Pre-Registration Specialist

University of Arkansas System•Little Rock, AR

About The Position

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans. This position works under supervision and provides comprehensive support for finance and patient care activities. The Pre-Registration Specialist collects patient intake documents ahead of the appointment which saves time and reduces paperwork. The specialist’s responsibilities include but are not limited to answering inbound/outbound calls, collecting patient demographics, which include personal demographics, employment, guarantor, emergency contact information and insurance information. While checking insurance the Specialist verifies insurance information, checks for Medicaid PCP information, answers Medicare Questionnaires, and checks for out of network or out of area coverage. The Specialist directs out-of-network insured patients to Office of Financial Counseling while advising in network patients of their insurance copay and deductible. The Pre-Registration Specialist gives detailed appointment information that includes time, location, and physician information. This position must be able to perform all duties of the Pre-Registration Specialist level and other duties to support patient care activities as required. This position is the network specialist for understanding patient insurance.

Requirements

High School, GED or formal educational equivalent
2 years’ customer service or healthcare experience
Ability to follow oral instructions, read, and write.
Computer /basic keyboard skills
Telephone etiquette skills
General knowledge of office machines including printers and scanners.
Excellent customer service skills.
Proof of legal authority to work in the United States on the first day of employment.

Nice To Haves

Associate degree in general studies or related
One Year in medical office setting

Responsibilities

Collect patient intake documents ahead of the appointment.
Answer inbound/outbound calls.
Collect patient demographics (personal, employment, guarantor, emergency contact, insurance).
Verify insurance information.
Check for Medicaid PCP information.
Answer Medicare Questionnaires.
Check for out-of-network or out-of-area coverage.
Direct out-of-network insured patients to Office of Financial Counseling.
Advise in-network patients of their insurance copay and deductible.
Provide detailed appointment information (time, location, physician).
Perform all duties of the Pre-Registration Specialist level and other duties to support patient care activities as required.
Understand patient insurance and act as the network specialist.
Conduct pre-registration, input and/or update accurate patient information.
Conduct insurance verification and benefits explanation by running eligibility on patients, requesting outside records, and gathering outside medical records from referrals.
File patient charts as needed.
Understand insurance plan codes and work with the patient to ensure correct information is placed on the correct Epic account.
Change insurance plans and codes as needed.
Recognize out-of-network plans and refer the case to a Pre-Reg Specialist II or supervisor.
Call insurance companies to discuss worker compensation coverage, pre-approved visits, and other coverage issues.
Explain to the patient what coverage UAMS is accepting as in-network.
Maintain initial plan of care (signatures, etc.).
Record daily and monthly statistics.
Communicate any medical records issues, including PCP referrals and information from insurance companies.
Attend required training and/or in-services.
Attend staff meetings and participate in the orientation and/or training of new staff.
Participate in annual educational needs assessment.
Maintain required job skill competencies and complete skill assessment annually.
Complete and maintain documentation of continuing education hours annually.
May include standing up a call-in line for communicable disease screening, overflow from Student Employee Health.
Requires rapid changeable communication with patients.