obtain and copy/scan insurance cards and driver's licenses.
  • Demonstrate proficiency in the phone system to manage incoming calls, transfer calls appropriately, and assist with internal calls as requested.
  • Perform reception duties at the front desk as needed.
  • Verify medical licensure and check Medicare Sanctions websites for non-credentialed physicians ordering outpatient diagnostic tests.
  • Exhibit premier customer service and communication skills with all internal and external contacts, ensuring a positive experience for patients and their families.
  • Meet established quality and productivity standards for self and the team.
  • Adapt positively to changes in hospital policies, operations, and insurance requirements.
  • Encourage and support team-based results.
  • Adhere to time and attendance standards as outlined in the Human Resource Policy manual.
  • Maintain patient confidentiality in accordance with HIPAA guidelines.
  • Demonstrate the knowledge, skills, and abilities necessary to perform the duties outlined above through annual testing or routine quality reviews.
  • Monitor productivity as requested.
  • Keep management informed of any delays in the registration process.
  • Stay current on scheduling, registration, insurance verification, and other patient registration processes to cover for absent team members.
  • Perform additional duties as assigned.
Accountability:
  • Reports to: Director or Manager, Team Leader, Patient Access
  • Supervises: None
Physical Demands:
  • Strength (Lift, Carry, Push, Pull): Sedentary; exerting up to 10 pounds of force occasionally.
  • Standing/Walking: Occasionally; activity exists up to 1/3 of the time.
  • Keyboard/Dexterity: Frequently; activity exists from 1/3 to 2/3 of the time.
  • Talking (Must be able to effectively communicate verbally): Yes.
  • Seeing: Yes.
  • Hearing: Yes.
  • Color Acuity: No.
Environmental Conditions:

High exposure to hazardous risks including potential exposure to infections and communicable diseases, blood and body fluids, electrical equipment, and chemicals, necessitating adherence to standard precautions. A heavy workload and a high degree of accuracy are required. Flexibility in work hours may be necessary, including weekends.

Qualifications:
  • High School diploma or equivalent required; 2 years of college preferred.
  • Experience in patient registration, verification, and authorization in a medical setting or similar institution preferred.
  • Familiarity with governmental regulations and reimbursement criteria preferred.
  • Ability to accurately type 40 WPM, complete forms, handle payment transactions, and enter data.
  • Excellent verbal and written communication skills, along with strong interpersonal abilities, are essential.
  • Proven ability to manage multiple tasks with tight deadlines, prioritize and organize work effectively.
  • Exceptional interpersonal skills to interact and communicate effectively with patients, families, medical staff, and insurance representatives.
  • A pleasant disposition, positive attitude, and the ability to maintain professionalism during stressful situations are crucial.
  • Proficiency in using office equipment, including basic computer skills, photocopiers, telephones, fax machines, and calculators.
  • Demonstrated ability to think and act decisively in a timely manner.
  • Knowledge of insurance requirements necessary for optimal reimbursement is essential.