Patient Registration Specialist, Admitting & Registration

Claiborne Medical Center • Tazewell, TN

293d

About The Position

The Patient Registration Specialist at Claiborne Medical Center is responsible for coordinating the centralized scheduling of all outpatient diagnostic and surgical procedures. This role involves the accurate collection and data entry of required financial and demographic information for all patients registered at the facility. The specialist ensures that verification of benefits and pre-certification requirements are met prior to scheduled appointments or admissions. Additionally, the position requires following up on all urgent or unscheduled registrations to maintain consistency in the process and establishing controls to ensure unscheduled patients receive accurate information regarding their patient liability.

Requirements

• None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED.
• Preference may be given to individuals possessing a Bachelor's degree in a directly-related field from an accredited college or university.
• One (1) year experience in a hospital or financial setting OR minimum three (3) years of total customer facing/customer service experience required.

Responsibilities

• Collects co-payments/deposits based on verification information obtained, generates receipts to the payer, and delivers all cash transactions to the cashier for proper posting to the patient account.
• Maintains strict confidentiality of patient information.
• Recommends updates to existing policies and procedures that support values and increase efficiency and promote data integrity.
• Notifies the Financial Counselor immediately upon scheduling or registering any potential self-pay, worker's compensation patient, or any non-covered procedures.
• Makes patient type changes based on information from Medical Records Staff and/or Care Coordinators, ensuring documentation is present in the medical record to support the change.
• Ensures all reservations are properly documented to support departmental statistics. Enters faxed reservations into the scheduling system.
• Schedules operative and diagnostic procedures utilizing the scheduling system. Documents each scheduled procedure/event with detailed information.
• Verifies insurance benefits and obtains pre-certification from various third-party payers. Has extensive knowledge of insurance plan requirements.
• Provides necessary documentation to DHS and Med Assist staff for patients potentially in need of financial assistance or TennCare enrollment.
• Efficiently gathers all demographic, medical, and financial information for scheduling, registration, and verification of patient accounts utilizing the computer system to record data.
• Participates with clinical and care management areas to address opportunities to improve overall collections and cash flow.
• Analyzes claims denial data for opportunities to achieve improved collections, enhance relations with insurance companies and physician practices, and improve workflow process.
• Reports pertinent procedural changes/updates to appropriate leadership.
• Professionally deals with patients, physicians, visitors, and other hospital staff members.
• Demonstrates ability to keep abreast of regulatory and insurance requirements ensuring that changes are incorporated in daily job functions.
• Assures the registration process is handled in a professional manner, maintaining registration accuracy rate of 95 to 100 percent.
• Explains necessary information to the patient/family member, such as consent for treatment, advance directives, medical/financial release, deposit requirements, billing and payment policies, and advanced beneficiary notices.
• Recognizes situations that necessitate supervision, seeking appropriate resources.
• Directs, escorts, and/or provides wheelchair assistance to the patient upon completion of the registration process to the appropriate nursing unit or diagnostic testing area.
• Performs pre-registration process by utilization of phone and mail techniques, advising the patient during the conversation of any co-pay or deductible amounts due upon admission.
• Maintains an accurate bed board, utilizing the computerized bed tracking system so wait times for admitted patients are kept to a minimum.
• Coordinates with Nursing Services the flow of inpatient and observation patient admissions.
• Displays competence in use of all Information Computer Systems that supply information regarding patient registration and scheduling.
• Updates schedules daily of unexpected procedures, cancellations, or changes and communicates with all individuals affected by revisions.
• Shows initiative to cross-train in all duties related to scheduling, registration, verification, and pre-certification.
• Prepares the patient account folder by scanning all vital registration/scheduling/verification documents into the optical imaging system.
• Demonstrates promptness in reporting for and completing work, ensuring follow-through on assigned tasks.
• Demonstrates the ability to handle varying tasks and setting priorities.
• Utilizes resources available appropriately, i.e., use of hospital equipment and/or supplies.
• Activates manual systems for computer network downtime, printing schedules in advance when necessary.
• Coordinates scheduling of classrooms for meetings, conferences, etc., ensuring confirmation is provided for the correct date and time.
• Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
• Performs other duties as assigned.

What This Job Offers

• Industry: Nursing and Residential Care Facilities