As our Patient Registration Rep, you will preregister and register patients, explaining policies and financial responsibilities, and facilitating efficient admissions. Every day you will manage full patient financial clearance, from accurately identifying data and verifying insurance, to explaining payment assistance programs, and securing payment or completing applications for government aid and our Payment Assistance. This includes collecting liabilities, calculating payments, and interviewing patients to resolve outstanding information. To be successful in this role, you will demonstrate strong organization, communication, and meticulous attention to detail in data collection and financial processes, combined with a compassionate approach to patient interaction and a thorough understanding of insurance/assistance programs. Maintains up-to-date knowledge of specific admission, registration, and pre-registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, Maternity, and Rehabilitation Units. Ensures the pre-registration process is complete for all assigned accounts at least 5-days before the scheduled date of service whenever possible. Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine the level of insurance coverage. When contacting payers directly, utilize approved scripting. Obtains referral, authorization, and pre-certification information and documents this information in the ADT system. When appropriate, ensures the payer receives a Notice of Admission on all admissions, scheduled and non-scheduled, within 24 hours or the next business day. Meets CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other applicable requirements, and documenting completion within the hospital's information system for regulatory compliance and audit purposes. This position is represented by SEIU-UHW and is covered by the terms and conditions of the collective bargaining agreement.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees