Patient Access Registrar - PRN

ThedaCare•Appleton, WI
•Onsite

About The Position

The Patient Access Registrar performs admitting duties for patients receiving services at ThedaCare and supports the organization’s mission, goals, policies, processes, and regulatory compliance requirements. The position handles patient registration and pre-registration, insurance and medical necessity verification, patient communications, payment collection and plan options, consent and education documents, account auditing, and telephone switchboard duties. The role involves frequent phone communication, with inbound and outbound calls recorded and monitored for quality assurance, training, and compliance. The work is performed in a climate-controlled office setting with daily movement throughout the facility and interaction with department members and other healthcare providers. The position requires compliance with department-specific competencies.

Requirements

  • Must be at least 18 years of age.
  • Ability to move freely, including standing, stooping, walking, bending, pushing, and pulling.
  • Ability to lift up to 50 pounds without assistance.
  • Must comply with department-specific competencies.

Nice To Haves

  • High school diploma or GED preferred.

Responsibilities

  • Assign accurate medical record numbers (MRNs), complete medical necessity and compliance checks, provide patient instructions, collect insurance information, receive and process physician orders, and use overlay tools while providing customer service.
  • Operate the telephone switchboard to relay incoming, outgoing, and interoffice calls as applicable.
  • Follow ThedaCare policies and provide customer service with appropriate compassion.
  • Meet assigned point-of-service goals.
  • Use quality auditing and reporting systems to ensure accounts are accurate and complete.
  • Audit accounts and ensure forms are complete, accurate, and timely to meet audit standards.
  • Pre-register patient accounts, including calling patients to obtain demographic, insurance, and other information; communicate patient financial liabilities; and collect point-of-service payments, past-due balances, and bad debt.
  • Provide information to patients or their representatives and create and process payment plan options when appropriate.
  • Explain general consent-for-treatment forms and obtain necessary signatures from patients, guarantors, or legal guardians.
  • Explain and distribute patient education documents.
  • Review insurance eligibility responses and select the applicable insurance plan code.
  • Enter benefit data to support point-of-service collections and billing processes and assist with clean claim rates.
  • Screen medical necessity using Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment for tests.
  • Distribute and document other forms and pamphlets.
  • Perform other assigned duties, including answering phones at other facilities.

Benefits

  • Lifestyle engagement resources, including health coaches, relaxation rooms, health-focused apps, and mental health support.
  • Access and affordability offerings, including minimal or zero copays, team member cost-sharing premiums, and daycare.
  • Continued opportunities for learning and development.
  • Accessible and transparent leadership.
  • Commitment to work/life balance.
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