Central Registration Specialist

UT Southwestern Medical Center • Dallas, TX

1d • Remote

About The Position

UT Southwestern Medical Center has a new opportunity available for a Central Registration Specialist. This position will work within the Ambulatory Patient Financial Clearance -Revenue Cycle Department team. The goal of this role is to work under moderate supervision to be responsible for all pre-registration, insurance verification, authorization, and front end-revenue cycle operations to ensure a satisfactory billing experience for health system patients. The successful candidate will work under moderate supervision and will be responsible for the following:
Pre-registration
Insurance verification
Authorization
Front end-revenue cycle operations
Shift: 8am-5pm
Work From Home (WFH): This is a work home position to include training. Applicants must live within the state of Texas. Additional details shall be discussed as part of the interview process.

Requirements

• High School Diploma or equivalent or
• 1 year health care experience, preferably directly related to benefits, insurance verification, etc

Nice To Haves

• Bachelor's Degree

Responsibilities

• Reviews, verifies, and obtains demographic, guarantor, subscriber, and payor information to successfully complete benefits verification, authorization, and precertification processes.
• Coordinate with patient, referring location, scheduled service area, financial counselors, and others as appropriate to obtain additional information or provide an update on patient's financial status.
• Counsels' offices and/or patients when an "out of network" situation becomes apparent or other potential payor technicalities arise.
• Coordinates with Financial Counselor, clinic, patient or other appropriate party to identify funding source and additional information needed to secure accurate third party billing and/or patient financial responsibility.
• Ensures that 1) patient is aware of financial obligations, projected long term costs of care; 2) ensures that patient has access to financial education material; 3) ensures that patient has signed the appropriate financial waivers acknowledgement financial obligation.
• Provides financial planning and counseling to patients and families in order to obtain payment for services rendered in accordance with policies and guidelines.
• Works closely with various agencies and departments throughout the health system to ensure correct billing as well as effective patient account resolution.
• Ensures accuracy and compliance with system policies related to data collection, patient and family education, patient rights and responsibilities, legal consents, and release of information.
• Maintains compliance with JCAHO, patient responsibilities and rights, HIPAA, and system contracts with third-party payors.
• Duties performed may include one or more of the following core functions: (a) Directly interacting with or caring for patients; (b) Directly interacting with or caring for human-subjects research participants; (c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or (d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records.
• Performs other duties as assigned.

Benefits

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100%25 coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED