PRE-REGISTRATION SPECIALIST

Cook County•Chicago, IL

2d•$23•Onsite

About The Position

Under the direction of the System Manager of Patient Access, Pre-Processing, collects information to preregister patients, verifies insurance and/or other payment sources for all outpatient-related services, including same day procedures and other ambulatory and hospital-based outpatient services. Identifies and determines order of priority for coordination of benefits (COB). Responds to customer concerns and reports status to Supervisor or Manager. The pre-registration specialist's role helps to avoid implications of incomplete preregistration/insufficient staffing. Such implications include, but are not limited to, inability to locate the patient file in the system and/or submit a request for pre-certification, non-submission of claims for processing, and payment discounts and/or timely filing denials.

Requirements

High School diploma or GED equivalent is required. (Must provide proof at time of interview)
Three (3) years of experience in patient access or patient registration in a health care setting is required.
One (1) year of data entry experience is required.
Knowledge and understanding of Federal, State and local healthcare regulations
Knowledge of Microsoft Office Suite, registration and eligibility system
Strong customer service and empathy skills
Demonstrates good computer and typing skills
Demonstrate good phone and email etiquette skills with strong response times
Excellent verbal and written communication skills necessary to communicate with all levels of staff and a patient population composed of diverse cultures and age groups
Strong mathematical skills
Ability to follow HIPAA standards and comply with patient confidentiality policies
Ability to prioritize, plan, and organize projects and tasks
Ability to multi-task and meet quotas and deadlines in a fast paced and stressful environment
Ability to adhere to department policies and standards utilizing best practices
Ability to make competent professional judgments and decisions
Understanding of the formal and informal organization structure
Demonstrates a desire and willingness to maintain and upgrade professional skills and education
Demonstrate analytical and organizational, problem-solving, critical thinking, and conflict management/resolution skills
Demonstrate attention to detail, accuracy, and precision

Nice To Haves

Prior call center experience is preferred.

Responsibilities

Utilizes electronic reports and/or schedules to identify patients needing to be preregistered for admission and same day surgery, in addition to any outpatient and/or ancillary services
Contacts patients via telephone to preregister at least 5-7 days prior to schedule appointments
Completes initial screening of self-pay patients to determine eligibility for financial assistance of hospital-based outpatient services
Acquires all essential demographic and insurance information needed for processing and pre-registration purposes
Identifies procedures that require pre-certification and subsequently notifies the appropriate department.
Utilizes eligibility vendor, or other electronic communication media to verify benefits
Identifies and determines order of priority for coordination of benefits (COB)
Updates Patient Management System with all insurance coverage updates; classifies the patient account with the appropriate coverage
Makes appropriate notes documenting the reason patient information may be missing from the file
Responds to customer concerns in a timely and professional manner and reports all developments or outcomes to System Manager of Patient Access, Pre-Processing
Answers all incoming phone calls in an efficient and courteous manner
Adhere to HIPAA standards and complies with patient confidentiality policies for the retention of patient information, handling, distribution or disposal of patient health information
Adheres to key performance indicators (KPI’s) to meet departmental and organizational pre-registration goals
Communicates with supervisors, managers, and patients daily; physicians, administrative and clinical staff members occasionally
Performs other duties as assigned by the department System Manager of Patient Access, Pre-Processing