Registrar

Registrar (FT)

POSITION SUMMARY

Timely and accurate compilation of patient socio-demographic and insurance data at the time of service. Arranges for the efficient and orderly admission of pediatric, adolescent, adult and geriatric patients to all entry points of admission. Makes patients and families aware of hospital policies and procedures. Effectively, yet professionally, request and collect patient estimated balances, including co-payments and deductibles. Will ensure managed care requirements and pre-certification/authorization needs are met prior to patient admission. Assist with flow of data between physicians, their offices, nursing units, ancillary areas, business office services, insurance companies and patient's while insuring patient confidentiality is not breached. The duties of this position require the exercise of courtesy and patience in speaking with patients, families, co-workers, employers, state agencies and others to maintain sound public relations. Must comply with Confidentiality guidelines in accordance to CRMC policies and procedures. Must maintain regular consistent attendance, personal appearance, punctuality and adherence to applicable health and safety guidelines.

QUALIFICATIONS

A. Knowledge, Skills and Abilities

Excellent customer service skills.

Reads and understands the English language.

Ability to think critically and analytically with little or no supervision

Ability to work effectively in situations of high stress and conflict and communicate goals and outcomes.

Ability to process information and prioritize

Possesses exceptional verbal and written communication skills

Possesses independent work habits, is self-reliant and self-directed

Ability to learn, adapt, and change as required by the job functions

Ability to maintain absolute confidentiality of material and information accessed and reviewed

Basic computer literacy

Ability to move freely, reach, bend, and complete light lifting

Ability to use good body mechanics while performing daily job functions and ability to follow specific OSHA guidelines

Ability to maintain attendance to meet standard job practices

B. Education

High School Graduate of GED required.

Vocational-tech/college preferred.

CFC certification preferred

Must be able to efficiently master departmental competency within 45 days after employment.

C. Licensure

CFC preferred.

D. Experience

Knowledge of Third-party payers, billing requirements and reimbursement methods, previous hospital/medical office experience. Previous data entry/programming or office coordinator experience highly preferred. CFC Certification preferred. Prior billing/collections or financial counseling experience preferred. Knowledge of, or coursework in; medical terminology is preferred.

E. Interpersonal skills

Customer Service ("face to face/interacting with the public") experience required. Must maintain regular consistent attendance, personal appearance, punctuality and adherence to applicable health and safety guidelines. Effective professional communication skills. Proper written and spoken usage of the English language. Spanish bilingual highly desirable.

F. Essential technical/motor skills

Computer experience required Microsoft Suite of Products: Word and Excel. Ability to type 40+ WPM accurately and ability to use of number keypad. Analytical and organizational skills must be above average. Basic mathematical skills required.

G. Essential physical requirements

Sedentary: Exert up to 10 lb. of force occasionally and/or a minute amount frequently - 50-74%

Light: Exert up to 20 lb. of force occasionally and/or up to 10 lb. of force frequently - 25-49%

Medium: Exert 20 50 lb. of force occasionally and/or up to 15 lb. of force frequently - 1-24%

Heavy: Exert 50 100 lb. of force occasionally and/or up to 30 lb. of force frequently - 1-24%

Very Heavy: Exceed 100 lb. of force occasionally and/or 50 lb. frequently - 1-24%

H. Essential mental requirements

Ability to read and comprehend simple instructions, short correspondence, and memos.Ability to write simple correspondence. Analytical and organizational skills must be above average.

I. Essential sensory requirements

Ability to visually assess if a patient demonstrates symptoms that would require emergency treatment and care. Notify appropriate clinical staff to assess patient.

J. Other

Hours- Must be flexible to work in different areas and locations as needed. This will include the ability to work all shifts including nights, weekends and holidays. Available to come in at short notice and maintain an on-call rotation. Expected to work 40 hours per week, Overtime based on the demand and need of the department.

K. Equipment used

HIS system, computer, fax, VOIP, phone system, headset system, speakers, billing and POS collections systems.

OTHER QUALIFICATIONS

A. Exposure to hazards (body fluid exposure level)

Level III

B. Age of Patient Populations Served

Neonates 1 - 30 days

Infants 30 days - 1 year

Children 1 - 12 years

Adolescents 13 - 18 years

Adults 19 - 70 years

Geriatrics - 70+ years

JOB SPECIFIC DUTIES AND PERFORMANCE STANDARDS

Below are those tasks, duties, and responsibilities that comprise the means of accomplishing the position's purpose and objectives. These are critical or fundamental to the performance of the position. They are the major functions for which the person in the position is held accountable. Following are the essential functions of the position, along with the corresponding performance standards.

Registration Duties

o Use scripting policies as an effective communication tool with customers. Greet patients in accordance with the department's script policy and procedure.

o Responsible and accountable for tasks necessary to properly identify and register into the patient processing system all patients presenting for admission.

o Ability to complete scheduling, registration, precertification, financial counseling, medical necessity checks effectively all patient types in the HIS system.

o Distribute necessary paperwork and forms to each patient registered including information on Advanced Directives, Patient Rights and Responsibilities, and Important Message from Medicare with complete and detailed explanation.

o Must keep abreast of current regulatory requirements, including all state, federal and JCAHO regulations. Keep up to date of requirements from each insurance payor (Medicare, Medicaid, Managed Care, Commercial or private payors, Tricare, etc.). Adhere to external agency regulations. Demonstrate the ability to complete meet the requirements of each payor according to their guidelines.

o Responsible for documenting all contact with patients, family, employers and third party payors.

o Insure patient flow through the registration process is professional, patient friendly and within department established time standards.

o Facilitate patient paper flow for accurate and complete medical records, financial forms and patient admission to nursing or ancillary units. Obtain authorized signatures on all required forms (Conditions of Admission, Important Message from Medicare, etc).

o Ensure all physician orders meet current standards and policies. Obtain clarification on unclear or inappropriate orders. Determine proper patient processing according to physician orders. Appropriately enters the physician into the HIS system.

o Accurately transfer, and/or discharge, place orders, etc... for patients according to doctor's orders, and according to established policies and procedures.

o Demonstrates ability to complete status changes, upgrades, system change request according to policy and procedure.

POS Collections

o Protect the financial standing of the hospital by appropriately determining financial responsibility. Contributes to department goals by making 100% of financial arrangements for each patient prior to services being performed.

o Review patient account history to establish acceptable payment arrangements, charity assistance or agency referral notifications. Refers accounts with bad debt history to the Patient Financial Services office or accounting representatives.

o Collects account deposits on patient estimated balances, co-pays, co-insurance and unpaid deductibles. Meet collection goals as outlined by departmental policy and procedure.

o Initiates medically needy application for charity, catastrophic and indigent write-offs. Refers potential Medicaid patients to Medicaid