Pre-Registration/Insurance Verification Specialist
2 months ago
Must-Haves:
- Insurance verification and registration experience, 1 year min.
- Customer Service experience.
- Epic experience, ADT or Grand Central.
- Handle high call volume, registering 60-80 patients per day.
Day-to-Day:
- Interviews each patient or representative in order to obtain complete and accurate demographic. Financial and insurance information, and accurately enters all patient information into the registration system.
- Reads physician’s orders to determine services requested and to assure order validity.
- Obtains new medical record numbers for all new patients.
- Obtains all necessary signatures and is knowledgeable regarding any special forms that may be required by patient’s third-party payor.
- Documents thorough explanatory notes on patient accounts, concerning any non-routine circumstances clarifying special billing processes.
- Re-verifies all information at time of registration process.
- Understands and applies WellStar philosophy and objectives and Rehab and PAS policies and procedures, as related to assigned duties. Understands the outpatient registration processes. Works with IT/ EMR on troubleshooting Registration interface errors.
- Maintains a working knowledge of the process to verify insurance coverage and benefits. Assist in verifying benefits as needed and all patients end of year. Professional and knowledgeable communication to patient regarding benefits. Completes all revenue collection efforts according to WellStar and PAS policy.
- Contacts patients prior to initial visit to discuss co-pay and/or self-pay arrangements.
- Collects the co-pay amount at each visit and provides a receipt to the patient.
- Balances collection log and receipts at end of each business
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