Registration Coordinator I

MemorialCare•Long Beach, CA

2d•Onsite

About The Position

The Registration Coordinator position represents the beginning of the revenue cycle for the medical center in aspects of demographic and financial data gathering/ processing that will result in appropriate exam/procedure(s) and reimbursement of hospital services. This position is also responsible for initial patient intake, including scheduling, order entry, OP appointments, financial navigation providing out of pocket estimates to patients. Also responsible for reviewing previous visit reports to ensure appropriate appointment scheduling. Eligibility review and obtaining authorizations from referring physicians and/or requesting authorization for insurance payers. Conducts interviews with patients representing the medical center’s admission and financial policies that adhere to JCAHO standards. Under minimum supervision, performs specialized clerical duties which require frequent independent judgment and thorough understanding of applicable procedures. Duties include receiving and/or conveying information, preparing summaries, sorting and matching documents and filing records. Customer service, listening skills and the ability to work in a multi-cultural / multi-ethnic environment are critical. Adherence to high quality standards and use of lean principles to continuously improve performance.

Requirements

2+ years experience in hospital or outpatient/large medical group practice admitting setting or equivalent business experience preferred.
Experience and understanding of the hospital, outpatient, medical environment and government agencies.
Knowledge of medical and insurance terminology.
Electronic medical records experience a plus.
Demonstrated critical thinking and analysis skills are required.
40 WPM typing/keyboard skills preferred
Associates degree required; or any combination of education and experience, which would provide an equivalent background.
Bachelor's degree in health science, health care administration or related discipline preferred.
Business-related courses and experience is a plus.

Nice To Haves

Bilingual Preferred

Responsibilities

Triage patient intake for appropriate appointment schedule, review prior visit history, correct diagnosis, correct appointment and correct date/time.
Obtain initial patient demographics, including referring/ordering physician and third party/guarantor information.
Obtain accurate and current patient demographic and financial information to establish a valid medical record and patient billing account.
Expedite third party billing and collection in accordance with established hospital billing policies and standards.
Facilitate professional fee billing for outpatient clinic visits.
Complete and document the hospital’s Condition of Admission and advise patient of other related forms to ensure compliance with JCAHO regulations.
Inform patients of and collect insurance information, co-payments, deductibles, or deposits.
Follow established cash handling procedures.
Provide out of pocket estimates for patients.
Support all daily clinical records functions including filing in chronological order, retrieval and auditing.
Manage work queues to resolve errors in a timely manner.
Ensure that clinical record systems are maintained in compliance with state and federal regulations.
Direct patients and visitors appropriately giving clear and concise directions.
Escort patients to service site when necessary.
Timely notify (prior to services rendered for elective admissions and within 24 hours/and or the next business day for urgent/emergency admissions) all insurance/medical groups.
Verify eligibility, obtain benefit plan information and secure authorization when necessary.
Cross-train to cover front desk, scheduling and registration
Performs other duties as assigned.