Patient Access I Registration Specialist ED

Obtain and explain copies of insurance card(s), forms of ID, and signature(s) on all required forms. Verify information on appropriate accounts to determine insurance coordination of benefits, pre-certification/prior-authorization if not verified by PASC. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verify insurance to determine coordination of benefits and obtain authorization and/or referrals as required. Screen for and process non-covered services and waiver of liability (ABN) through automated screening at time of service.
Inform self-pay patients of liability due, prepayment requirements and coordinate screening of alternate funding sources if applicable. Prepare estimate of procedures, calculate advance payment requirements on previous or bad debt and current balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Coordinate with clinical areas and other ancillary departments to obtain accurate orders in order to establish patient financial expectations.
Collect patient payments and provide accurate receipt. Post all payments in system. Reconcile receipts with cash collected and completes required balancing forms. Document patient account notes for all interactions/transactions.
Maintain departmental and/or individual work queues and reports as required. Explain/answer patient billing inquiries and interpret statement data to resolve accounts. Escalate account issues which cannot be resolved. Update the emergency department room tracking system.
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Minimum Qualifications

• High School Diploma or equivalent, required