Patient Access ED Registration - Gainesville / Lumpkin - PRN - Shifts Vary

Northeast Georgia Health System•Gainesville, GA

1d•Onsite

About The Position

Under the supervision of The Patient Access Supervisor, this position is responsible for ensuring the delivery of outstanding customer service while greeting patient, registering patient and verifying or obtaining complete and accurate patient demographic information, identifying patient benefits eligibility, verification of pre-certification obtained from insurance companies and/or physicians offices, identifying insurance and/or patient responsibility, collecting identified co-pay/deductible, co-insurance, and/or providing financial counseling when appropriate, and completing the entire registration process.

Requirements

High School Diploma or GED
Must be able to type 35-45 wpm.
Proficient in the use of office equipment (computer, fax, telephone, scanning copier).
Must be mobile and push patient in wheelchair, if necessary between any location within hospital campus.
Working knowledge of Protected Health Information
Ability to be flexible and manage change.
Excellent written and oral communication skills required.
Must be proficient with use of all Patient Access Systems, Software Application and Processes
Must be able to demonstrate knowledge of billing requirements and proper documentation of
Must possess detailed understanding and knowledge of insurance guidelines and protocols, the components of full verification, and payor information / requirements

Nice To Haves

Bilingual preferred
Associate or Bachelors Degree in Business, Financial/HealthCare related field.
Medical terminology, data entry and computer experience, admitting, business office, collection, physician office experience and working with public preferred.

Responsibilities

Capturing and documenting all pertinent patient demographic, subscriber, and insurance information (e.g., patient Policy and ID numbers, subscriber, guarantor, payor address, phone number, and contact information). Documentation must include, effective date, copay, deductible, out of pocket, co-insurance, and stop loss amounts, percentage of coverage and any other pertinent information concerning the specific visit into the EHR system.
Obtaining complete and accurate insurance information; completing insurance verification by contacting patients, physician offices and insurance/payer regarding the visit; verifying patient’s insurance eligibility and benefits with the information obtained.
Reviewing work and assuring accuracy in all aspects of the position, particularly patient type, visit type, code identification, insurance information, and demographic information to minimize error rate and time delays in other areas.
Assessing and collecting financial liabilities prior to service when applicable; educating patients on billing process for the facility; referring patients for financial counseling if applicable; documenting payment information in system as appropriate.
Scanning appropriate data into Document Management System (including, but not limited to; insurance cards, drivers license, physician orders, consent forms, and any other registration related documents pertinent to the patient's medical record).
Identifying patient's history in all Patient Access Systems to avoid duplication of medical records.
Confirming and updating EHR system with pre-certification information for all scheduled and non-scheduled outpatient accounts as applicable.
Performing medical necessity checks on all appointments in which it is applicable; completing ABN form upon any failure to meet medical necessity.
Obtaining and accurately completing MSP forms when applicable.
Demonstrating ability to complete and explain all registration related consents and other documents as needed to the patient.
Preparing patient packets for next day's scheduled procedures (varies per area).
Working according to standard operating procedure during EHR or other system downtimes.
Working with physician offices and other departments to ensure patient satisfaction is met.
Understanding and utilizing all systems appropriately as related to the registration process.
Meeting all goals set by department management to include, but not limited to; productivity, accuracy, collections, and customer satisfaction.
Performing any and all related job duties as assigned; may have additional department specific duties assigned as deemed necessary by management.
Maintaining open and positive professional communication (oral and written) as well as great attitude at all times.
Accurately performing any and all functions listed above for PRN Registration and ED Registration.