Registration Review Specialist

CoxHealth • Springfield, MO

8d • Onsite

About The Position

A Registration Review Specialist works in a high volume, fast paced environment. They receive incoming and make outgoing phone calls while serving as a liaison between patients, payers, and other health care team members. The Registration Review Specialist must be able to work efficiently under pressure in urgent situations. They are responsible for order management as well as verifying patient demographics, insurance information, medical necessity, and pre-authorization requirements. Calculates patient estimates based on the service scheduled, the contracted plan and reimbursement allowances, benefits, and out of pocket thresholds. The Registration Review Specialist may also assist in rescheduling patient appointments when required. May perform a preliminary Financial Assistance screening to determine eligibility for assistance programs, facilitate applications, and schedule appointments with the Financial Navigation Team.

Requirements

• High School Diploma or Equivalent
• Excellent customer service and interpersonal skills
• Knowledge of medical terminology or CPT or procedure codes
• Strong computer and relevant application use skills
• Ability to multi-task in a fast paced environment
• Ability to effectively adapt and respond to urgent needs and requests
• Demonstrates initiative and self-motivation
• Working knowledge of health insurance plan benefits
• Demonstrates understanding and consistent practice of need for privacy and confidentiality

Nice To Haves

• 1 year pre-registration, scheduling, financial counseling or equivalent education/experience
• CHAA or CRCR

Responsibilities

• Order management
• Verifying patient demographics, insurance information, medical necessity, and pre-authorization requirements
• Calculates patient estimates based on the service scheduled, the contracted plan and reimbursement allowances, benefits, and out of pocket thresholds
• Assist in rescheduling patient appointments when required
• Perform a preliminary Financial Assistance screening to determine eligibility for assistance programs, facilitate applications, and schedule appointments with the Financial Navigation Team

Benefits

• Medical
• Vision
• Dental
• Retirement with Employer Match

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 101-250 employees