Lead Pre-Registration Representative - Pre-Registration MSD - FT - Day

Position Status:

Shift:

Hours per week:

Job Information
Exemption Status: Non-Exempt

A Brief Overview
Under direction, responsible for the processing of patient accounts from the point of scheduling to the completion of pre-bill editing. This responsibility includes: Schedule patients for noncomplex services, collect and verify the comprehensive data set, identifying managed care issues and referring as appropriate for resolution; complete required forms including Medicare MSP, if required; verification of insurance eligibility and benefits via electronic transactions, websites or phone calls; insurance pre-certification, liability calculations, financial education and finalization of financial resolution with patients; financial assistance screening; complete additional registration admission, discharge and transfer functions as applicable; resolve edit failures following established policies and procedures. These activities are completed following established policies and procedures, and in compliance with Joint Commission, Medicare, Payer contracts, HIPAA, regulatory agencies and the organization's Code of Conduct.

Education Qualifications

• High School Diploma / GED Required
Associate's Degree Preferred

Experience Qualifications

What you will do

• Assists the department Supervisor with staff training and workflow related questions. In the Supervisors absence, works with Nurse Managers and other departments to ensure that department operations continue functioning smoothly.
• Supports and upholds the organization's philosophy of customer service. Exhibits a positive attitude with a professional and pleasant demeanor when communicating with all customers and providing information.
• Detailed understanding of all technical primary and secondary billing rules and policies and procedures for assigned third party payors and contracts. Understands the Medical and Clinical services provided by the organization.
• Ensures customer concerns are processed in compliance with organization's policies while maintaining the highest level of patient and employee rights, including confidentiality of patient information and personnel issues.
• Assists Supervisor in reviewing and maintaining appropriate policies and procedures.
• Recommends organization and departmental improvements based on appropriate customer concerns.
• Consistently uses diplomacy and respect both in person and when using the telephone, and performs effectively and professionally under stressful conditions.
• Identifies and notifies management of customer service issues and potential process/system problems that cause billing and payment errors and assists in improvement implementation as requested.
Attends and participates at departmental team meetings, work-groups and other organizational educational programs.

Required for All Jobs

• Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
Performs other duties as assigned

Patient Facing Options

Remote Work Guidelines

• Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
• Stable access to electricity and a minimum of 25mb upload and internet speed.
• Dedicate full attention to the job duties and communication with others during working hours.
• Adhere to break and attendance schedules agreed upon with supervisor.
Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Remote Work Capability

Scope

• No Supervisory Responsibility
No Budget Responsibility No Budget Responsibility

Physical Demands

• Balancing: Rarely less than 1 hour
• Carrying: Rarely less than 1 hour
• Climbing (Stairs): Rarely less than 1 hour
• Eye/Hand/Foot Coordination: Occasionally 1-3 Hours
• Feeling: Occasionally 1-3 Hours
• Grasping (Fine Motor): Occasionally 1-3 Hours
• Grasping (Gross Hand): Occasionally 1-3 Hours
• Hearing: Continuously greater than 5 hours
• Repetitive Motions: Continuously greater than 5 hours
• Sitting: Continuously greater than 5 hours
• Standing: Occasionally 1-3 Hours
• Talking: Continuously greater than 5 hours
Walking: Occasionally 1-3 Hours

Working Conditions

• Infectious Diseases: Occasionally 1-3 Hours
• Other Atmospheric Conditions: Occasionally 1-3 Hours

Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.

Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.