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 entered into computer systems is accurate. The Specialist verifies benefit eligibility and limitations, coordinates benefits, and determines and collects the patient's financial responsibility at the point of service. The Specialist must understand applicable regulatory requirements, including medical necessity determination, Medicare Secondary Payer completion and coordination of benefits, issuance and acknowledgment of the Important Message from Medicare, HIPAA, and EMTALA. Additional duties within the scope of the role may be assigned.

Requirements

  • High school graduate or equivalent.
  • Knowledge of government programs such as Medicare and Medicaid.
  • Excellent knowledge of MS Office and familiarity with relevant computer software.
  • Strong organization, interpersonal, and customer relations skills.
  • Ability to meet strict deadlines.
  • Strong analytical and problem-solving ability.
  • 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.

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.
  • Proven track record of successful performance.

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 each patient's financial responsibility at the point of service.
  • Follow applicable regulatory requirements, including medical necessity determination, Medicare Secondary Payer completion and coordination of benefits, Important Message from Medicare issuance and acknowledgment, HIPAA, and EMTALA.
  • Perform additional duties within the scope of the role as assigned.
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