EMS Patient Registration

Capital Health (US)•Wilmore, KY

23d•$18 - $23

About The Position

Maintains the financial integrity of all of the front-end registration and insurance verification functions while upholding the utmost in customer satisfaction and quality patient care. Applies all financial screening guidelines to ensure the most collectible income. Maintains up-to-date knowledge and adheres to all payors and regulatory guidelines for medical insurance claims for processing and reimbursement. Works in collaboration with the revenue cycle team and patient care areas to uphold the proper philosophies of patient care and maximum reimbursement.

Requirements

High school diploma or equivalency.
One year experience in a healthcare setting or one year customer service experience with medical terminology and basic computer skills required.
Strong organizational and follow-up skills.
Excellent communication skills and ability to work independently or in a team environment.
Proficient computer skills.
Understanding of ICD-10 and CPT coding classifications.
Basic knowledge of medical terminology, anatomy, and physiology.
Ability to handle a stressful environment.

Nice To Haves

Familiarity with insurance language and basic understanding of coding preferred.

Responsibilities

Follows all payor requirements and identifies correct forms/attachments for every patient encounter.
Performs verification of benefits on all patient encounters.
Audits chart for accuracy.
Follows computer system, internet-based insurance applications, and department operational procedures and training guidelines to obtain accurate demographic, diagnosis, authorizations and insurance information on each registration.
Works collaboratively with other external departments, to obtain essential registration information such as insurance, demographics, and physician orders for transport are accurate.
Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Medicare Necessity Regulations, Provides leadership with goal productivity reports.
Correctly identifies a patient according to policy, completes all patient registration types by collecting and entering accurate patient demographics, physician information, insurance information and valid category codes.
Assures insurance information is verified, and authorization is obtained.
Understands CH insurance plans and the ability to identify nonparticipating plans.
Reviews, updates, corrects, and approves all case charges.
Ensure accuracy and enters all medical and facility charges into billing system.
Assigns codes with accuracy rate in accordance with coding guidelines.
Follows Financial Screening and Self Pay Procedure related to referrals for Medicaid and CapitalCare.
Adds charges to the patient record according to the care and service level provided while adhering to contractual agreements as well as federal rules and regulations.
Attends all mandatory department meetings.
Performs other duties as assigned.