Patient Registration Specialist

Patient Registration Specialist

The Patient Registration Specialist at the Muckleshoot Health and Wellness Center plays a vital role in facilitating patient access to healthcare services. This position involves collecting and verifying patient information, determining eligibility for services, and maintaining accurate records in compliance with confidentiality standards. The Specialist collaborates closely with various departments within the Health and Wellness Center to ensure seamless patient experiences. Proficiency in electronic health record systems and a basic understanding of third-party payers are essential. Strong communication skills are required to interact effectively with patients in person, over the phone, and via email.

Major Tasks and Responsibilities

This list is intended only to illustrate the various types of work that may be performed. The omission of specific statements does not exclude them from the position if the work is similar, related or logical assignment to the position.

• Greet patients and collect necessary personal and insurance information for registration.
• Verify patient eligibility for services in accordance with tribal policies and guidelines.
• Accurately input patient data into the electronic health record system.
• Maintain confidentiality of patient information in compliance with HIPAA regulations.
• Confirm insurance coverage by contacting third-party payers via phone or online portals.
• Determine the priority of payers to be billed for each patient.
• Collaborate with various departments to process patient-related requests efficiently.
• Assist patients in completing necessary registration and consent forms.
• Maintain organized and secure patient files, limiting access to authorized personnel.
• Respond promptly to patient inquiries through in-person, phone, or email communication.
• Participate in annual HIPAA training and other required professional development activities.
• Support the Purchased Referred Care (PRC) Department with coverage clarification.
• Educate patients about available healthcare services and programs.
• Schedule patient appointments and manage the registration calendar.
• Perform other related duties as assigned to support the Health and Wellness Center's mission.
• Because of the Tribe's commitment to community service and the well-being of its members, each employee may be expected to perform a wide range of office and field duties from time to time. Such duties may or may not be related to their regular responsibilities.

Education - Experience and Training for Position

Required:

• High school diploma or equivalent required.
• One (1) year of experience in customer service, healthcare navigation, or eligibility determination is required.

Specific Skills/Knowledge/Abilities Required for Position

Skills:

• Attention to detail ensures accurate data entry.
• Effective problem-solving abilities.
• Strong interpersonal communication skills.
• Proficiency with electronic health record systems.
• Organizational skills for managing multiple tasks.
• Adaptability to evolving healthcare procedures.

Ability:

• Empathy towards patient concerns and needs.
• Maintain confidentiality of sensitive information.
• Collaborate effectively with healthcare teams.
• Patience when assisting diverse clients.
• Research skills for accurate eligibility analysis.
• Professionalism in all interactions.

Knowledge:

• Basic understanding of Medicaid and CHIP systems.
• Familiarity with healthcare eligibility laws.
• Proficiency with WA Health Plan Finder and RPMS systems.
• Awareness of local and state healthcare programs.
• Knowledge of Muckleshoot cultural practices and values.
• Understanding of HIPAA standards and patient privacy regulations.

Physical Requirements

The Patient Registration Specialist position primarily involves working in an office environment within the Health and Wellness Center. The role requires extended periods of sitting and frequent use of computer systems for data entry and communication. Occasional standing and walking may be necessary when assisting patients or collaborating with other departments. The ability to lift and carry materials weighing up to 20 pounds is required. Clear verbal communication is essential for patient interactions, and visual acuity is necessary for reviewing detailed records and electronic information. Flexibility in working hours may be needed to accommodate the Center's operational needs and community events.