Pre-Registration Specialist

University of Arkansas for Medical Sciences•Little Rock, AR

2d•Onsite

About The Position

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, and 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

Collects patient intake documents ahead of the appointment.
Answers inbound/outbound calls.
Collects patient demographics, including personal demographics, employment, guarantor, emergency contact information, and insurance information.
Verifies insurance information, checks for Medicaid PCP information, answers Medicare Questionnaires, and checks for out of network or out of area coverage.
Directs out-of-network insured patients to Office of Financial Counseling.
Advises in-network patients of their insurance copay and deductible.
Gives detailed appointment information including time, location, and physician information.
Performs all duties of the Pre-Registration Specialist level and other duties to support patient care activities as required.
Understands patient insurance and acts as the network specialist.
Conducts pre-registration, inputs and/or updates accurate patient information.
Conducts insurance verification and benefits explanation by running eligibility on patients, requesting outside records, and gathering outside medical records from referrals.
Files patient charts as needed.
Understands insurance plan codes and works with the patient to ensure correct information is placed on the correct Epic account.
Changes insurance plans and codes as needed.
Recognizes out of network plans and refers the case to a Pre-Reg Specialist II or to a supervisor.
Calls insurance companies to discuss worker compensation coverage, pre-approved visits, and any other coverage issues.
Explains to the patient what coverage UAMS is accepting as in network.
Maintains initial plan of care (signatures, etc.).
Records daily and monthly statistics.
Communicates any medical records issues, which can include PCP referrals and information from insurance companies.
Attends required training and/or in-services.
Attends staff meetings and participates in the orientation and/or training of new staff.
Participates in annual educational needs assessment.
Maintains required job skill competencies and completes skill assessment annually.
Completes and maintains 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.