Patient Registration Representative- PRN - Days- Radiology Adm - 21234

Patient Registration Representative- PRN - Days- Radiology Adm - 21234

DHR Health - US:TX:Edinburg - Days

Summary:

POSITION SUMMARY:

Responsible for processing registrations and pre-registrations of all hospital reception areas and offsite locations. To answer any patient questions regarding the patient's scheduled case procedure and any related charges.

POSITION EDUCATION/ QUALIFICATIONS:

• High School Diploma/GED is required.
• Working knowledge of medical terminology is strongly preferred.
• Medical terminology with good customer service strongly preferred
• Willingness to be crossed trained to other areas.
• Organizational skills are necessary
• Good written and verbal communication skills required.
• Ability to read, write and speak English
• Ability to communicate clearly and concisely with all levels of nursing, administration, and physicians

JOB KNOWLEDGE/EXPERIENCE:

• Must be able to respond to patient needs by interpreting facial expressions and to communicate effectively utilizing verbal and written communications.
• One (1) year of related customer service experience
• Requires reasoning ability and good independent judgment.
• Requires working with frequent interruptions and have strong customer service skills.
• Must have good working knowledge of computers
• Knowledge of medical terminology and the ability to communicate in both Spanish and English is strongly preferred.
• High degree of competency/experience in general.
• Requires good communication and organizational skills.

Responsibilities:

• Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices
• Demonstrates high quality Service Excellence, positive customer service and telephone etiquette by treating all customers with dignity and respect; utilizing age specific skills and knowledge
• Ensures patient confidentiality requirements are met in accordance with HIPAA policies and procedures
• Obtains required demographic information from the patient or responsible party to register the patient accurately
• Communicates effectively with doctor's office to obtain orders when missing or when additional diagnosis is needed for medical necessity
• Reviews and confirms patient's financial information by obtaining the insurance carrier information, benefit information, policy number, group name and number
• Ability to identify the appropriate coordination of benefits for insurance carrier
• Utilizes on line verification systems, i.e. TMHP, Availity, Relay Assurance etc for eligibility
• Explains rates, estimate charges for services and hospital policy regarding up-front collections as needed
• Opens and closes cash batches appropriately and uses approved naming guidelines
• Collects deductibles, co-pays, unpaid balances and co-insurance payments and provides patient with a receipt
• Determines financial status and refers patients for financial screening as appropriate
• Performs appointment scheduling functions and registers patients for ancillary services
• Initiates Order Management to enter patient orders
• Reviews records of any prior patient visit to determine status of any un paid balances
• Ability to take over the counter payments from patients statements
• Ensures referral /pre-authorization/pre-certification requirements have been met
• Accurately completes the Medicare Secondary Payor (MSP) form as appropriate
• Initiates Pathway Compliance Advisor to determine if an ABN will need to be provided to the patient for services identified as not medically necessary
• Ensures that patients are provided with the Conditions of Admissions form and signature is obtained
• Scans photo ID, insurance cards, doctor's orders in the appropriate document type in Reg/Assist
• Utilizes Form Fast to print or re-print forms and labels
• Verifies and places appropriate wrist bracelet on patient with the two required patient identifiers
• Accurately reconciles cash drawer, creates deposit and adheres to security measures
• Completes the necessary reports and patient logs on a daily basis
• Effectively communicates information about scheduled case procedures to various departments and personnel
• Consistently adheres to DHR Health dress policy
• Determines hospital privileges of physician attending patient by checking the listing of active medical staff.
• Obtains patient demographic information, type of insurance, diagnosis and procedure requested.
• Call third party payor to obtain effective dates of coverage, billing addresses, existing condition clauses and network information.
• Accurately review the Doctor's orders for appropriate signature and diagnosis prior to registration.
• Posts all payments received to patients accounts
• Copy and Paste the patient's insurance eligibility on all walk-ins and add-on patients
• Print patient's itemized bills when requested
• Other duties as assigned.

Other information:

LINES OF RESPONSIBILITIES :

(Chain-of-command)

1. Office Supervisor ? 2. Office Manager ? 3. Practice Administrator ? 4. Director of Radiology

5. Vice-President of Imaging Services

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

AGE SPECIFIC :

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age.

AMERICANS WITH DISABILITIES ACT: (ADA) :

A. Essential Duties : Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:

Light/moderate lifting up to 20 lbs, from the floor to shoulder height. - Yes - Kneeling - Yes

Must be able to assist other employees with lifting more than 20 lbs. - Yes - Walking - Yes

Light/moderate carrying up to 20 lbs. - Yes - Standing/Squatting - Yes

Straight pulling - Yes - Sitting - Yes

Pulling hand over hand - Yes - Pushing - Yes

Repeated bending - Yes - Stooping/Bending - Yes

Reaching above shoulder - Yes - Climbing Stairs - Yes

Simple grasping - Yes - Climbing Ladders - No

Dual simultaneous grasping - Yes - Depth Perceptions needed - Yes

Ability to see - Yes - Identify Colors - Yes

Operating office equipment - Yes - Twisting - Yes

Operating mechanical equipment - Yes - Crawling - No

Ability to read and write - Yes - Ability to Count - Yes

Ability to hear verbal communication without aid - Yes - Operating Personal Vehicle - Yes

Ability to comprehend written/verbal communication - Yes - Other: Ability to deal with stress - Yes

OSHA Category - III - -

B. Working Conditions : The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.

C. Occupational