Patient Access Registrar Team Leader

ThedaCare • Appleton, WI

5d • Onsite

About The Position

The Patient Access Registrar Team Leader performs admitting duties for patients admitted for services at ThedaCare. Meets the mission and goals of ThedaCare and regulatory compliance requirements. Works within the policies and processes as they are being performed across ThedaCare. ThedaCare's new vision is bold, ambitious, and ignited by a shared passion to provide outstanding care. They are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything they do. Each team member is called to take action in delivering higher standards of care, lower costs and a healthier future for patients, families, communities and the world. At ThedaCare, team members are empowered to be the catalyst of change through values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in the community, explore a future with ThedaCare.

Requirements

• High School diploma or GED preferred
• Must be 18 years of age

Responsibilities

• Assigns accurate MRNs, completes medical necessity/compliance checks, provides proper patient instructions, collects insurance information, receives and processes physician orders, and utilizes overlay tools while providing excellent customer service.
• Operates the telephone switchboard to relay incoming, outgoing, and interoffice calls as applicable.
• Adheres to ThedaCare policies and provides excellent customer service in interactions with the appropriate level of compassion.
• Is accountable for point-of-service goals as assigned.
• Utilizes quality auditing and reporting systems to ensure accounts are accurate and complete.
• Conducts audits of accounts and ensures forms are complete, accurate, and timely to meet audit standards.
• Performs pre-registration of patient accounts prior to patient visits including inbound and outbound calling to obtain demographic, insurance, and other patient information including patient financial liabilities and collecting point-of-service collections, past due balances, and bad debt.
• Provides information to the patient/representative or may create and process payment plan options.
• Explains general consent for treatment forms to the patient/guarantor/legal guardian, and obtains necessary signatures.
• Explains and distributes patient education documents.
• Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code.
• Enters benefit data to support point-of service collections and billing processes to assist with a clean claim rate.
• Screens medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare.
• Distributes and documents other forms and pamphlets.
• Performs other duties as assigned including answering the phones at other facilities.
• Collaborates with multiple disciplines to effectively and efficiently provide patient care and achieve the desired patient outcomes.
• Applies critical thinking to assess, plan, and implement day-to-day operations, and communicates updates to team members.
• Delegates team member duties in relation to patient needs, and manages evolving demands from team members, physicians, equipment, and scheduling.
• Manages call schedule, revenue and usage audits, and meeting minutes, and is a super user with department diagnostic equipment and supplies.

Benefits

• Lifestyle Engagement e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support
• Access & Affordability e.g. minimal or zero copays, team member cost sharing premiums, daycare

What This Job Offers

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