Patient Registration Coordinator

1 week ago

Crossville Tennessee, United States Covenant Health Full time

Overview:
Patient Registration Coordinator, Occupational/Physical Therapy

PRN/OCC, Shifts and hours vary

Possible full-time opportunity

Covenant Health is recognized as the leading healthcare network in the region.

Our more than 10,000 employees, physicians, and volunteers are united by a shared commitment: to prioritize our patients daily, pursue excellence in all endeavors, and establish Covenant Health as the premier choice in our area.

Cumberland Medical Center is a 189-bed facility located in Crossville, Tennessee, employing over 650 staff members and hosting 175 active physicians.

We provide a comprehensive array of specialty services, including cardiology, gastroenterology, surgery, orthopedics, maternity care, cancer treatment, and advanced wound management.

Emergency Department: 24 emergency beds

Intensive Care Unit (ICU): 12 ICU beds

Labor & Delivery: 12 LDRP suites

Med/Surg: 37 beds

Surgery: 9 operating room surgery suites

Telemetry: 37 beds


Fully accredited by the Joint Commission, Cumberland Medical Center is an acute care hospital offering all private patient rooms along with specialized services typically unavailable in rural healthcare settings.


For critically ill patients, advanced medical and surgical care is provided at CMC, including telemetry-monitored beds and an intensive care unit.

Additionally, Cumberland Medical Center features an outpatient imaging center, same-day surgery unit, cardiac and pulmonary rehabilitation programs, a sleep disorder center, breast center, cancer center, and hyperbaric medicine and wound care.



Position Summary:
The Patient Registration Coordinator oversees the centralized scheduling of all outpatient diagnostic and surgical procedures. This role involves the accurate collection and data entry of essential financial and demographic information for all patients registered at our facility. It is crucial to ensure verification of benefits and pre-certification requirements are fulfilled prior to scheduled appointments or admissions. Follow-up is necessary on all urgent or unscheduled registrations to maintain consistency in the process. Establishes controls to ensure unscheduled patients receive accurate information regarding their patient liability.

Responsibilities:


Collects co-payments and deposits based on verification information obtained, generates receipts for the payer, and ensures all cash transactions are delivered to the cashier for proper posting to the patient account.

Maintains strict confidentiality of patient information.


Recommends updates to existing policies and procedures that align with our values and aim to enhance efficiency and promote data integrity.


Notifies the Financial Counselor immediately upon scheduling or registering any potential self-pay, worker's compensation patient, or any non-covered procedures.


Makes patient type changes based on information provided by Medical Records Staff and/or Care Coordinators, ensuring documentation is present in the medical record to support the change.

Ensures all reservations are properly documented to support departmental statistics. Enters faxed reservations into the scheduling system.

Schedules operative and diagnostic procedures utilizing the scheduling system. Documents each scheduled procedure/event with detailed information. Notifies departments of any special resources required for the procedure/event.

Verifies insurance benefits and obtains pre-certification from various third-party payers. Possesses extensive knowledge of insurance plan requirements.

Provides necessary documentation to staff for patients potentially in need of financial assistance or enrollment in assistance programs.


Efficiently gathers all demographic, medical, and financial information for scheduling, registration, and verification of patient accounts utilizing the computer system to record data.

Enters verification and pre-certification notes into the financial system as a cross-reference.

Collaborates with clinical and care management areas to identify opportunities to improve overall collections and cash flow.


Analyzes claims denial data for opportunities to enhance collections, improve relations with insurance companies and physician practices, and streamline workflow processes.

Reports relevant procedural changes or updates to appropriate leadership.

Interacts professionally with patients, physicians, visitors, and other hospital staff members.

Demonstrates the ability to stay informed about regulatory and insurance requirements, ensuring that changes are incorporated into daily job functions.

Ensures the registration process is conducted professionally, maintaining a registration accuracy rate of 95 to 100 percent.


Explains a variety of necessary information to the patient or family member, such as consent for treatment, advance directives, medical/financial release, deposit requirements, billing and payment policies, and advanced beneficiary notices.

Recognizes situations that necessitate supervision, seeking appropriate resources.


Directs, escorts, and/or provides wheelchair assistance to the patient upon completion of the registration process to the appropriate nursing unit or diagnostic testing area.

Demonstrates motivation necessary for acceptable productivity.

Understands departmental goals and objectives that align with the mission and values of Covenant Health.


Performs pre-registration processes using phone and mail techniques, advising the patient during the conversation of any co-pay or deductible amounts due upon admission.


Maintains an accurate bed board, utilizing the computerized bed tracking system to minimize wait times for admitted patients.

Coordinates with Nursing Services the flow of inpatient and observation patient admissions.


Displays competence in using all Information Computer Systems that provide information regarding patient registration and scheduling.

Updates schedules daily to reflect unexpected procedures, cancellations, or changes and communicates with all individuals affected by revisions.

Shows initiative to cross-train in all duties related to scheduling, registration, verification, and pre-certification.

Prepares the patient account folder by scanning all vital registration/scheduling/verification documents into the optical imaging system.

Examples of documents:
insurance cards, financial agreements, ER charge sheets, verification sheets, pre-certification letters, and physician orders. Will also index the document(s) using the optical scanning system, placing the document(s) in the correct electronic file folder.

Demonstrates the ability to manage varying tasks and set priorities.

Utilizes available resources appropriately, including hospital equipment and/or supplies.

Activates manual systems for computer network downtime, printing schedules in advance when necessary. Notifies leadership of unscheduled downtime occurrences.

Coordinates scheduling of classrooms for meetings, conferences, etc., ensuring confirmation is provided for the correct date and time.

Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.

Performs other duties as assigned.

Qualifications:

Minimum Education:


No specific education required; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill, and ability needed to perform the essential tasks of the job, typically equivalent to a high school diploma or GED.

Preference may be given to individuals possessing a Bachelor's degree in a directly-related field from an accredited college or university.


Minimum Experience:


One (1) year of experience in a hospital or financial setting OR a minimum of three (3) years of total customer-facing/customer service experience required.

Must possess strong interpersonal skills when dealing with patients and professional staff in a busy office. Proficiency in computer skills using Excel and Cerner is a plus. Must be able to multi-task and maintain high levels of organization. Some occasional travel between offices may be required.

Licensure Requirement:
None

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