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Covenant Health · 5 hours ago

PATIENT REGISTRATION SPEC

Morristown, TN

Full-time

Onsite

Entry Level

1+ years exp

Covenant Health is a healthcare provider serving East Tennessee’s Lakeway Area, and they are seeking a Patient Registration Specialist. This role is responsible for coordinating the scheduling of outpatient procedures, collecting patient information, and ensuring accurate registration processes to enhance patient care and operational efficiency.

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Responsibilities

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 updates to existing police 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

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. Enters verification and pre-certification notes

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

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

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

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. Will also index the document(s) using the optical scanning system, placing the document(s) in the correct electronic file folder

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

Insurance verificationPatient registrationData entryScheduling proceduresCustomer serviceConfidentialityCommunication skillsAttention to detailTeam collaboration

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

Maintains strict confidentiality of patient information

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

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