Patient Registration Specialist

Job Description

Job Description

Description :

SUMMARY OF RESPONSIBILITIES

The position of Patient Registration Specialist is responsible for relaying incoming telephone calls and greeting visitors in a professional manner while performing various patient intake duties.

Essential Functions :

• Consistently provides excellent patient service by maintaining the highest degree of courtesy, confidentiality, and professionalism, by, among other things, checking patients in timely and efficiently. Ensures that new patients complete paperwork, provide copies of relevant documents, complete Meaningful Use tasks, confirm appropriate pharmacy locations and address, and keep documents in an organized and secure manner. For follow-up visits, this position confirms demographic information and makes all necessary notations in the patient’s file with respect to contact information, addresses, and insurance providers.
• Greets all patients with enthusiasm and a smile upon entry and exit from PTCOA / ISI. Operates and answer multi-line telephone system, takes accurate messages, and transfers telephone calls to appropriate individuals in an efficient manner.
• Collects patient co-pays or payments on outstanding balances. As such, this position is responsible for conducting a daily accounting and balance of the cash drawer, processing credit card payments, posting payments to patient records, and maintaining a spreadsheet of all payments received and used in reconciling payments.
• Notifies UDT Collector of patients needing to provide samples.
• Assists with patient scheduling and rescheduling.
• Performs pre- registration / registration processes for all scheduled visits, verifies eligibility, submits notifications. Handles a high volume of scheduled appointments without degradation of work quality.
• Verifies patient’s demographics and accurately inputs this information into the Practice Management System, including documenting the accounts thoroughly.
• Verifies and understands insurance benefits, documents patient’s responsibility based on copays / estimates at the time of service in a timely fashion prior to the patient being scheduled.
• Communicates with patients in a proactive, professional, and courteous fashion in order to attain any necessary information for appropriate account updates and benefits investigation.
• Communicates with administrative and clinical staff to resolve issues and / or patient concerns.
• Research coverage criteria with insurance companies, other third-party documentation, and compendiums to determine eligibility for services in a timely manner. Utilize multiple insurance healthcare websites and portals.
• Independently investigates, documents, and operationalizes payor-specific requirements for unique / specialized eligibility scenarios.
• Assists patients and guarantors with coordination of benefits as required.
• Attains referrals from third party payors as required and appropriately documents in system, in accordance with the standards and policies developed by the departments.
• Coordinates and Re-Schedules appointments as necessary
• Assists patients, team members, and visitors in a courteous and professional manner always in accordance with PTCOA.
• Acts as a backup and performs any duties performed by the other Patient Access Eligibility Specialists team members.
• Completes daily assignments / work lists.
• Updates insurance carriers for established patients.
• Facilitates and participates in gathering accurate patient billing information.
• Support the patient privacy / confidentiality policies and regulations under HIPAA for patients and their medical records.
• Enters patient, referrals, and correspondence / communication actions and other data in an information system.
• Daily work is accomplished with minimal direct supervision.
• Gathers pertinent information from insurance carriers, financial counselors, and other ancillary staff to make certain the patient’s financial obligations for services provided.
• Other responsibilities and projects assigned by management as needed.
• Demonstrate impeccable integrity in a professional and courteous manner at all times.
• Coordinates visits with sales representatives, meetings, and addresses any applicable questions that arise as to scheduling.
• Arrives at scheduled start times dependably and punctually. Prior to departure, and as available throughout the day, prepare for the next day by organizing the reception area, copying forms, and otherwise organizing the waiting area.
• Receives and sign for packages and delivers to the appropriate person promptly.

Requirements :

CORE COMPETENCIES AND CORPORATE DUTIES / RESPONSIBILITIES

REQUIRED EDUCATION, EXPERIENCE, AND / OR CERTIFICATIONS

The position requires a high school diploma or educational equivalent. Two (2) years of prior medical office experience is preferred.

WORKING ENVIRONMENT AND PHYSICAL DEMANDS

This is a full-time position. Days and hours of work are expected to include 7 : 00 a.m. to 5 : 00 p.m. (Monday through Thursday) or otherwise as assigned. Occasional overtime may be required. The position operates in a professional office environment and the incumbent, in the course of performing this position, spends time writing, typing, speaking, listening, driving, seeing (such as close, color and peripheral vision, depth perception and adjusted focus), sitting, walking, standing, and reaching. The incumbent may operate any or all of the following standard office equipment including but not limited to multi-line telephone system, postage meter, facsimile machines, calculator, photocopy machine, computer / printer, and coffee maker. The work environment characteristics and physical demands described here are representative of those an employee encounters while performing the essential functions of this job.