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; handles registration documentation and payments; and supports scheduling and order validation. The specialist also communicates information about insurance, bills, and hospital procedures to patients and their representatives.

Requirements

  • High school graduate or equivalent.
  • Complete a state criminal background check and, if applicable, a federal background check 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 accordance with hospital policy.
  • Attention to detail, organization, and ability to perform multiple tasks simultaneously.
  • Ability to memorize and recall substantial information or reference 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 or their representatives; enter it into registration and billing systems; and scan insurance cards and photo identification.
  • Provide patients with information about insurance, bill payments, and hospital procedures.
  • Complete managed care pre-certification and authorization tasks when needed.
  • Prepare consent forms, privacy notices, and other registration paperwork; obtain required signatures, including electronic signatures for consent to treat and 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 as needed, and follow up on accounts identified by system flags.
  • Initiate applicable screenings, gather coverage information, and complete associated paperwork.
  • Perform medical necessity checks and complete Advanced Beneficiary Notices as needed.
  • Schedule, reschedule, or cancel patients according to hospital workflows.
  • Check orders for completeness and validate them against scheduled services.
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