Admissions Registration Specialist Lead

4 weeks ago

Oak Park, Illinois, United States Rush University Full time
Job Summary:

The Admissions Registration Specialist Lead is responsible for ensuring the accuracy and completeness of patient demographic and insurance information. This role involves reviewing patient registration for all types of admissions and elective procedures, and verifying that patient and guarantor demographic and insurance information is up-to-date. The Admissions Registration Specialist Lead will also be responsible for assisting management with daily operational duties and reports, and will perform all functions in a courteous and respectful manner, advocating for the patient's best interest and wellbeing.

Key Responsibilities:

Collects, verifies, and enters patient demographic, employer, financial, emergency contact, insurance, subscriber, and case-specific information into Epic
Consistently has patient sign and scan all necessary documents for completion of the admission process
Obtains and interprets patient insurance benefits and communicates this information accurately to the patient and co-workers
Determines patient financial obligation and communicates this information accurately and with respect to the patient
Performs registration functions consistent with Federal, State, and Local regulatory agencies and payer requirements, and organizational policies and procedures
Acts as a resource to new staff by answering questions, assisting with daily job functions, and correcting errors
Performs admission notification (NOA) process to ensure payment for patient's inpatient stay is secured
Minimizes potential financial risk of patient accounts by discussing with patient and/or guarantor their financial responsibility for upcoming visits/procedures, past due balances, and referral requirements
Offers options and negotiates acceptable resolution of estimated patient balance
Receives and properly responds to, or directs telephone inquiries from patients, payers, physicians, and their staff, internal department, and other persons and entities
Interacts and collaborates with numerous departments to resolve issues while analyzing necessary information to ensure hospital reimbursement
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Rush University Medical Center's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior

Requirements:

High school graduate or equivalent
1-2 years of relevant experience
Experience within a hospital or clinic environment, a health insurance company, managed care organization, or other healthcare financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service
Basic understanding of the core Microsoft suite offerings (Word, PowerPoint, Excel)
Excellent communication and outstanding customer service and listing skills
Basic keyboarding skills
Ability to analyze and interpret data
Critical thinking, sound judgment, and strong problem-solving skills essential
Team-oriented, open-minded, flexible, and willing to learn
Strong attention to detail and accuracy required
Ability to prioritize and function effectively, efficiently, and accurately in a multi-tasking complex, fast-paced, and challenging department
Ability to follow oral and written instructions and established procedures
Ability to function independently and manage own time and work tasks
Ability to maintain accuracy and consistency
Ability to maintain confidentiality

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