What are the responsibilities and job description for the Patient Admission & Registration Clerk position at Navajo Health Foundation - Sage Memorial Hospital?
Description
Position Summary:
This position performs registration and admission flow for inpatient and outpatient. Updates patient demographic information, ensures accurate patient data is collected. Verifies insurance information, obtains prior authorization and required signatures and fulfills the philosophy of the hospital.
This list of duties and responsibilities is illustrative only of the task performed by this position and is not all-inclusive.
Essential Duties & Responsibilities
While performing the duties of this job, the employee regularly is required to sit; use arms and hands to reach and grasp objects; talk and hear. The employee frequently is required to walk. The employee occasionally is required to stand; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds.
Work Environment
Work is generally performed in an office with moderate noise level. Day and evening shift, work holidays and weekends. Extended hours and irregular shifts may be required.
Req Number ADM-25-00006
Position Requirements
Minimum Qualifications
High School Diploma or General Equivalency Diploma.
Three (3) years of progressive work experience in clerical or equivalent combination of education and experience.
Must successfully pass the Employee Health requirements (Maskfit & Immunization) and pre-employment (background investigation & drug screen test)?
About the Organization Navajo Health Foundation - Sage Memorial Hospital, Inc. is a private, nonprofit 501(c)(3) corporation. It is the first Native-managed private comprehensive health care system in the country, and has been managed since 1978 by an independent, entirely Navajo Board of Directors.
Sage Memorial Hospital is the only Native American hospital to hold both a license from the Arizona Department of Health Services and Accreditation from The Joint Commission.
The hospital campus is located on private land owned by the Presbyterian Church, within the Navajo Nation Reservation. The organization includes a Critical Access Hospital and outpatient clinic, and an outpatient clinic 28 miles away in Greasewood Springs, AZ.
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
Position Summary:
This position performs registration and admission flow for inpatient and outpatient. Updates patient demographic information, ensures accurate patient data is collected. Verifies insurance information, obtains prior authorization and required signatures and fulfills the philosophy of the hospital.
This list of duties and responsibilities is illustrative only of the task performed by this position and is not all-inclusive.
Essential Duties & Responsibilities
- Greet and provide professional and courteous customer service to all patients, families, visitors and employees.
- Interview patients to determine if patient is new, current or returning; initiate a new or reactivate health record number and account to generate a SMH Claim. Communicate information with the Health Information Management Department regarding reactivation of health record.
- Verify patient identity (State ID, Driver’s License, Birth Certificate, CIB), if patient is a minor, verify minor’s Parents or any Legal Guardianship, Court Order Temporary Custody, Power of Attorney, SMH Consent for Treatment for a Minor Child, if brought in by anyone other than parents. Communicate and verify with Health Information Management Department.
- Register patient for Clinic or ER accurately. Update all patient’s demographic information accurately and completely at every visit in MEDITECH Expanse Data Base. Obtain and photocopy all required documentation and signatures. Print patient identification band and have patient verify information and place on patient’s wrist. For infant’s place identification band on ankle.
- Provide and explain SMH Condition of Treatment form, Patient’s Bill of Rights (BOR), and the Notice of Privacy Practice (NPP).
- Register and complete patient admission to Inpatient or Observation. Admission information will be provided by inpatient nursing staff by email with date, time, service, physician and room. Complete all required admission documents, armband and signature.
- Complete all inpatient discharge according to inpatient nurse email with date, time and disposition.
- Obtain prior authorization and/or pre-certification for all admission or clinic services.
- Ensure that all inpatient admissions are accurate. Review patient armband for accuracy, admission entry, documentation, verifications and signatures are complete.
- Verify on every visit all patients Third-Party Insurance Medicaid (AHCCCS), Medicare, and Private/Commercial and Workers Compensation. Update and enter all third-party insurance data in a timely manner in MEDITECH Expanse for accurate billing.
- Set up and/or utilize electronic eligibility system for Third-Party Insurance. Perform telephone verification for Third-Party Insurance that do not provide electronic eligibility.
- Contact patient to verify or provide health insurance cards, obtain photocopies of the card and explain the verification process to the patient.
- Establish a good working environment with Third-Party Insurance companies, Workers Compensation companies, Patient Benefits Coordinator, Billing and Accounts Payable staff to establish communication and process on corrective actions of discrepancy on claims. Verify and complete all discrepancies.
- Determine the source of discrepancy and implement corrective action as appropriate to ensure that the claim can be processed for payment.
- Verify patient’s information with Third-Party Insurance; policy number, type of coverage, spelling of names, birth dates, and other demographic information are correct. Update all information in patient insurance and guarantor page in MEDITECH Expanse system.
- Verify co-pay, deductible, prior authorization and if policy is in/out of Network with Sage Memorial Hospital. If patient has a co-pay, refer patient to Finance to make payments.
- Provide and work with patients to educate them on their benefit information and coverage as needed.
- Comply with HIPAA and Privacy Practice policy when completing all verifications with third-party insurance and workers compensation.
- Complete daily productivity worksheets; registration and insurer verifications.
- Refer all patients without insurance benefits to Public Benefits Coordinator or assist, provide and explain the AHCCCS application to patient as required.
- Attend discharge planning meetings as required.
- Perform other duties as assigned.
- Ability to communicate well in both English and Navajo.
- Ability to maintain professional attitude.
- Ability to work efficiently, show compassion, be considerate, be tactful and pleasant.
- Ability to use the computer, as well as operate necessary office equipment.
- Be able to perform job duties with minimal or no supervision.
While performing the duties of this job, the employee regularly is required to sit; use arms and hands to reach and grasp objects; talk and hear. The employee frequently is required to walk. The employee occasionally is required to stand; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds.
Work Environment
Work is generally performed in an office with moderate noise level. Day and evening shift, work holidays and weekends. Extended hours and irregular shifts may be required.
Req Number ADM-25-00006
Position Requirements
Minimum Qualifications
High School Diploma or General Equivalency Diploma.
Three (3) years of progressive work experience in clerical or equivalent combination of education and experience.
Must successfully pass the Employee Health requirements (Maskfit & Immunization) and pre-employment (background investigation & drug screen test)?
About the Organization Navajo Health Foundation - Sage Memorial Hospital, Inc. is a private, nonprofit 501(c)(3) corporation. It is the first Native-managed private comprehensive health care system in the country, and has been managed since 1978 by an independent, entirely Navajo Board of Directors.
Sage Memorial Hospital is the only Native American hospital to hold both a license from the Arizona Department of Health Services and Accreditation from The Joint Commission.
The hospital campus is located on private land owned by the Presbyterian Church, within the Navajo Nation Reservation. The organization includes a Critical Access Hospital and outpatient clinic, and an outpatient clinic 28 miles away in Greasewood Springs, AZ.
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
