Registration Rep - Helen Keller - Main Registration - PRN - Shift Varies

HH Health System•Sheffield, AL

2d•Onsite

About The Position

Responsible for the registration process for patients, including interviewing, preparing admitting forms, and assigning rooms. This role also involves receiving and verifying faxed documentation for accuracy and medical necessity before attaching it to patient accounts. The Registration Rep ensures proper patient identification, verifies financial and biographical data, and monitors workflow to ensure prompt registration. They handle return mail follow-up, review orders for accuracy and medical necessity according to hospital policy and insurance guidelines, and attach all faxed documentation to the correct accounts. The position requires meeting departmental budget and staffing requirements, providing input for process improvements, and ensuring compliance with hospital, departmental, and billing/collection policies and procedures. This includes Medicare medical necessity, developing processes to eliminate insurance denials due to lack of pre-certification or verification, and performing monthly audits to meet quality goals. The role also involves meeting JCAHO accreditation and accounts receivable goals, increasing front-end collections, decreasing bad debt, and eliminating denials. A key aspect is understanding the importance of customers (patients, visitors, physicians, staff) and increasing patient satisfaction and community involvement.

Requirements

High School or equivalent preferred
On-the-job training or equivalent training in admitting procedures
Completes Hospital and Department orientation
Ability to work with personal computer
Ability to manage a sometime stressful work environment; subject to varying and unpredictable situations
Ability and willingness to work long irregular hours

Responsibilities

Responsible for registration start up process, consents signed, dated and witnessed appropriately
Facilitates transfers to ancillary areas
Prepares admitting sign in log
Assists in pre-registering whenever possible
Distributes upfront information forms to admitting
Ensures proper identification of patient before registration begins by obtaining social security number, insurance cards, and driver’s license
Verifies all data for accurate patient and guarantor data
Ensures financial, biographical data, documentation have been obtained properly
Monitors admitting work flow to insure patients are registered promptly
Handles return mail follow-up to obtain correct guarantor mailing address
Responsible for receiving all faxed documentation and reviews all orders for accuracy and Medical Necessity per hospital policy and insurance guidelines
Attaches all faxed documentation to the correct accounts
Meet departmental budget and staffing requirements
Provide input for new processes and strategies for improvements
Responsible for compliance with hospital, departmental and billing and collection policy and procedures, including Medicare medical necessity
Offers recommendations for departmental improvement
Follows flowchart work process
Monitors financial data, demographics and documentation; ensures 98% data accuracy
Develop process for elimination of insurance denials due to lack of pre-certification, insurance verification, insurance follow up
Monthly audits will be performed by supervisor to determine if quality goal is met
Meet JCAHO accreditation
Meet accounts receivable goals, increase front-end collections by 30%, decrease bad debt, eliminate denials
Understands the importance and value of our customers to include patients, visitors, physician and staff, increase patient satisfaction, community involvement