Reg/Sched Rep (Weekend Package)

Clarke County Hospital•Osceola, IA

6d•Onsite

About The Position

This role focuses on customer service, registration, and scheduling for patients. The representative will greet and direct patients and visitors, answer and transfer calls professionally, and manage patient registration and scheduling for clinics and the hospital. Key responsibilities include gathering and verifying patient demographic and insurance information, scheduling appointments, ensuring patients understand and sign necessary forms, processing practitioner orders, verifying insurance benefits, collecting payments, and assisting with financial counseling. The role also involves coordinating with internal departments and external practitioners, training new employees, auditing systems, and participating in process improvement initiatives. A strong emphasis is placed on customer satisfaction, accuracy, and adherence to hospital policies and procedures.

Requirements

Greets and directs all patients, visitors, sales representatives, etc., who need assistance to the appropriate department and/or staff member using AIDET, Take Not Tell tools.
Answers/transfers telephone calls in a clear, calm and professional manner.
Screens calls by urgency and routes calls promptly, accurately and professionally to appropriate party.
Receives and interviews patient or responsible individual to gather, verify and enter demographic and insurance information necessary for completion of electronic health record and insurance claim processing at each patient visit in electronic health record.
Schedules, preregisters, cancels, reschedules tests and procedures for clinics and hospital and coordinates scheduling of tests and procedures to assure they meet medical necessity, patient, department and practitioner needs while maintaining appointment schedule according to department procedure.
Ensures the patient or guardian understands and signs consent, insurance and other required forms.
Receives, transcribes, schedules and scans practitioner orders into electronic record daily.
Enters reason for tests/procedure to meet medical necessity and refers to UR for further review if needed. Refers tests/procedures to UR that need prior authorization.
Verifies insurance benefits with insurance companies via phone calls, faxes or internet and documents verification in each patient record, as appropriate.
Educates patient/guarantor regarding insurance benefits; making arrangements for payment of co-pays, co-insurance and/or deductibles.
Assists with financial counseling on self-pays.
Collects payments, issues receipts and reconciles daily receivable activity.
Obtains patient information from other practitioner offices for scheduling and assigns time for exams.
Coordinates scheduled exams with mobile and contracted companies.
Educates outside practitioners and office staff as to ordering outpatient services at CCH.
Compiles and distributes information regarding personal, insurance and financial status.
Provides appropriate forms to billing and other departments.
Communicates and coordinates services with internal departments and internal and external practitioner office staff.
Assists in orientation/training of new employees.
Conducts audits of the scheduling system to ensure standards are being met when requested.
Actively participates in developing plans to implement new procedures and processes – working collaboratively with other departments, practitioners and contract services.
Reviews and maintains appropriate computer master files: patient master data, guarantor, physician and insurance as well as correlating appropriate manuals.
Maintains all required records, reports, statistics, etc.
Demonstrates creative, critical thinking skills.
Focuses daily work toward high customer satisfaction.
Maintains regular and consistent attendance at work.
Participates in departmental, organizational and mandatory meetings, educational e-mails, etc.
Actively participates in team oriented decision making process. Is a team player, willing to be flexible and open to ideas of others.
Requires a high degree of accuracy. Ability to recognize and correct discrepancies.
Develops a proactive mind set towards the job. Observes opportunities for improvement, formulates ideas, communicates those ideas with their supervisor and/or other staff, and carries out variations in work habits in continuous quality improvement.
Completes all annual education and competency requirements within the calendar year.
Demonstrates Clarke County Hospital Standards of Behaviors as well as adheres to hospital and department policies and procedure, infection control, quality assurance, compliance and safety guidelines.
Reports conduct that is known or suspected to be illegal or in violation of the organizations policies and procedures.
Brings any questions or concerns regarding compliance to the immediate attention of manager.

Responsibilities

Greets and directs all patients, visitors, sales representatives, etc., who need assistance to the appropriate department and/or staff member using AIDET, Take Not Tell tools.
Answers/transfers telephone calls in a clear, calm and professional manner.
Screens calls by urgency and routes calls promptly, accurately and professionally to appropriate party.
Receives and interviews patient or responsible individual to gather, verify and enter demographic and insurance information necessary for completion of electronic health record and insurance claim processing at each patient visit in electronic health record.
Schedules, preregisters, cancels, reschedules tests and procedures for clinics and hospital and coordinates scheduling of tests and procedures to assure they meet medical necessity, patient, department and practitioner needs while maintaining appointment schedule according to department procedure.
Ensures the patient or guardian understands and signs consent, insurance and other required forms.
Receives, transcribes, schedules and scans practitioner orders into electronic record daily.
Enters reason for tests/procedure to meet medical necessity and refers to UR for further review if needed. Refers tests/procedures to UR that need prior authorization.
Verifies insurance benefits with insurance companies via phone calls, faxes or internet and documents verification in each patient record, as appropriate.
Educates patient/guarantor regarding insurance benefits; making arrangements for payment of co-pays, co-insurance and/or deductibles.
Assists with financial counseling on self-pays.
Collects payments, issues receipts and reconciles daily receivable activity.
Obtains patient information from other practitioner offices for scheduling and assigns time for exams.
Coordinates scheduled exams with mobile and contracted companies.
Educates outside practitioners and office staff as to ordering outpatient services at CCH.
Compiles and distributes information regarding personal, insurance and financial status.
Provides appropriate forms to billing and other departments.
Communicates and coordinates services with internal departments and internal and external practitioner office staff.
Assists in orientation/training of new employees.
Conducts audits of the scheduling system to ensure standards are being met when requested.
Actively participates in developing plans to implement new procedures and processes – working collaboratively with other departments, practitioners and contract services.
Reviews and maintains appropriate computer master files: patient master data, guarantor, physician and insurance as well as correlating appropriate manuals.
Maintains all required records, reports, statistics, etc.
Demonstrates creative, critical thinking skills.
Focuses daily work toward high customer satisfaction.
Maintains regular and consistent attendance at work.
Participates in departmental, organizational and mandatory meetings, educational e-mails, etc.
Actively participates in team oriented decision making process. Is a team player, willing to be flexible and open to ideas of others.
Requires a high degree of accuracy. Ability to recognize and correct discrepancies.
Develops a proactive mind set towards the job. Observes opportunities for improvement, formulates ideas, communicates those ideas with their supervisor and/or other staff, and carries out variations in work habits in continuous quality improvement.
Completes all annual education and competency requirements within the calendar year.
Demonstrates Clarke County Hospital Standards of Behaviors as well as adheres to hospital and department policies and procedure, infection control, quality assurance, compliance and safety guidelines.
Reports conduct that is known or suspected to be illegal or in violation of the organizations policies and procedures.
Brings any questions or concerns regarding compliance to the immediate attention of manager.