PATIENT REGISTRATION SPEC

Covenant Health•Sevierville, TN

About The Position

The Patient Registration Specialist is an entry-level Emergency Department position focused on accurately collecting and entering patients’ financial and demographic information. This includes information about pre-certifications, authorizations, insurance and employer plan terms, patient types, payers, and regulatory compliance. The role requires knowledge of payer categories, including Commercial, Managed Care, Self-Pay, Blue Cross, Workers’ Compensation, TennCare, and Medicare, and accountability for locating and processing records daily. The specialist serves as a liaison between patients or family members and other medical personnel and provides customer service to meet the needs of the community and patients.

Requirements

No prior experience is required.
No specific education is required; a combination of formal education and/or prior work experience sufficient to demonstrate the necessary knowledge, skills, and abilities is acceptable.
No licensure is required.
Excellent customer service skills.
Knowledge of payer categories, including Commercial, Managed Care, Self-Pay, Blue Cross, Workers’ Compensation, TennCare, and Medicare.

Nice To Haves

A high school diploma or GED is preferred.

Responsibilities

Register and admit patients professionally, ensuring accuracy, completeness, and efficiency.
Determine the correct patient type based on patient needs and physician orders.
Document account notes in the financial system.
Educate patients and family members about consent for treatment, advance directives, medical releases, patient rights, PCP and MCO requirements, non-coverage, and billing and payment policies.
Generate and distribute the computer census daily.
Collect co-payments and deposits to promote positive cash flow.
Receive payments for hospital accounts, issue receipts, reconcile payment transactions at shift end, and verify petty cash.
Verify TennCare and Workers’ Compensation eligibility.
Complete pre-registration for all patient types.
Change the patient type for laboratory specimens.
Set up payment arrangements for private-pay patients who are unable to pay, or refer them to the Business Office.
Collect, secure, and return patient valuables.
Review physician orders to ensure that diagnoses and physician signatures are present.
Compile and distribute admission packets to patients admitted for overnight stays.
Follow policies, procedures, and safety standards; complete required annual education assignments; work toward goals and objectives; and participate in quality-improvement initiatives as requested.
Perform other duties as assigned by the Registration Supervisor and Business Office Manager.