Registration Services Specialist
4 weeks ago
Care Resource is seeking a highly skilled Registration Services Specialist to join our team. In this role, you will be responsible for welcoming clients into our agency, providing orientation and education regarding our services, and performing necessary pre and full registration functions.
Key Responsibilities- Welcome clients into the agency and provide orientation/education regarding the agency and its services.
- Perform necessary pre and full registration functions, including insurance eligibility, updating demographic information, and emergency contact information.
- Interview clients and/or family members to collect demographic, financial, and other required information.
- Review client-related forms for accuracy and completeness of information, assisting clients where necessary.
- Perform correct name inquiry and identify clients according to policy and procedure without errors.
- Verify health insurance cards and scan into Electronic Health Records (HER) and/or other systems, reviewing for mandatory pre-certification and/or other third-party payer requirements.
- Collect complete financial information, including payer name, identification number, group number, subscriber name, guarantor name, and address, and pre-certification numbers.
- Explain consent information, obtain signatures, and witness (legibly) with no omission.
- Complete registration process the same day or within 24 hours.
- Answer and respond to clients' inquiries regarding registration and available services, including FQHC Sliding Fee Scale.
- Able to handle multiple telephone lines and tasks and work with very high call volumes.
- Maintain a clean, organized, and safe working environment.
- Maintain client database.
- Ensure that the best culture of service is provided to clients.
- Model excellent oral, written, and telephone communication skills.
- Ability to work independently or in a team-oriented environment and interrelate well with individuals with diverse ethnic, gender, and cultural backgrounds and needs.
- Work closely with the Call Center and Insurance Verification Departments.
- Extensive use of computer systems.
- Account for and properly document all clients' interactions, including records details, concerns, complaints, comments, and actions taken.
- Comply with HIPAA rules and regulations when communicating with patients, clients, health center personnel, and external vendors and payers.
- Participate in chart reviews for Q/A purposes and Q/I projects as requested.
- Attend client and staff phone calls promptly who are attempting to access services and provide them with accurate and timely information.
- Participate in staff training sessions and other meetings as required by the agency and/or the funding sources.
- Other duties as assigned.
- Bilingual (English-Spanish/English-Creole) is required.
- Computer knowledge should include the Care Resource phone system, Word, Excel, and Outlook.
- Must become knowledgeable about patient databases (i.e. Nextgen, Provide Enterprise) and their interrelation to appointment scheduling.
- Excellent customer service, phone etiquette, and communication skills are needed to handle multiple telephone lines, online requests, and tasks and work with very high call volumes.
- Good organizational and teamwork skills are required.
- Must maintain punctuality and perform in a detail-oriented and accurate manner at all times.
- The ability to work with multicultural and diverse populations is required.
- Compassion: Greet internal or external customers (i.e. patient, client, staff, vendor) with courtesy, making eye contact, responding with a proper tone and nonverbal language.
- Listens to the internal or external customer (i.e. patient, client, staff, vendor) attentively, reassuring and understanding of the request and providing appropriate options or resolutions.
- Competency: Provides services required by following established protocols and when needed, procure additional help to answer questions to ensure appropriate services are delivered.
- Commitment: Takes initiative and anticipates internal or external customer needs by engaging them in the process and following up as needed.
- Prioritize internally or external customer (i.e. patient, client, staff, vendor) requests to ensure the prompt and effective response is provided.
- Ensures proper handwashing according to the Centers for Disease Control and Prevention guidelines.
- Understands and appropriately acts upon the assigned role in Emergency Code System.
- Understands and performs assigned roles in the organization's Continuity of Operations Plan (COOP).
- The responsibility for internal and external contacts is frequent and important.
- This work requires the following physical activities: frequent sitting, bending, standing, walking, talking in person, and talking on the phone.
- Occasional driving, stretching/reaching, and lifting up to 50 lbs. are required.
- Work usually is performed in an office setting.
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