Preregistration Representative

Presbyterian Healthcare Services•Socorro, NM

13d•Onsite

About The Position

At Socorro General Hospital in beautiful Socorro, New Mexico, this role offers the chance to make a meaningful first impression on every patient’s healthcare journey. As a Preregistration Representative, you’ll help ensure a smooth start to each visit by creating accurate patient accounts and reviewing key information from scheduling systems, physician offices, and patients themselves. You’ll serve as an essential checkpoint for data accuracy while also supporting other Patient Access teams to keep our registration process efficient, welcoming, and patient‑focused.

Requirements

Highschool Diploma/GED required.
Completion of one-year relevant work experience in healthcare, such as registrar, business office, medical group office experience, insurance verification, etc.
One to two years customer service experience in any environment.
Must be able to work cooperatively with the public as well as all levels of staff and management within the organization.
Requires exceptional organizational and prioritization skills.
Typing and ten key required.

Nice To Haves

Bilingual preferred

Responsibilities

Creates scheduled inpatient admission accounts, including obstetric admissions, inpatient and outpatient surgery accounts, series accounts, and radiology and diagnostic studies accounts in the Hospital Information System from Scheduling Systems or other scheduling methods as agreed to by the Hospital.
Validates and verifies demographics with the patient, physician or other entity by placing outgoing calls, using the Hospital Information System or by other means when appropriate.
Research patients phone numbers, if not available, by contacting the referring physicians office, search past accounts, and phone directories if necessary.
Review all outstanding discharged patient accounts prior to phoning the patient. This will ensure the necessary follow up with patient to close previous discharged accounts prior to new visit beginning.
Contacts patient to complete pre-registration, collect defined minimum data set, including patient demographic and other identification data, insurance or other third-party payer information.
Pre-Registers accounts in accordance with departmental Documentation Standards.
Ensures patient demographic, financial and insurance information is documented in the Hospital Information System in a clear, concise, consistent and accurate manner.
Research inaccurate, incomplete or inconsistent information in accordance with departmental guidelines.
Selects appropriate insurance plan codes for patient accounts.
Provides a high level of customer service when dealing with patients and their families, departments and divisions.
Communicates with patients in a confidential professional manner using tact and diplomacy.
Provides high quality work without direct supervision.
Adheres to department Quality Review process.
Performs extensive follow-up as accounts are processed to ensure timely and accurate completion.
Adheres to department productivity expectations as outlined.
Uses department standard priority matrices and guidelines to prioritize daily workflow.
Follows other planned priorities as assigned by the Patient Access Supervisor.
Develops strong working relationships with all units within Patient Access such as, but not limited to Registration, Insurance Verification, POS Team and Financial Counseling.
Additionally, develops working relationships with other departments such as the clinics and divisions to ensure maximum communication and coordination of service delivery.
Participates in staff meetings and training sessions.
Stays current on changing payer requirements related to accurate and high-quality registration of patient accounts.
Receives cross-training to work all Scheduling Systems.
Receives cross-training across another department as needed.
Works in a team environment.
Assists other representatives and the Patient Access Supervisor as needed.
Identifies when he/she requires assistance.
Functions as a registration and insurance plan code expert.
Identifies staff training needs.
Notifies Patient Access Supervisor of any training items or issues that might be relevant to other Patient Access Representatives.