What are the responsibilities and job description for the EMS Patient Registration position at Capital Health?
Work Shift:
Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.
Position Overview:
SUMMARY (Basic Purpose of the Job)
Maintains the financial integrity of all of the front-end registration and insurance verification functions while upholding the utmost in customer satisfaction and quality patient care. Applies all financial screening guidelines to ensure the most collectible income. Maintains up-to-date knowledge and adheres to all payors and regulatory guidelines for medical insurance claims for processing and reimbursement. Works in collaboration with the revenue cycle team and patient care areas to uphold the proper philosophies of patient care and maximum reimbursement.
MINIMUM REQUIREMENTS
Education:
High school diploma or equivalency.
Experience:
One year experience in a healthcare setting or one year customer service experience with medical terminology and basic computer skills required.
Other Credentials:
Knowledge and Skills:
Strong organizational and follow-up skills. Excellent communication skills and ability to work independently or in a team environment. Familiarity with insurance language and basic understanding of coding preferred.
Special Training:
Proficient computer skills. Understanding of ICD-10 and CPT coding classifications. Basic knowledge of medical terminology, anatomy, and physiology.
Mental, Behavioral and Emotional Abilities:
Ability to handle a stressful environment.
Usual Work Day:
8 Hours
Reporting Relationships
Does this position formally supervise employees? No
ESSENTIAL FUNCTIONS
- Follows all payor requirements and identifies correct forms/attachments for every patient encounter. Performs verification of benefits on all patient encounters. Audits chart for accuracy.
- Follows computer system, internet-based insurance applications, and department operational procedures and training guidelines to obtain accurate demographic, diagnosis, authorizations and insurance information on each registration.
- Works collaboratively with other external departments, to obtain essential registration information such as insurance, demographics, and physician orders for transport are accurate.
- Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Medicare Necessity Regulations,
- Provides leadership with goal productivity reports.
- Correctly identifies a patient according to policy, completes all patient registration types by collecting and entering accurate patient demographics, physician information, insurance information and valid category codes.
- Assures insurance information is verified, and authorization is obtained.
- Understands CH insurance plans and the ability to identify nonparticipating plans.
- Reviews, updates, corrects, and approves all case charges. Ensure accuracy and enters all medical and facility charges into billing system.
- Assigns codes with accuracy rate in accordance with coding guidelines.
- Follows Financial Screening and Self Pay Procedure related to referrals for Medicaid and CapitalCare.
- Adds charges to the patient record according to the care and service level provided while adhering to contractual agreements as well as federal rules and regulations.
- Attends all mandatory department meetings.
- Performs other duties as assigned.
PHYSICAL DEMANDS AND WORK ENVIRONMENT
Frequent physical demands include: Sitting , Standing , Walking , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motion
Occasional physical demands include: Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl
Continuous physical demands include: Talk or Hear
Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.
Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Accurate Depth Perception, Accurate Hearing
Occasional physical demands include: Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl
Continuous physical demands include: Talk or Hear
Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.
Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Accurate Depth Perception, Accurate Hearing
Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens , Airborne Communicable Disease , Extreme Noise Levels , Dust/Particulate Matter
Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.
"Company will never ask candidates for social security numbers or date of birth during application phase. If you are asked for this information online, you may be a target for identity theft."
