Outpatient Registrar

Summary

Complete accurate pre-registration or registration for outpatient accounts, maintaining standards set for accuracy, positive patient experience and successful reimbursement for services.

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.

Credentials

Education or Equivalent Experience: H.S. Diploma/GED (Required)

Benefits

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region.