Patient Registration Specialist

1 week ago

Edmond, Oklahoma, United States OU Health Full time
Job Summary

We are seeking a highly organized and detail-oriented Patient Registration Specialist to join our team at OU Health Edmond Medical Center. As a Patient Registration Specialist, you will be responsible for ensuring timely and accurate patient registration, verifying insurance coverage, and maintaining accurate patient records.

Key Responsibilities
  • Interview patients to obtain all necessary account information and verify insurance coverage.
  • Ensure charts are completed and accurate, and verify all insurance and obtain pre-certification/authorization.
  • Calculate and collect patient liable amounts, and ensure that all necessary signatures are obtained for treatments.
  • Process patient charts according to paperwork flow needs and established productivity standards.
  • Welcome patients and family members in a professional manner, and contact the nursing staff for emergency medical needs.
  • Assign I-plans accurately, research Patient Visit History to comply with the Medicare 72 hour rule, and search Master Patient Index (MPI) completely.
  • Verify insurance benefits, determines pre-certification status, and enter all information and authorization numbers into the registration system.
  • Secure all signatures necessary for treatments, release of medical information, assignment of insurance benefits, and payment of services from legally responsible parties.
  • Explain policies regarding services, charges, insurance billing, and payment of account, and request full or partial payment for services rendered according to collection policies.
  • Obtain proper authorization for treatment and approval codes from the insurance carrier for patients presenting for treatment insured by a Managed Care Organization (MCO).
  • Collect co-pays, deposits, and deductibles, and document collection status in the system and chart.
  • Inform former patients or their representatives of delinquent accounts and attempt to obtain payment, and refer delinquent accounts to the Manager/Supervisor for further action.
  • Receive and receipt payments from patients for services rendered, and prepare daily deposits and maintains the integrity of the cash drawer.
  • Produce paperwork on each patient for distribution to appropriate departments, and align pertinent documents for establishing the patient's medical record and financial file.
  • Register and admit all patients after the other registration departments are closed, and route admission documents and forms to appropriate departments.
  • Price, key, and detail patient charges, and burst charts for distribution to physician's billing service, medical records, ancillary departments, and the business office.
  • Check for double charges on all accounts, and work with physician offices and ancillary departments to provide information when necessary or forward relevant documents.
  • Document complaints received from patients, the medical staff, and ancillary departments on an incident report form and refer to coordinator for follow-up action.
  • Acknowledge, file, and send MOX messages via Meditech.
  • Check for physician orders and attach them to the patient medical records to ensure that patients are receiving appropriate tests.
  • Escort patients to their destination or refer patients to an available escort.
  • Activate all pre-registered patients that have reported for services.
  • Abstract patient charts once discharged for the ER and retrieve a patient Medical Record once they present to ER for treatment.
  • Attend in-service presentations, and complete mandatory education week, including but not limited to, infection control, patient safety, quality improvements, Material Safety Data Sheets (MSDS) and Occupational Safety and Health Administration (OSHA) standards.
  • Demonstrate knowledge of occurrence reporting system and utilize system to report potential patient safety issues.
Requirements
  • High school diploma or equivalent required; 1 or more years of registration experience preferred.
  • Excellent communication and interpersonal skills, with the ability to work effectively with other employees, patients, and external parties.
  • Basic computer skills and proficiency in PC applications as required.
  • Ability to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly, and transcribe accurately.

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