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Covenant Health · 4 hours ago

PATIENT REGISTRATION SPEC

Crossville, TN

Full-time

Onsite

Entry Level

1+ years exp

Covenant Health is the region's top performing healthcare network, and they are seeking a Patient Registration Specialist for their Breast Center. The role involves coordinating the scheduling of outpatient diagnostic and surgical procedures, ensuring accurate collection and data entry of patient information, and verifying benefits and pre-certification requirements.

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Responsibilities

Coordinates the centralized scheduling of all outpatient diagnostic and surgical procedures

Accurate collection and data entry of the required financial and demographic information for all patients registered to our facility

Ensures verification of benefits and pre-certification requirements are met prior to scheduled appointment/admission

Follows up as necessary on all urgent or unscheduled registrations for consistency in the process

Establishes controls so unscheduled patients understand and receive accurate information on their patient liability

Collects co-payments/deposits based on verification information obtained, generates receipts to the payer, and delivers all cash transactions to the cashier for proper posting to the patient account

Maintains strict confidentially of patient information

Recommends to the Coordinator updates to existing policies and procedures that support our values and are intended to increase efficiency and promote data integrity

Notifies the Financial Counselor immediately upon scheduling or registering any potential self pay, worker’s compensation patient, or any non-covered procedures

Makes patient type changes based on information given from Medical Records Staff and/or Care Coordinators, ensuring documentation is present in the medical record to support the change

Ensures all reservations are properly documented to support departmental statistics

Enters faxed reservations into the HBOC scheduling system

Schedules operative and diagnostic procedures utilizing the HBOC scheduling system

Documents each scheduled procedure/event with detailed information

Notifies departments of any special resources required for procedure/event

Verifies insurance benefits and obtains pre-certification from various third-party payers

Has extensive knowledge of insurance plan requirements

Provides necessary documentation to DHS and Med Assist staff for patients potentially in need of financial assistance or TennCare enrollment

Efficiently gathers all demographic, medical and financial information for scheduling, registration, and verification of patient accounts utilizing the HBOC computer system to record data

Enters verification and pre-certification notes into SMS financial system as cross-reference

Participates with clinical and care management areas to address opportunities to improve overall collections and cash flow

Analyzes claims denial data for opportunities to achieve improved collections, enhance relations with insurance companies and physician practices, and improve workflow process

Reports pertinent procedural changes/updates to appropriate leadership

Professionally deals with patients, physicians, visitors, and other hospital staff members

Demonstrates ability to keep abreast of regulatory and insurance requirements ensuring that changes are incorporated in daily job functions

Assures the registration process is handled in a professional manner, maintaining registration accuracy rate of 95 to 100 percent

Explains a variety of necessary information to the patient/family member, such as consent for treatment, advance directives, medical/financial release, deposit requirements, billing and payment polices and advanced beneficiary notices

Recognizes situations that necessitate supervision, seeking appropriate resources

Directs, escorts, and/or provides wheelchair assistance to the patient upon completion of the registration process to the appropriate nursing unit or diagnostic testing area

Demonstrates motivation necessary for acceptable productivity

Understands goals and objectives for the department that take into consideration the mission and values of Covenant Health

Performs pre-registration process by utilization of phone and mail techniques, advising the patient during the conversation of any co-pay or deductible amounts due upon admission

Maintains an accurate bed board, utilizing the computerized bed tracking system so wait times for admitted patients are kept to a minimum

Coordinates with Nursing Services the flow of inpatient and observation patient admissions

Displays competence in use of all Information Computer Systems that supply information regarding patient registration and scheduling (DeRoyal, HBOC, Account Link and Medifax)

Updates schedules daily of unexpected procedures, cancellations, or changes and communicates with all individuals affected by revisions

Shows initiative to cross-train in all duties related to; scheduling, registration, verification, and pre-certification

Prepares the patient account folder by scanning all vital registration/scheduling/verification documents into the optical imaging system

Demonstrates the ability to handle varying tasks and setting priorities

Utilizes resources available appropriately, i.e., use of hospital equipment and/or supplies

Activates manual systems for computer network downtime, printing schedules in advance when necessary

Notifies leadership of unscheduled downtime occurrences

Coordinates scheduling of classrooms for meetings, conferences, etc., ensuring confirmation is provided for the correct date and time

Follows policies, procedures, and safety standards

Completes required education assignments annually

Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested

Performs other duties as assigned

Qualification

HBOC scheduling systemInsurance verificationData entryCustomer serviceCommunication skillsTeamworkAttention to detail

Required

None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill, and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED

One (1) year experience in a hospital or financial setting OR minimum three (3) years of total customer facing/customer service experience required