Patient Registration Specialist

CommonSpirit Health•San Luis Obispo, CA

10d

About The Position

Employing excellent customer service skills, the Patient Registration Specialist is responsible for ensuring a positive patient experience throughout the registration, insurance verification, benefit analysis, and financial clearance process. Primary duties include appropriate patient identification, financially clearing patients during the pre-registration, registration, admission process and prior to discharge, counseling patients about their financial liability, verifying payer sources, assessing and referring patients to alternative payment sources, including the Payment and Billing Assistance Program as well as government and non-government based payment assistance programs. The Patient Registration Specialist ensures timely, accurate and complete capture of all demographic and insurance information to ensure appropriate reimbursement for services rendered. In addition, the Patient Registration Specialist determines and collects the patient's financial liability and/or arranges payment plans. The Patient Registration Specialist is an information source for patients and families by explaining organization policies, patient financial responsibilities and Patient Rights and Responsibilities. Maintains up-to-date knowledge of specific admission, registration, and pre-registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, Maternity, and Rehabilitation Units. Ensures the pre-registration process is complete for all assigned accounts at least 5-days prior to the scheduled date of service whenever possible. Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting. Obtains referral, authorization and pre-certification information and documents this information in the ADT system. When appropriate, ensures the payer receives a Notice of Admission on all admissions, scheduled and non-scheduled, with 24-hours or the next business day. Meets CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements applicable and documenting completion within the hospital's information system for regulatory compliance and audit purposes.

Requirements

High School Graduate General Studies and Minimum 2 years of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle-related role.
High School GED General Studies and Minimum 2 years of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle-related role.
Applicable education and/or training can be used to balance a lack of experience
Minimum 1 year of experience in customer service, preferably in a healthcare environment.
Experience in requesting and processing financial payments.