Registration Specialist

WVU Medicine

10d

About The Position

Performs administrative and clerical duties to manage patient registration and patient financial obligations. The role obtains and enters patient demographic, billing, and insurance information; supports patient understanding of insurance, payment, and hospital procedures; prepares registration paperwork and obtains signatures; collects and documents applicable payments; and schedules or updates patient appointments. The specialist may also handle managed-care authorizations, coverage screenings, medical necessity checks, and order validation. The position operates in a high-volume, fast-paced healthcare environment and involves continual interaction with patients, medical staff, and support staff.

Requirements

High school graduate or equivalent.
State criminal background check and federal background check, if applicable, as required for regulated areas.
Ability to accurately use applicable computer software and equipment for access processing and follow downtime procedures.
Knowledge of procedures for reporting or documenting unsafe or hazardous conditions, incidents, and defective equipment in compliance with hospital policy.
Attention to detail, organization, and ability to perform multiple tasks simultaneously.
Ability to memorize information and reference information from written sources or appropriate personnel.
Ability to understand medical insurance payment requirements and basic knowledge of covered services.
Excellent written and verbal communication skills and ability to understand written and verbal communication.
Basic knowledge of medical terminology.

Responsibilities

Obtain demographic, billing, and insurance information from patients, family members, or legal guardians; enter it into registration and billing systems; and scan insurance cards and photo identification.
Provide patients with information concerning insurance, bill payment, and hospital procedures.
Complete managed-care pre-certification and authorization responsibilities as needed.
Prepare standard consent, notice of privacy practices, and other registration paperwork, present it for signature, and obtain electronic signatures for consent to treat and patient financial obligations.
Collect applicable deposits, co-payments, deductibles, and patient-liability payments; provide receipts and document payments in registration and billing systems.
Prepare patient identification armbands.
Balance daily receipts and the cash drawer for patient payments as needed, and follow up on accounts as indicated by system flags.
Initiate screenings as needed, obtain pertinent coverage information, and complete appropriate paperwork.
Perform medical necessity checks and complete Advanced Beneficiary Notices as needed.
Schedule, reschedule, or cancel patients in accordance with hospital workflows.
Check order completeness and validate orders against scheduled services.
Follow applicable computer-system access and processing procedures, including downtime procedures, and report or document unsafe or hazardous conditions, incidents, and defective equipment in compliance with hospital policy.