Patient Services Rep - Registration (Onsite - Kona, HI)

CorroHealth•HI-Client Site, HI

1d•Onsite

About The Position

The Patient Services Rep - Registration will support patient services and be able to independently make compliant decisions on how to apply HIPAA and FCC regulations. This position is ONSITE in Kona, HI. The role involves supporting patient services, making compliant decisions regarding HIPAA and FCC regulations, and handling patient registration post-clinical triage. Key functions include obtaining and verifying health plan coverage, accurately documenting patient demographics and health plan information, supporting access registration, insurance verification, and authorization functions, and contacting physician offices or payers for follow-up. The role requires maintaining quality scoring, accuracy on accounts, and timely follow-up to ensure no cash loss. The representative must be able to work independently, prioritize work to meet goals, and act as a knowledge resource for team members. A high-level understanding of client host system functions and clear documentation of actions taken in the patient accounting system are essential. The position requires adherence to client standards, federal regulations, and compliance policies, including maintaining continuing education and current knowledge of relevant federal and state rules and regulations (HIPAA, FDCPA, Privacy Act, FCRA, etc.). Attendance at training sessions and dissemination of information to colleagues is also expected.

Requirements

High School or equivalent
Exceptional customer service skills
Excellent verbal and written communication skills
Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality
Proficient use of hospital registration and/or billing systems, and Microsoft Word and Excel software applications
Ability to follow regulations outlined by state, federal, and third-party coverage procedures
Ability to model the basic values of the mission, vision and values of Xtend Healthcare and the client
Ability to manage multiple tasks simultaneously and adjust to issues as needed in a dynamic work environment
Ability to prioritize and effectively anticipate and respond to issues as they arise
Ability to post transactions in multiple systems
Good analytical and problem-solving skills
Ability to work independently

Nice To Haves

Minimum of 1 year of Access Registration or front office physician healthcare experience
Minimum of 3 year in hospital or physician operation
Minimum of 1 year of basic computer skills to include MS Office apps: Outlook, Word, Excel
Epic hospital system experience
Demonstrate knowledge of communication regulations relating to HIPAA and TCPA and other FCC requirements
Experience with Insurance payers (Medicare, Medicaid, Commercial, Workers Compensation) preferred
Remote working experience

Responsibilities

Exceed productivity standards as outlined by business line
Complete patient registration (post clinical triage of patient) by obtain and verify health plan coverage
Accurately document patient demographics and health plan information
Support access registration, insurance verification and authorization functions
Contact physician offices and/or payers for follow-up on eligibility and authorizations
Maintain quality scoring and accuracy on all accounts worked
Ability to work independently and make responsible decisions
Completes timely follow-up on assigned accounts to ensure no cash loss
Demonstrates the ability to prioritize work with minimal oversight to meet outlined goals
Acts as a knowledge resource for team members
High level understanding of client host system functions
Clearly documents actions taken and next steps for account resolution in patient accounting system
Ensure all accounts are worked within client standards and Federal Regulations
Work within federal, state regulations, department/division & all Compliance Policies
Maintain clear, concise, and accurate documentation of all attempts and/or contacts made and received for accounts in accordance with company and client specifications
Maintain continuing education, training in industry career development
Maintain current knowledge of and comply with all federal and state rules and regulations governing phone calls and collections including HIPAA, FDCPA, Privacy Act, FCRA, etc.
Attend training sessions as directed by management and disseminate to colleagues
Integrate information obtained through training sessions and policy changes immediately into daily routine