Registration Representative 3p-11:30p 40hrs

UMass Memorial Health•Worcester, MA

2d•Onsite

About The Position

Under the general direction of the Registration Services Supervisor, Manager, and/or Director, the Registration Representative performs a variety of complex duties related to patient registration. This cross-trained role includes in-person consent capture on units and work in hospital outpatient and Emergency Department environments. The position is scheduled for 40 hours per week from 3:00 p.m. to 11:30 p.m., with every other weekend and every other holiday rotation. The role may also require holiday or weekend shift work and after-hours coverage as needed. The representative gathers and enters patient demographic, insurance, and related information; obtains signatures on required paperwork; verifies coverage and helps ensure required authorizations, certifications, and referrals are in place. The role also supports scheduling and patient arrivals across several services, admissions and bed-control processes, payment collection, financial-needs referrals, patient communications, clerical work, records maintenance, valuables handling, death-certificate registry completion, and monitoring work queues for accurate and timely billing. Staff follow departmental policies, participate in training and quality-improvement work, comply with health and safety requirements, and contribute to a respectful and professional environment.

Requirements

High school diploma.
Proficient data-entry skills with attention to detail.
Computer skills, including use of Windows and ability to navigate.
Verbal and written customer-service skills with a variety of internal and external customers.
Ability to work in a high-volume, team-oriented environment.
English speaking, reading, and writing skills.

Nice To Haves

Associate degree or certificate in a healthcare-related field.
1–2 years of data-entry and/or customer-service experience.
Experience in hospital admissions, insurance, billing, scheduling, or telephone customer service.
Previous insurance-verification experience.
Bilingual speaking, reading, and writing skills.
Demonstrated knowledge of medical terminology.
An equivalent combination of education and experience that provides proficiency in the listed areas of responsibility may substitute for the stated education and experience requirements, unless certification is required.

Responsibilities

Obtain and accurately enter patient demographic, insurance, and other related information into the computer-based registration and scheduling system.
Collect patient and/or witness signatures on required paperwork, including HIPAA and Consent to Treat forms.
Obtain and verify insurance coverage; follow insurer guidelines to secure required pre-authorizations, pre-certifications, and physician referrals before visits, and follow up to correct discrepancies.
Obtain and verify workers’ compensation and automobile coverage when required.
Schedule and/or arrive Radiology, Lab, and basic ancillary service appointments.
Complete Emergency Department and Labor & Delivery demographic and insurance collection and arrivals.
Coordinate the provision of multiple services to patients.
Collect patient liabilities, including deductibles, copays, coinsurance, self-pay payments, cosmetic procedure payments, and balances, as appropriate, before or on the date of service.
Perform Surgical Day admissions.
Perform bed-control, transfer, discharge, and admission tasks.
Provide standard information about preparation for scheduled procedures and services.
Assess patients’ financial needs and direct or refer them to financial counseling or the appropriate person or area.
Perform related clerical duties, including retrieving records, faxing, collating, typing, transcribing, taking and relaying messages, transcribing paper orders when applicable, and mailing packets.
Maintain accurate and timely records, logs, files, and related information.
Complete the online death certificate registry.
Receive and secure patient valuables.
Monitor and maintain Patient Access and Revenue Cycle work queues to support accurate and timely billing.
Comply with departmental policies, procedures, and objectives; attend required meetings, conferences, seminars, and training.
Use Lean Methodology and Quality Improvement in daily operations.
Follow health and safety regulations and requirements, including use of PPE as required by policy.
Promote professionalism, respect, tolerance, civility, and acceptance toward employees, patients, and visitors; perform other similar and related duties as required or directed.