Pre-Registration Specialist I

Oklahoma Heart Hospital•Oklahoma City, OK

About The Position

The Pre-Registration Specialist is often the first point of contact for patients and represents Oklahoma Heart Hospital with a high standard of customer service and compassion. The role facilitates patients’ entry into OHH facilities through registration and financial clearance, including accepting payments by phone, helping establish payment plans, and providing financial assistance information. The specialist ensures accurate patient data is entered into the patient record and maintains knowledge of insurance carriers, Medicare guidelines, and applicable federal, state, and accreditation guidelines. The position performs pre-registration and insurance verification for inpatient and outpatient services, generally within 24 hours of receiving notification. It also includes benefits verification, resolving authorization or referral issues with physicians, confirming eligibility electronically when applicable, researching visit history for payer payment-window compliance, completing Medicare secondary payer questionnaires when applicable, and calculating patient cost share for collection or payment arrangements.

Requirements

High school graduate or equivalent.
One to three years of clerical experience.
Professional verbal and written communication skills.
CRT skills, typing speed of 45 words per minute, and 10-key skills.

Nice To Haves

Clerical experience in a medical setting.
Experience with medical terminology and insurance plans.
Working knowledge of Windows-based operating systems.

Responsibilities

Represent Oklahoma Heart Hospital with a high standard of customer service and compassion.
Facilitate patient registration and financial clearance for entry into OHH facilities.
Accept payments over the phone, help set up payment plans, and provide financial assistance information.
Ensure accurate patient data is obtained and entered into the patient record.
Perform pre-registration and insurance verification for inpatient and outpatient services within 24 hours of receiving notification.
Follow scripted benefits verification procedures.
Contact physicians to resolve prior authorization or referral form issues.
Assign insurance plans accurately.
Perform electronic eligibility confirmation when applicable and document the results.
Research patient visit history to ensure compliance with payer-specific payment-window rules.
Complete Medicare secondary payer questionnaires when applicable.
Calculate patient cost share and be prepared to collect payment by phone or arrange payment.