Patient Registration Rep.

Found in: Resume Library US A2 - 2 weeks ago

Merced California, United States CommonSpirit Health Full time
Overview:
Mercy Medical Center a Dignity Health member has been building a rich history of care in our community for more than 100 years. We have grown from a small one-story wooden structure into a major healthcare provider with a new 186-bed main campus offering the latest in facility design and technology. Mercy also operates Outpatient Centers a Cancer Center and several rural clinics.Wherever you work throughout our system you will find faces of experience with dedication to high quality personalized care. Joining our 1300 employees 230 physicians and many volunteers you can help carry out our commitment to providing our community with the excellence they have come to associate with Mercy Medical Center.

Responsibilities:
Employing excellent customer service skills the Patient Registration Representative is responsible for ensuring a positive patient experience throughout the registration process.

In order to ensure appropriate reimbursement for services rendered primary duties include:

 

a)Appropriate patient identification

b)Collecting accurate and thorough patient demographic data

c)Obtaining insurance information and verifying eligibility and benefits

d)Determining and collecting patient financial liability

e)Referring patients to the Patient Registration Specialist as needed for assistance with financial counseling and/or clearance

 

The Patient Registration Representative adheres to the organization's policies and procedures for resolution of patient financial liability.

Additionally, the Patient Registration Representative is an information source for patients and families by explaining hospital policies patient financial responsibilities and Patient Rights and Responsibilities.

Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units.

Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration.

Properly identifies the patient to ensure medical record numbers are not duplicated.

Responsible for reviewing assigned accounts to ensure accuracy and required documentation is obtained and complete.

Meet CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements, as applicable and documenting completion within the hospital's information system for regulatory compliance and audit purposes.

Qualifications:
 Minimum:

Minimum 1 year of experience working in a hospital Patient Registration department physician office setting healthcare insurance company revenue cycle vendor and/or other revenue cycle related roles.

Experience in requesting and processing financial payments.

Applicable education and/or training can be used to balance a lack of experience

High School diploma GED or equivalent

Thorough understanding of insurance policies and procedures.

Working knowledge of medical terminology.

Able to perform basic mathematics for payment calculation. Intermediate to advanced computer skills.

Immediate to advanced computer skills

Preferred:

2 years of experience preferred working in a hospital Patient Registration department physician office setting healthcare insurance company revenue cycle vendor and/or other revenue cycle related roles.

Knowledge of charity programs as well as the various government and non-government programs preferred. 

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