Outpatient Registrar

Responsibilities

• Pre-Register / Register Patients .Positively identify correct medical record and correct visit account.
• Enter/ update complete demographic information.
• Enter all physician-documented reasons for visit and ICD codes.
• Verify patient’s insurance eligibility and benefits .Determine correct insurance plan identification, with potentially multiple and differing contracts.
• Verify eligibility and benefits using available resources and according to department protocols.
• Screen for service capitation.
• Complete Medicare Secondary Payer questions as required.
• Document accounts with payer data .
• Consistently resolve account errors in individual work queue within prescribed time frame; maintain individual/group RQA quality score at or above minimum standard.
• Secure and/or verify authorization for service .Verify and/or secure specific related authorization requirement necessary to prevent later denial of charges by the carrier.
• Monitor patient account until authorization has been completed.
• Enter physician orders accurately .Enter physician orders into the ADM and ITS (Pre Natal registration only) Order Management modules, as required.
• Check Medical Necessity and process ABN’s (Advanced Beneficiary Notices).
• Proactively contact physician offices for updated scripts when necessary.
• Identify and Collect patient’s financial responsibility .Collect patient financial responsibility.
• Calculate patient estimated cost as applicable.
• Identify need for financial assistance and direct patients to appropriate resource.

  Qualifications

  • H.S. Diploma/GED