PATIENT REGISTRATION SPECIALIST

Mercyhealth Wisconsin and Illinois

9d•$21 - $32•Onsite

About The Position

The Patient Registration Specialist analyzes billing denials related to registration errors to investigate root causes. This role may be responsible for correcting complex registration issues and system setups. The specialist responds to inquiries to resolve complex registration errors and issues, and researches insurance company registration requirements through various channels. They perform monthly registration audits to ensure accuracy of pre-admission functions, insurance verification, and pre-certification actions, providing education to partners as needed and reporting ongoing issues to leadership. The role also assists patient financial counselors with self-estimates and charge costs, acts as a liaison for clinical information, and assists with insurance authorizations and setting up new financial programs. Additionally, the specialist plans and organizes patient access/registration employee trainings, develops individual orientation and ongoing training for employees to ensure compliance and understanding of registration processes, and facilitates training logistics. They create and maintain various manual and electronic files and records for reference and compliance, and create and present written materials for documentation and information dissemination. The role also involves creating documents and materials for various purposes and managing assigned duties.

Requirements

High school diploma or equivalent
3 to 5 years of experience on healthcare finance applications to include insurance billing; registration, claim filing and collections.
Knowledge of commonly used concepts, practices and procedures within the health care field.
Experience with Microsoft Outlook, Word and Excel

Nice To Haves

Knowledge of various health care systems and databases desirable.
Certification related to health care revenue cycle (Epic, HFMA, etc.) or an equivalently designated certification approved by management within 1 year.

Responsibilities

Analyze billing denials related to registration errors to investigate root cause.
Respond to inquiries for the purpose of finding resolution to complex registration errors and issues.
Research the registration requirements of insurance companies through phone, web, or review of contracts and monitor insurance notification of changes that may impact front end processes.
Perform monthly registration audits to confirm pre-admission functions, insurance verification and pre-certification actions are performed and accurate.
Takes opportunity through audits to provide education to partners in need of guidance.
Provides feedback to partner leadership partners and if audit findings show ongoing issues.
Assist patient financial counselors who need assistance with self-estimates, charge costs and act as liaison with physician and office staff to obtain clinical information if needed.
Assists with insurance authorizations.
Assist with setting up new financial programs such as credit card and bank loan programs.
Plans and organizes patient access/registration employee trainings and materials for the purpose of implementing training activities that address front end/access processes at clinic and hospital locations.
Develop individual orientation and ongoing trainings for employees to ensure compliance with consistency, uniformity and understanding of registration process.
Facilitate training logistics such as presenting and disseminating necessary information for making decisions, increasing the efficiency and effectiveness of communication to the Mercy, and enhancing excellent customer service.
Creates and maintains a variety of manual and electronic files and/or records (e.g. training procedure manuals, guides, course materials, handouts/visuals, training records, required reports, etc.) for the purpose of providing up-to-date reference and complying with regulatory requirements and established guidelines.
Creates, maintains, and presents a variety of written materials (e.g. reports, memos, sign-in sheets, class lists, etc.) for the purpose of documenting activities, providing written reference, and/or conveying information.
Create documents and materials (e.g. refunds, receipts, purchase orders, credit card charges, registration forms, etc.) for the purpose of disseminating information to appropriate parties.
Manages duties as assigned.