Pre-Registration Specialist - Patient Access - REMOTE - Full Time - Days

POSITION SUMMARY

The Remote Pre-Registration Specialist I position is responsible for pre-registration and pre-service collections tasks for diagnostic and surgical services and for confirming and entering pertinent demographic and insurance information in the Electronic Health Record (EHR). The Pre-Registration Specialist employs practical communication skills in all interactions and promotes and adheres to excellent customer service standards.

ACCOUNTABILITIES

• Perform pre-registration and collection functions for all patients, including self-pay patients.
• Utilize an electronic insurance verification system to verify insurance benefits and determine copay and/or coinsurance for the patient’s services; ask all eligible patients for copay and/or coinsurance to meet monthly Point of Service goals.
• Contacts patients via phone for necessary information pertaining to registration, billing, and financial responsibility via our pre-registration process.
• Manages time effectively to perform complete registration questionnaires while meeting departmental productivity standards in compliance with system productivity policies. Uses time to complete other departmental duties when patients cannot be registered.
• Maintains close attention to detail by reviewing all work for completeness and accuracy in compliance with system quality assurance policies. Completes registrations to meet department accuracy standards for error-free work as demonstrated on the monthly KPI (Key Performance Indicators).
• Understand basic Registration processes and provide feedback to management on issues that impede timeliness or quality of registration and work with management to resolve them.
• Independently review assigned reports/work queues to ensure goals and deadlines are met.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices, and in-services.
• Seeks assistance from Financial Counselors when needed to maintain patient flow while resolving financial issues. Communicates effectively with service delivery areas when unresolved financial issues threaten appointment schedules.
• Respects the rights and dignity of all patients. Provides and maintains patient privacy at all times. Is compliant with HIPAA guidelines, privacy practices, patient confidentiality, and patient rights.
• Takes ownership of a customer’s problem. Ensures the matter is resolved in a timely manner if able or exculpate to the appropriate department.
• Functions as a team member to organize and prioritize responsibilities to complete daily work requirements:
  • Complies with changes in duties and assignments positively and cooperatively.
  • Adjusts to peaks in workload: demonstrates flexibility and adaptability to change.
  • Completes assignments in appropriate time frames.
  • Offers assistance to co-workers to ensure completion of all assigned duties as necessary.
  • Performs duties in a self-directed manner with minimal supervision or direction.
• Demonstrates a positive, supportive, respectful, and helpful attitude in interactions with all department customers (patients, physicians, visitors, and other healthcare team members).
• Assist management with training new staff as necessary.
• Attend Annual Registration Refresher Class.
• Other duties as assigned.

Education: High School diploma or equivalent.

Skills: Must demonstrate excellent communication, customer service and interpersonal skills in a fast-paced environment. Must be able to input and retrieve information from a computer, operate a calculator, fax machine and copier. Must have previous experience with computers and office applications. Must be able to move about office and between workstations. Must be able to occasionally lift, move and carry moderately heavy materials. Must demonstrate commitment to exceptional customer service. Must have strong organization skills and the ability to multi-task. Must be able to read and speak the English language. Demonstrated excellent customer service skills.

Years of Experience: Must have worked 1 - 2 years within a ProMedica Frontend Revenue Cycle department.

PREFERRED QUALIFICATIONS

Education: Associate Degree in Healthcare Administration.

Years of Experience: 2 or more years in a healthcare related field, preferably within revenue cycle.

WORKING CONDITIONS

• Physical Demands: Occasionally lifts/carries/pushes/pulls up to 25 pounds. Frequent, prolonged standing/walking/sitting.

The above list of accountabilities is intended to describe the general nature and level of work performed by the incumbent; it should not be considered exhaustive.

ProMedica is a mission-based, not-for-profit integrated healthcare organizational headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org

Equal Opportunity Employer/Drug-Free Workplace