Registrar Lead

Registrar Lead

The Lead Registrar serves as a primary resource and department trainer for the Patient Access staff and leadership. This role provides key customer service and financial services to ensure demographic and insurance accuracy during a patient's registration encounter. The position provides services for pre-and point of service registration, payer authorization, pre and point of services collections, medical necessity checks, insurance verification, financial screening/counseling, and referral to appropriate sources as needed for hospital financial assistance or state insurance screening. The Lead Registrar is a senior member of the Patient Registration team who also acts as a resource to others in the absence of the Manager.

These duties and responsibilities described below represent the general tasks performed daily; other tasks may be assigned.

· Serves as a Patient Access Department subject matter expert and resource for managers and the Patient Access Director; works with leadership to resolve daily personnel and staffing concerns.

· Manages registrations for patients for various hospital services; meets patient access scorecard standards by registering patients in < = 10 minutes maintaining a wait time of <=10 minutes, when applicable (ED registration wait times exempt).

· Interviews and accurately collects patient information and demographics for various hospital services; meets patient access scorecard productivity standards by meeting accuracy rate as defined in annual goals and ensuring accuracy in medical record selection.

· Uses knowledge to verify, review, and coordinate insurance benefits in the patient management system on behalf of patients; meets Patient Access Scorecard expectations and insurance verification rate.

· Manages payments pre and point of service, conducts cash receipting, and posts payments; point of service collection expectations as per the goals defined on the patient access scorecard.

· Assists patients with financial clearance of accounts by communicating financial responsibility through estimates, providing referrals to financial counselors, or other third-party resources for state or government insurance screening.

· Perform daily review of accounts, authorizations, and identifies high risk admissions/registrations, obtains necessary authorizations and notifications of admissions for patients; meets patient access scorecard standards by reducing denial rates.

· Assists with training of new staff as well as shares department knowledge and provides assistive training with teammates.

· Manages scanning for patient medical record using appropriate identifiers as required to reduce duplicating a patient medical record.

· Reviews, manages, and monitors patient accounts in order to meet Patient Access Scorecard standards of productivity.

· Compiles, reviews, and manages weekly and monthly electronic reports an assigned by manager; makes financial edits preventing billing of accounts, corrects addresses or other demographic data for patients, or manages errors for other staff to successfully clear accounts.

· Provides courteous service to all internal and external stakeholders (patients, patient families, teammates, other department staff, etc.) by resolving stakeholder problems, responding to inquiries, and timely follow-up to develop and strengthen customer relationships.

· Complies with governmental regulations about healthcare, billing, the Health Insurance Portability and Accountability Act (HIPAA) as well as departmental policies and procedures.

· Demonstrates general knowledge ICD coding requirements and other billing rules.

· Promotes continuous process and quality improvement processes by sharing and providing ideas/solutions/workflow recommendations to teammates and supervisors; maintains educational requirement and participates in new learning activities.

· Explores learning opportunities for professional development and growth of self, patient access department, and CRMC by participating in professional organizations (i.e. National Association of Healthcare Access Management – NAHAM, Healthcare Financial Management Association – HFMA).

· Participates in interdepartmental committees, projects, and patient access initiatives.

· Demonstrates an awareness of appropriate confidentiality rules and regulations and acts accordingly.

· Actively participates in service recovery and customer service activities to ensure a superior customer contact.

· Attend required hospital-wide orientations, meetings, and in-services

· Demonstrate a commitment to flexible work scheduling when necessary to ensure patient care and throughput.

· Other duties as assigned.

Reports to: Department Supervisor, Manager, or Director

Supervises: Registrar Level – I, II, III

Responsibilities: Department support to peers and leadership as it relates to patient registration, insurance accuracy, pre and point of service collection, and customer service excellence.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

An understanding of financial and insurance information.

Demonstrate leadership skills and teamwork through diversity and inclusion.

Accurate data entry skills and ability to use basic computer hardware. Experience using multiple software/computer applications at the same time.

Minimum Required Education: High School Diploma: Revenue Cycle Certified Representative (RCCP 1 & II) or Certified Healthcare Access Associate (CHAA) or equivalent Revenue Cycle Professional Certification required within 24 months

Preferred Education: Associates degree in healthcare or related field. Knowledge of medical terminology, ICD, and insurance.

Experience: 2 – 3 years in patient registration, healthcare, billing, insurance, medical office setting, or a combination of core classwork from an accredited college or university in a medical course of study. Minimum 2 years Epic experience required.

Candidate must possess or attain a certification of Revenue Cycle Certified Representative Master (RCCP-M) within 36 months of employment. Preferred Certification as Medical Assistant, Nursing Assistant, Emergency Medical Technician, Paramedic or equivalent through the National Association of Healthcare Access Management (NAHAM), or American Association of Healthcare Administrative Management (AAHAM),

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.