About The Position

This position facilitates access to UTMB services for new and returning patients and coordinates financial arrangements, including financial screening. It communicates with patients, referral sources, and the treatment team regarding patient access and financial issues. A PRS II serves as an information resource for a PRS I. The role requires advanced knowledge of patient registration, including verification of demographic and third-party payer information. The specialist performs and teaches COR, ED, and Admitting Registration functions as defined in each area’s customized CBO tool. The position also supports accurate registration, reimbursement, patient satisfaction, training, and team goals.

Requirements

  • Associate’s degree in a related field or equivalent experience.
  • Three years of experience in billing, financial screening, insurance verification, collections, and/or customer service.
  • Higher-level knowledge of patient registration activities, including verification of demographic and third-party payer information.
  • Ability to maintain registration quality assurance expectations and departmental productivity standards.

Responsibilities

  • Verify patient demographic information, insurance coverage, benefits, and authorization requirements for all services.
  • Perform and teach COR, ED, and Admitting Registration functions as defined in each area’s customized CBO tool.
  • Screen patients for financial responsibility and possible cash collections.
  • Determine potential reimbursement sources and direct patients toward financial assistance programs.
  • Determine and collect appropriate deposits.
  • Facilitate referrals and prior authorizations.
  • Determine eligibility for third-party programs.
  • Use advanced training to perform additional duties across all area job functions for the primary area.
  • Provide patients, physicians, nurses, and other health care professionals with accurate, current information to support patient satisfaction and maximum reimbursement.
  • Apply department-specific knowledge and training related to ABN and PPA agreement forms.
  • Meet departmental job performance, registration quality assurance, and productivity standards.
  • Correct or acknowledge errors and return them within designated timeframes.
  • Read and apply announcements and relevant communications related to job duties.
  • Assist in training and mentoring new employees.
  • Prioritize and complete work accurately, effectively, and efficiently.
  • Participate in team meetings and activities and support the philosophy and goals of the team, department, and UTMB.
  • Identify trends, address them as appropriate, and bring unresolved issues to team leaders or managers.
  • Provide excellent customer service and model professionalism, core values, standards of excellence, and appropriate conduct.
  • Perform other duties as assigned.
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