Registration Specialist - Authorization Gatekeeper

Job Description

Job Description

Registration Specialist

Registration

Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare organization, passionately dedicated to improving the health and well-being of our community. With a history dating back to 1898, LMHS remains a cornerstone of healthcare excellence, catering to the evolving needs of Licking County. Our cutting-edge facility provides a comprehensive spectrum of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including cancer, heart health, maternity, and mental wellness.

When you join the LMHS team, you become a vital part of your local community Hospital. Working at LMHS is not just a job, it is a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where the impact of your work extends beyond the Hospital doors and into the heart of our community. Our commitment to diversity, equity, and inclusion ensures that every member of our community is served with respect and compassion. Join us in our mission – dedicated to patient safety, utilizing state-of-the-art technology, and with a passionate team of highly trained and compassionate individuals who strive to improve the health of the community.

Position Summary

According to established policies and procedures, schedules outpatients for all ancillary services, and obtain precertification information on all inpatients and outpatients. Performs various other clerical and record keeping tasks related to registration, scheduling, precertification, and preadmission testing.

Responsibilities

• Prepares demographic, medical and insurance information by direct interview of patients and/or families; enters all necessary information into computer records; prioritizes according to urgency status so that service to the patient is not delayed unnecessarily; prepares complete and accurate forms and other various materials for pre-registration or registration of all inpatients and outpatients.

• Maintains the confidentiality of information acquired through the performance of job duties.

• Greets customers in a timely and courteous manner, presenting a positive, professional appearance and attitude and demonstrating excellent interpersonal skills.

• Maintains work area in a professional and efficient manner, keeping supplies and equipment in an orderly, clean and safe condition.

• Performs quality improvement studies and serves on project teams, as needed, representing the department and LMH as a cooperative and contributing team member.

• Accurately schedules all outpatients requiring tests or procedures in the ancillary departments from verbal or written orders of physicians or their staff using established procedures and minimizing the number of visits each patient is required to make.

• Has minimal indirect responsibility for the welfare of others by coordinating all tests and preps, ensuring that complex preps do not interfere with other tests scheduled for the patient, and advising patients and physicians' staff regarding proper prep for each test and the time that the patient will be required to report to the Hospital.

• Contacts various departments regularly to gather information regarding changes to be made in the computerized daily appointment schedules.

• Receives bookings from physician offices for future admissions and outpatient surgeries, advising them of current insurance requirements, such as precertification.

• Insures that prior authorization for service is obtained according to established Hospital policy. If necessary, notifies admitting physician and/or patient when insurance company refuses admission authorization.

• Notifies insurance companies and third party payers of admissions and outpatient surgeries the next working day following registration and reports authorized days via computer system to Patient Accounting.

• Review future elective admissions and outpatient surgeries for benefits and precertification requirements, reporting all required information to the appropriate Hospital department.

• Responsible for ensuring that personal performance reflects the LMHS Mission, Vision, Standards of Behavior and Service Goals.
• Practices acceptable universal precautions and isolation techniques.

Requirements

• Work requires a high school level of knowledge to be able to read, write, perform simple arithmetic calculations and deal effectively with people. Basic analytical ability is required to gather and interpret data in situations where the problems are not difficult or complex.

• Work requires familiarity with the variety of tests ordered for each patient, including preps required, and familiarity with various forms, insurance requirements, medical terminology, Meditech computer operation and departmental procedures, generally acquired through six months experience.

• Must have exceptional interpersonal skills to deal effectively with internal and external customers.

• Must have aptitude and ability to prioritize and organize work effectively, using discretion, initiative, and independent judgement to follow through with assignments.

• Work requires the ability to meet deadlines and to concentrate and pay attention to details.

• Must be able to maintain flexibility by accepting and adjusting to rapid change.
• In the absence of the department manager, may coordinate departmental activities.
• Minimum requirement, high school diploma or GED.
• LMH is accredited by DNV and TJC, and as such, may require specific annual education related to specialty certifications and standards.

Licking Memorial Health Systems is an equal opportunity employer and maintains compliance with all state, federal, and local regulations. Licking Memorial Health Systems does not discriminate against applicants because of race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors protected by law.