PATIENT REGISTRATION SPECIALIST

Mercyhealth Wisconsin and Illinois

1d•$21 - $32•Onsite

About The Position

This role is responsible for analyzing billing denials related to registration errors, investigating root causes, and correcting complex registration issues. The specialist will respond to inquiries, research insurance requirements, and perform monthly registration audits. They will also provide education to partners, assist patient financial counselors with self-estimates and charge costs, and act as a liaison with physician and office staff. Additionally, this role assists with insurance authorizations, setting up new financial programs, and planning/organizing patient access/registration employee trainings. This includes developing orientation and ongoing training materials, facilitating training logistics, and creating/maintaining various manual and electronic files and written materials for documentation and compliance.

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
Excellent oral and written communication skills/organizational skills.
Strong problem solving skills.

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.
Correct highly complex registration issues and system set up.
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.
Provide education to partners in need of guidance through audits.
Provide feedback to partner leadership partners 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.
Assist with insurance authorizations.
Assist with setting up new financial programs such as credit card and bank loan programs.
Plan and organize 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.
Create and maintain 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.
Create, maintain, and present 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.
Manage duties as assigned.