Registration Representative

Registration Representative

Proactively reviews schedules and performs eligibility and benefits verification and re-verification for patient visits, ensuring authorizations and pre-certifications are correct to avoid denials and cancellations. Works error reports daily, enters accurate data, and documents all attempts to collect or obtain missing documentation and meets or exceeds accuracy standards and upfront collection goals. Monitors patient wait and registration times, being sure to collaborate with clinical team, implement processes and remove barriers to delayed care. Acts as patient liaison and collaborates with clinical teams and physician offices to ensure timely completion and submission of documents such as plan of cares, status reports and authorization forms, as required by insurance. Screens and assists incoming telephone calls and visitors, routing them to appropriate personnel accurately and timely. Other duties as assigned. Schedules patients according to department, insurance and physician protocols, collects relevant clinical information to ensure accurate/timely appointments and verifies the accuracy of orders. Registers patients for all services, ensuring accurate patient demographics and account information and clearly explains authorizations, pre-certifications, benefit limitations and patient financial responsibility and collects patient payments.

Ability to serve as hospital liaison for patient and family and to use discretion when discussing personnel/patient related issues that are confidential in nature Strong multi-tasking skills; able to assimilate and react appropriately to a variety of stimuli incoming at one time Ability to be responsive to ever-changing matrix of needs and act accordingly Self-motivated and quick thinker Computer skills including Outlook, Microsoft Word, and Excel Ability to communicate professionally with an acceptable use of English and spelling Ability to read and communicate effectively in English Strong written and verbal communication skills Proficient typing speed; proficient with Microsoft Office applications and computers Multitask proficiently, using multiple computer systems, applications, and technology Excellent customer service and satisfaction skills, ensures quality service is delivered to external and internal customers Understanding of revenue cycle (Registration, Insurance Verification, Coding, Billing) Understanding of regulatory guidelines such as CMS, HIPAA Basic knowledge and ability in medical business office procedures Basic knowledge of coding Detail-oriented, demonstrate problem-solving skills, flexibility and adapts well to change Explains charges and payment options and programs; collects monies due at time of service Consistently meet or exceed established collection goals; must be able to confidently and professionally address the financial responsibility patients may have Interpret and explain insurance benefits

Education: High School Grad or Equiv [Preferred]

Field of Study: or graduate of a technical school or equivalent post-secondary technical school education

Work Experience: 1+ experience with computers and epm and emr software [Preferred] ICD-9 and CPT-4 coding experience [Preferred]

Additional Information: N/A

Licenses and Certifications: Basic Life Support CPR Cert (BLS) [Preferred]