Patient Registration Representative, Admitting Er - 20427

Patient Registration Representative, Admitting Er

DHR Health - US:TX:Edinburg - Days

Summary:

FLSA STATUS: Exempt Non-Exempt

MISSION STATEMENT:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

VISION:

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

POSITION SUMMARY:

The Patient Registration Representative performs general registration functions including appointment scheduling, collection of applicable co-pays, co-insurance, and deductibles and utilizing the computer system. Obtains complete and accurate patient demographic, insurance, financial information and patient benefits/eligibility; referral/pre-authorizations/pre-certifications approvals from insurance companies and physician offices.

POSITION EDUCATION/QUALIFICATIONS:

High School Diploma/GED is required.

Excellent customer service skills.

Computer skills required with knowledge of Microsoft Office suite.

Good written and verbal communication skills required.

Bilingual English/Spanish.

JOB KNOWLEDGE/EXPERIENCE:

Must be able to respond to patient needs by interpreting facial expressions and to communicate effectively utilizing verbal and written communications.

One (1) year of related customer service experience

Requires reasoning ability and good independent judgment.

Requires working with frequent interruptions and have strong customer service skills.

Must have good working knowledge of computers.

Knowledge of medical terminology and the ability to communicate in both Spanish and English is strongly preferred.

Responsibilities:

POSITION RESPONSIBILITIES:

Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices

Demonstrates high quality Service Excellence, positive customer service and telephone etiquette by treating all customers with dignity and respect; utilizing age specific skills and knowledge.

Ensures patient confidentiality requirements are met in accordance with HIPAA policies and procedures.

Interviews patient or responsible party to obtain demographic information required to register the patient accurately.

Obtains and reviews doctor's orders for appropriate signature, date, diagnosis and admission status prior to registration.

Communicates effectively with doctor's office to obtain orders when missing or when additional diagnosis is needed for medical necessity.

Reviews and confirms patient's financial information by obtaining the insurance carrier information, benefit information, policy number, group name and group number.

Ability to identify the appropriate coordination of benefits for insurance carrier.

Utilizes on-line verification systems, i.e. TMHP, FISS, and Availity, etc., for eligibility.

Explains rates, estimates charges for services and hospital policy regarding up-front collections as needed.

Opens and closes cash batches appropriately and uses the approved naming guidelines.

Collects deductibles, co-pays, unpaid balances and co-insurance payments and provides patient a receipt.

Determines financial status and refers patient for financial screening as appropriate.

Adheres to Administration on-call schedule, if Financial Counselor is off duty.

Performs appointment scheduling functions and registers patients for ancillary services.

Initiates Order Management to enter orders as needed.

Reviews records of any prior patient visits to determine status of any unpaid balances.

Ability to take over the counter payments from patient statements.

Ensures referral/pre-authorization/pre-certification requirements have been met.

Accurately completes the Medicare Secondary Payer (MSP) form as appropriate.

Initiates Pathway Compliance Advisor to determine if an ABN will need to be provided to patient for services identified as not medically necessary.

Provides patient the Important Message from Medicare for all Medicare inpatient admissions.

Ensures patients are provided Conditions of Admission form and signature is obtained.

Scans photo ID, insurance cards, doctor's order in the appropriate document type in RegAssist.

Utilizes Form Fast to print or reprint forms and labels.

Verifies and places appropriate wrist bracelet on patient with the two required patient identifiers.

Accurately reconciles cash drawer, creates deposit and adheres to security measures.

Completes the necessary reports and patient logs, on a daily basis.

Ability to assemble patient charts in the proper order for next day schedule.

Effectively communicates information about scheduled case procedures to various departments and personnel.

Consistently adheres to Doctors Hospital at Renaissance dress policy.

Other duties as assigned.

Other information:

LINES OF REPSONSIBILITIES:

1. Manager 2. Director 3. Vice President

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

AGE SPECIFIC:

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age.

AMERICANS WITH DISABILITIES ACT: (ADA):

A. Essential Duties: Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:

Light/moderate lifting up to 20 lbs, from the floor to shoulder height. - Yes - Kneeling - Yes

Must be able to assist other employees with lifting more than 20 lbs. - Yes - Walking - Yes

Light/moderate carrying up to 20 lbs. - Yes - Standing/Squatting - Yes

Straight pulling - Yes - Sitting - Yes

Pulling hand over hand - Yes - Pushing - Yes

Repeated bending - Yes - Stooping/Bending - Yes

Reaching above shoulder - Yes - Climbing Stairs - Yes

Simple grasping - Yes - Climbing Ladders - No

Dual simultaneous grasping - Yes - Depth Perceptions needed - Yes

Ability to see - Yes - Identify Colors - Yes

Operating office equipment - Yes - Twisting - Yes

Operating mechanical equipment - Yes - Crawling - No

Ability to read and write - Yes - Ability to Count - Yes

Ability to hear verbal communication without aid - Yes - Operating Personal Vehicle - Yes

Ability to comprehend written/verbal communication - Yes - Other: Ability to deal with stress - Yes

OSHA Category - III

B. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.

C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.

D. Aptitudes: HIGH 1 2 3 4 5 6 LOW

Intelligence: General learning ability: The ability to "catch on" or understand instructions and underlying principles. Ability to reason and make judgments. 3

Verbal: Ability to understand meanings