Denials Prevention Specialist - Registration Quality

Western Missouri Medical Center•Warrensburg, MO

About The Position

The Denials Prevention Specialist – Registration Quality is responsible for identifying, correcting, and preventing registration-related errors that lead to claim denials. This role focuses on improving front-end data integrity within MEDITECH, working across Patient Access, Billing QA, and Denials teams to reduce eligibility, authorization, and demographic-related denials. This position serves as the bridge between front-end operations and downstream revenue cycle performance, ensuring that patient accounts are accurate before claims are created.

Requirements

Experience with MEDITECH
Knowledge of insurance selection and plan accuracy
Understanding of member ID and group number requirements
Proficiency in demographic data accuracy
Familiarity with guarantor information
Understanding of coordination of benefits (COB)
Experience working with work queues
Ability to identify registration-driven root causes of denials
Skill in categorizing and tracking denial trends
Ability to quantify impact of errors (volume, dollars, repeat errors)
Experience identifying workflow gaps in scheduling, registration, and eligibility verification
Ability to recommend and implement process improvements
Experience providing education and training
Familiarity with payer-specific requirements
Knowledge of best practices for insurance capture
Ability to develop quick-reference guides and training materials
Experience conducting targeted retraining
Ability to collaborate with Denial Specialists, Billing QA, and Coding
Experience participating in cross-functional meetings
Ability to prioritize high-risk and high-dollar accounts
Skill in ensuring timely correction of errors before billing
Ability to meet established turnaround times (typically =24–48 hours pre-bill)
Skill in tracking and reporting denial rates and error trends
Ability to provide actionable insights to leadership

Nice To Haves

Experience with REG-ERR- work queue
Experience with REG-ELIG- work queue
Experience with DEN-ELIG- work queue
Experience with registration-related pre-bill edit queues

Responsibilities

Audit patient accounts for accuracy in insurance selection and plan accuracy, member ID and group number, demographics (name, DOB, address), guarantor information, and coordination of benefits (COB).
Work MEDITECH work queues including REG-ERR-, REG-ELIG-, and registration-related denial queues (DEN-ELIG-, DEN-REG-).
Correct errors prior to claim submission when possible.
Review denied claims to identify registration-driven root causes, including eligibility failures, incorrect payer selection, and missing or incorrect subscriber data.
Categorize and track denial trends tied to registration issues.
Quantify impact (volume, dollars, repeat errors).
Identify workflow gaps in scheduling, registration, and eligibility verification.
Recommend and help implement process improvements to reduce errors at intake.
Partner with leadership to standardize front-end practices.
Provide ongoing education to Patient Access staff on common registration errors, payer-specific requirements, and best practices for insurance capture.
Develop quick-reference guides and training materials.
Conduct targeted retraining for individuals or departments with high error rates.
Work closely with Denial Specialists, Billing QA, and Coding.
Participate in cross-functional denial prevention meetings.
Maintain assigned MEDITECH work queues, prioritizing high-risk and high-dollar accounts.
Ensure timely correction of errors before billing.
Meet established turnaround times (typically =24–48 hours pre-bill).
Track and report registration-related denial rates, error trends by registrar/location, and improvement over time.
Provide actionable insights to leadership.