Pre-Registration Representative - Cancer Center Administration - FT - Day

Stormont Vail Health•Topeka, KS

5d•Hybrid

About The Position

Under direction, processes patient accounts from scheduling through completion of pre-bill editing. The role includes scheduling services; collecting and verifying a comprehensive patient data set; verifying insurance and pre-certification; calculating liabilities; providing financial education; resolving patient financial matters, including financial assistance screening; and identifying and resolving pre-bill edit failures in accordance with established policies and applicable regulatory requirements. This position supports Cancer Center Administration and is not patient-facing. It is a 40-hour-per-week, first-shift role with hybrid remote-work capability. Remote work requires a quiet, distraction-free workspace, stable electricity and internet access with a minimum 25 Mbps upload and internet speed, and compliance with Stormont Vail’s remote-work, privacy, attendance, and communication requirements. The position has no supervisory or budget responsibility.

Requirements

High school diploma or GED.
At least 2 years of experience in a clinical healthcare position related to patient financial services, registration, or scheduling.
Knowledge of computers and MS Windows applications.
Ability to meet the remote-work requirements, including maintaining a quiet, distraction-free workspace and stable electricity and internet access with a minimum 25 Mbps upload and internet speed.

Nice To Haves

Associate's degree.
Keyboarding or typing speed of at least 30 WPM.
Excellent interpersonal and communication skills, patience, and good math and analytical skills.
Knowledge of medical terminology.

Responsibilities

Identify information needed during registration, obtain it, and determine the applicable financial education and forms, such as a Medicare ABN, Blue Cross Limited Waiver, or Financial Obligation.
Collect and update the comprehensive data set during scheduling, validate patient information, and determine whether insurance is in or out of network.
Complete missing data and validate information with patients before or upon arrival for service.
Identify insurance sources and collect and document accurate insurance information promptly; identify managed-care provisions and coordinate resolution of outstanding issues.
Obtain estimated charges when appropriate, calculate patient liabilities, and pursue financial resolution based on the appropriate sequence of options and the patient’s ability and willingness to pay; identify financial assistance screening when applicable.
Prepare information and paperwork for patient arrival, including face sheets, pre-authorizations, referrals, and Medicare ABNs, and determine arrival processing status.
Explain patient information, including advance directives, patient rights, treatment consents, and releases of information, and obtain required signatures.
Explain the financial impact of Medicare ABNs, Blue Cross financial waivers, Financial Obligations, and related forms.
Screen registrations for sensitive diagnoses and obtain special releases according to hospital policy.
Use technical billing knowledge to track and resolve pre-service and service data edits and clear applicable comprehensive data bill edits in the system.
Notify case managers of pre-authorization requirements and use scheduling resources appropriately to reduce waste and maximize productivity.
Remind patients to bring required information, referral forms, co-pays, deductibles, and other items to their service appointment.
Communicate diplomatically and respectfully in person and by telephone, including under stressful conditions.
Maintain a professional, pleasant demeanor and anticipate customers’ needs for clarification or additional information.
Comply with Stormont Vail Health policies, standards, mandatory training, and requirements, and perform other duties as assigned.