Admission Registration Specialist I-29102

About the role

The Registration Specialist I is responsible for reviewing patient registration for all types of admissions to ensure patient and guarantor demographic and insurance information is complete and current with each patient visit. The Registration Specialist I will assist patients with understanding their insurance options and collecting patient financial responsibilities. The Registration Specialist I will perform all functions in a courteous and respectful manner, advocating for the patient’s best interest and wellbeing.

Responsibilities

• Collections, verifies and enters into Epic the patient's demographic, employer, financial, emergency contact, insurance, subscriber and case-specific information, such as referring physician and diagnosis.
• Consistently has patient sign and scan all necessary documents for completion of the admission process; consent, ID, insurance card, MIMS, OBS, COB, etc.
• Collects POS collections related to ED copays, coinsurance, deductibles, self-pay and outstanding balances.
• Determines the patient's financial obligation and communicates this information accurately and with respect to the patient.
• Performs registration functions consistent with Federal, State and Local regulatory agencies and payer requirements, and organizational policies and procedures, including HIPAA privacy and security Regulations, as well as JACHO.
• Completes OB registration when receives patient call during OB triage up in L&D to ensure accurate patient demographic and financial information.
• Complies with the Emergency Medical Treatment & Labor Act (EMTALA).
• Affords patients with the knowledge and skill to perform the admission notification (NOA) process which is a required communication with the patient’s payer to ensure that the payment for patient’s inpatient stay is secured.
• Minimizes the potential financial risk of patients accounts by discussing with the patient and/or guarantor their financial responsibility for upcoming visits/procedures, past due balances and referral requirements.
• Offers options and negotiates acceptable resolution of estimated patient balance.
• Understands and is able to communicate coverage-related concepts to the patients, i.e. pre-certification and out-of-network.
• Receives and properly responds to, or directs telephone inquiries from patients, payers, physicians and their staff, internal department and other persons and entities.
• Functions as Patient Admission Department during evening, nights and weekend hours, when they close, to ensure seamless admissions of any ED patients, transfers and direct admit to Rush University Medical Center.
• Able to exercise good customer service skills when communicating with both our patients as well as our internal customers.
• Able to find resolution within the phone interaction satisfactory to the caller and/or having the knowledge when to escalate to their supervisor.
• Interacts and collaborates with numerous departments to resolve issues while also analyzing necessary information that will ensure hospital reimbursement.
• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Rush University Medical Center’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
• Guards to assure that HIPAA confidential medical information is protected.
• Attends regular EPIC training sessions or other sessions conducted for the benefit of associates involved in the Admitting functions.

Requirements

• High school graduate or equivalent.
• 0-1 year of experience.
• Must have a basic understanding of the core Microsoft suite offerings (Word, PowerPoint, Excel).
• Excellent communication and outstanding customer service and listing skills.
• Basic keyboarding skills.
• Ability to analyze and interpret data.
• Critical thinking, sound judgment and strong problem-solving skills essential.
• Team oriented, open minded, flexible, and willing to learn.
• Strong attention to detail and accuracy required.
• Ability to prioritize and function effectively, efficiently, and accurately in a multi-tasking complex, fast paced and challenging department.
• Ability to follow oral and written instructions and established procedures.
• Ability to function independently and manage own time and work tasks.
• Ability to maintain accuracy and consistency.
• Ability to maintain confidentiality.

Qualifications

• Associates Degree in Accounting or Business Administration.
• Experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service.
• Knowledge of insurance and governmental programs, regulations, and billing processes e.g., Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc., managed care contracts and coordination of benefits is highly desired.
• Working knowledge of medical terminology and anatomy and physiology is preferable.

Skills

• Basic understanding of the core Microsoft suite offerings (Word, PowerPoint, Excel).
• Excellent communication and outstanding customer service and listing skills.
• Basic keyboarding skills.
• Analyzing and interpreting data.
• Critical thinking, sound judgment, and strong problem-solving skills.
• Team-oriented, open-minded, flexible, and willing to learn.
• Strong attention to detail and accuracy.
• Prioritizing and managing tasks effectively.
• Functing independently and managing own time and work tasks.
• Maintaining confidentiality.

Benefits

Rush offers exceptional rewards and benefits. For more information, please visit our Rush benefits page at https://www.rush.edu/rush-careers/employee-benefits.

Pay

The pay range for the Registration Specialist I position is $17.63 - $27.77 per hour.

Schedule

The work schedule is Shift 1, 8 Hr (9:00:00 AM - 5:30:00 PM).