About The Position

The Patient Registration Specialist is responsible for pre-registration and registration, identifying and verifying payers, referring patients to financial counseling, and collecting payments at the point of service. The role ensures that patient demographic and benefit information gathered and entered into computer systems is accurate. The Specialist verifies benefit eligibility and limitations, coordinates benefits, and determines and collects patients’ financial responsibility at the point of service. The position requires an understanding of regulatory requirements, including medical necessity determination, Medicare Secondary Payer completion and coordination of benefits, issuance and signage of the Important Message from Medicare, HIPAA, and EMTALA. Additional duties within the scope of the role may be assigned. The position is located at East Montgomery Primary Medicine and is a regular, full-time role on the first shift.

Requirements

  • High school graduate or equivalent required.
  • Knowledge of government programs such as Medicare and Medicaid.
  • Excellent knowledge of MS Office and familiarity with relevant computer software.
  • Strong team leadership, organization, interpersonal, and customer relations skills.
  • Ability to meet strict deadlines.
  • Strong analytical and problem-solving ability and excellent organizational skills.
  • Ability to complete multiple tasks simultaneously.
  • Ability to develop trust with organizational leaders.
  • Strong written and oral communication skills and proficient computer skills.
  • Ability to understand complex multifactor situations and develop appropriate solutions.
  • Ability to work independently and in a team environment.
  • Proven track record of successful performance.

Nice To Haves

  • Associate’s degree in a healthcare or business-related field.
  • Bilingual capability in English and Spanish.
  • At least 2 years’ experience in a medical or hospital patient access or financial services environment.
  • Training experience.

Responsibilities

  • Perform pre-registration and registration.
  • Identify and verify payers.
  • Refer patients to financial counseling.
  • Collect payments at the point of service.
  • Ensure patient demographic and benefit information entered into computer systems is accurate.
  • Verify benefit eligibility and limitations and coordinate benefits.
  • Determine and collect patients’ financial responsibility at the point of service.
  • Understand and comply with applicable regulatory requirements, including medical necessity determination, Medicare Secondary Payer completion and coordination of benefits, Important Message from Medicare issuance and signage, HIPAA, and EMTALA.
  • Perform additional duties within the scope of the role as assigned.
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