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

Stormont-Vail HealthCare•Topeka, KS

3d•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 patient and insurance information, insurance pre-certification, calculating liabilities, providing financial education, resolving financial matters with patients, identifying financial assistance eligibility, and identifying and resolving pre-bill edit failures. Work must follow established policies and procedures and comply with applicable accreditation, Medicare, payer-contract, and regulatory requirements. The representative prepares patients for service by collecting and validating the required information and paperwork, explaining applicable financial and patient documents, obtaining signatures, and addressing pre-service requirements. The position uses advanced technical billing knowledge to track and clear data edits, coordinates pre-authorization needs, and communicates professionally with patients and other customers. The role is designated as not patient-facing and has hybrid remote-work capability, subject to workspace, connectivity, privacy, attendance, and remote-work policy requirements.

Requirements

High school diploma or GED.
Two years of experience in a clinical healthcare position related to patient financial services, registration, or scheduling.
Knowledge of computers and MS Windows applications.
Excellent interpersonal and communication skills and the ability to exhibit patience.

Nice To Haves

Associate degree.
Keyboarding or typing speed of at least 30 words per minute.
Good math and analytical skills.
Knowledge of medical terminology.

Responsibilities

Identify the information required at registration and obtain it; determine the patient’s financial education needs and required forms.
Collect and update the comprehensive data set at 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 their arrival for service.
Identify insurance sources and collect and document accurate insurance information in a timely manner.
Identify managed-care provisions and follow up with appropriate parties to resolve outstanding issues.
Obtain estimated charges when appropriate and calculate patient liabilities for requested services.
Negotiate financial resolution using appropriate options and consideration of the patient’s ability and willingness to pay.
Identify opportunities for financial assistance screening (HAP), 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 and documents, including advance directives, patient bill of 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 other applicable documents.
Screen registrations for sensitive diagnoses and obtain special releases according to hospital policy.
Track and resolve pre-service and service data edits using advanced technical billing knowledge, and clear applicable comprehensive data bill edits in the system.
Notify the case manager of pre-authorization requirements.
Use resources appropriately when scheduling to reduce waste and maximize productivity.
Remind patients to bring required information, referral forms, co-pays, and deductibles to their service appointment.
Communicate with diplomacy and respect, perform professionally under stressful conditions, and anticipate patients’ needs for clarification or additional information.
Comply with Stormont Vail Health policies, standards, mandatory training, and requirements; perform other duties as assigned.