ED Registration Specialist

WVU Medicine

1d•Onsite

About The Position

This position involves performing a variety of administrative and clerical duties focused on patient registration and managing patient financial obligations. The specialist will be responsible for obtaining and entering patient demographic, billing, and insurance information into the registration/billing systems for service and claim processing, as well as scanning insurance cards and photo identification. They will provide patients with information concerning insurance, bill payment, and hospital procedures. The role may also include completing managed care responsibilities such as obtaining pre-certification and authorizations. The specialist prepares and obtains signatures for standard consent forms, privacy practice notices, and other necessary registration paperwork, including electronic signatures for consent to treat and financial obligations. Other duties include collecting deposits, co-payments, deductibles, and patient liability payments, providing receipts, and documenting payments. The specialist will prepare armbands for patient identification, balance daily receipts and cash drawers, and follow up on accounts as indicated by system flags. They may initiate various screenings, obtain pertinent coverage information, complete appropriate paperwork, perform medical necessity checks, and complete Advanced Beneficiary Notices. Additionally, the role involves scheduling, rescheduling, or canceling patients according to hospital workflows and checking for order completeness and validation against scheduled services. This role operates in a high-volume, fast-paced environment with frequent interactions with patients, medical staff, and support staff.

Requirements

High school graduate or equivalent.
State criminal background check and Federal (if applicable), as required for regulated areas.
Ability to accurately utilize applicable computer software and equipment for access processing & demonstrates ability to follow down time procedures.
Demonstrate knowledge of procedure to report and/or document unsafe/hazardous conditions, incidents and defective equipment in compliance with hospital policy.
Requires considerable attention to detail, the ability to be organized and to be able to perform multiple tasks simultaneously.
Requires the ability to memorize a considerable amount of information, and to be able to reference information not retained from written sources or from appropriate personnel.
Requires the ability to understand medical insurance requirements for payment and basic knowledge of covered services.
Excellent written and verbal communication skills and the ability to understand written and verbal communication.
Basic knowledge of medical terminology.

Responsibilities

Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification. Provides to the patient, information concerning insurance, payment of bills and hospital procedures.
May complete managed care responsibilities in regard to obtaining pre-certification and authorizations.
Prepares WVU Medicine standard consent form, notice of privacy practice and/or other necessary paperwork related to registration and presents to patient/family/legal guardian for signatures. Obtains electronic signature for consent to treat and patient financial obligations.
Collects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems.
Prepares armband for patient identification.
Balances daily receipts and cash drawer for patient payments as needed. Follows up on accounts as indicated by system flags (courtesy dismissal/comments/red stickers).
May initiate various screenings and obtains all pertinent information for coverage and completes appropriate paperwork.
Performs medical necessity checks and completes Advanced Beneficiary Notice as needed.
Schedules, reschedules, or cancels patients in accordance with hospital workflows.
Checks for order completeness and validate order against scheduled service.