Patient Registration Specialist

Mercyhealth Wisconsin and Illinois•Remote-Illinois, IL

1d•$21 - $32•Hybrid

About The Position

This position supports Patient Access operations by investigating complex registration and billing issues, conducting audits, ensuring insurance and authorization requirements are met, and identifying opportunities for process improvement. The role develops and facilitates employee training, provides ongoing education and guidance to team members and leadership, and maintains resources to promote consistent registration practices, regulatory compliance, and exceptional patient service. The position is scheduled for 40 hours per week and is hybrid. The role supports patient financial counselors, assists with insurance authorizations and new financial programs, and prepares and maintains training materials, records, and other documents. Mercyhealth is an integrated health system serving northern Illinois and southern Wisconsin, with seven hospitals, 85 primary and specialty clinics, and more than 7,500 professionals.

Requirements

High school diploma or equivalent.
Three to five years of experience with healthcare finance applications, including insurance billing, registration, claim filing, and collections.
Knowledge of commonly used concepts, practices, and procedures in the healthcare field.
Experience with Microsoft Outlook, Word, and Excel.
Excellent oral and written communication and organizational skills.
Strong problem-solving skills.
Obtain a healthcare revenue-cycle certification, such as Epic or HFMA, or an equivalently designated certification approved by management within one year.

Nice To Haves

Knowledge of various healthcare systems and databases.

Responsibilities

Analyze billing denials related to registration errors and investigate root causes.
Correct highly complex registration issues and system setup as needed.
Respond to inquiries and resolve complex registration errors and issues.
Research insurance companies’ registration requirements and monitor notifications of changes that may affect front-end processes.
Perform monthly registration audits to confirm pre-admission functions, insurance verification, and pre-certification actions are accurate and complete.
Use audit findings to educate partners and provide feedback to partner leadership when ongoing issues are identified.
Assist patient financial counselors with self-estimates and charge costs, and liaise with physicians and office staff to obtain clinical information when needed.
Assist with insurance authorizations.
Help set up new financial programs, such as credit card and bank loan programs.
Plan and organize Patient Access/registration employee training and materials for clinic and hospital front-end processes.
Develop orientation and ongoing training to promote compliance, consistency, uniformity, and understanding of registration processes.
Facilitate training logistics and present and distribute information to support decision-making, effective communication, and customer service.
Create and maintain manual and electronic files and records, including procedure manuals, guides, course materials, handouts, training records, and required reports.
Create, maintain, and present written materials such as reports, memos, sign-in sheets, and class lists.
Create documents and materials, including refunds, receipts, purchase orders, credit card charges, and registration forms, for appropriate parties.
Manage other duties as assigned.