Patient Access-Registrar

SUMMARY RESPONSIBILITIES:

Responsible for accurate and timely patient registration, including medical necessity and insurance eligibility. It involves providing accurate financial estimates for patients and collecting any upfront financial responsibilities. The Patient Access Registrar will verify that testing orders are correct and present at the time of registration. Additionally, there may be instances where assisting the PBX Operator is required.

ESSENTIAL DUTIES & RESPONSIBILITIES:
This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that
are required of the employee.
• Maintains proficiency in the registration/admissions system by registering patients, gathering complete and
accurate insurance and Medicare information, and performing basic insurance eligibility searches.
• Ensures complete physician testing orders are in-hand at time of registration.
• Maintains proficiency by checking medical compliance on tests requiring medical necessity requirements by
utilizing computer software.
• Demonstrates an understanding of the Medicare Compliance process, and maintains proficiency in processing,
completion, and presentation of an Advance Beneficiary Notice (ABN).
• Identifies non-participating insurances and/or out-of-network plans; takes necessary steps to inform patients and
physicians regarding options, including but not limited to canceling appointments.
• Provides courteous and accurate patient and hospital information with way finding instructions for patients,
families, visitors, and ancillary areas.
• Prepares documents for imaging/scanning into electronic medical record (EMR).
• Explains processes and forms to patients prior to securing signatures and ensures that all documents are properly
signed and witnessed as required.
• Provides accurate patient financial estimates and will collect upfront patient financial responsibilities. Assists with
all possible account resolutions pertaining to patient balances.
• Performs PBX Operator duties. Answers and completes telephone, paging, and other communications efficiently
adhering to departmental policies and procedures. Utilizes secured communication system for physician and
employee on-call needs/schedules, and emergency notifications. Monitors emergency alarms and code alerts.
Monitors house-wide security camera system.
• Participates in the quality improvement plan, quality control applications, and any other departmental research or
studies.
• Works collaboratively with team members to ensure patient safety and optimal outcomes, by effectively utilizing
conflict resolution, constructive feedback skills, and problem-solving abilities.
• Fosters positive internal and external customer relations.
• Works in accordance with applicable state and federal law and the uniqueness of reimbursement systems.
• Maintains knowledge about and acts in accordance with law and procedures regarding patient confidentiality and
release of information, legal requirements for reporting abuse, and advance directives.
• Performs duties and responsibilities in a safe manner and reports any unsafe work conditions or work hazards to the
manager.
• Participates in the department’s Performance Improvement Plan as appropriate to the job responsibilities, including
Quality Measures and Customer Service Measures.
• Possesses knowledge of hospital policies and the functions of the other departments.
• Ensures compliance with all Regulatory Standards, organizational policies and procedures, as well as patient care
protocols.
• Maintains competency through departmental and organizational core competencies. Completes all required
education and keeps education file up to date.

CORE COMPETENCIES:
• Values Every Voice: Seeks to understand different perspectives and cultures; contributes to a work climate where
the contributions of all individuals are valued and supported.
• Shows Courage: Faces difficult issues and supports others who do the same; is willing to champion an idea or
position despite dissent or political risk; provides direct and actionable feedback.
• Leans Into New Ideas: Learns quickly when facing new situations; experiments to find new solutions and extracts
lessons learned from failures and mistakes.
• Instills Trust: Follows through on commitments and keeps confidences; is seen as direct and truthful, shows
consistency between words and actions.
• Plans and aligns: Sets objectives to align with broader organizational goals; breaks down objectives into
appropriate initiatives and actions; anticipates and adjusts effective contingency plans.
• Builds Effective Teams: Establishes common objectives and a shared mindset; creates a feeling of belonging and
strong team morale; fosters open dialogue and collaboration among the team.
• Business Insight: Uses knowledge of business drivers to guide actions; keeps up with current and possible future
practices and trends in the with the competition and in the marketplace.

EDUCATION, EXPERIENCE, & QUALIFICATIONS:

Required:
• High school diploma or equivalent.
• Data entry skills with a strong emphasis on precision.
• Capable of managing several tasks with varying degrees of urgency.
• Exceptional customer and phone service skills, demonstrating courteous and professional communication with patients, visitors, ancillary departments, physicians, and their offices.

Preferred:
• 1 year of registration and scheduling experience in a physician office or hospital setting.
• Medical terminology.
• Knowledge of testing procedures