Patient Access ER registration

Position Responsibilities

• Collects accurate and complete patient information (i.e., legal name, permanent/local address, phone number, next of kin, employer, guarantor, insurance information, physician etc.), and enters in the system within the established time frames.
• Verifies insurance information, including eligibility, benefits (i.e., Deductibles, co-payments, out of pocket expenses, maximum lifetime coverage, exclusion/limitations/pre-existing conditions, etc.), and obtains appropriate referrals, pre-certification, and/or authorizations for all patients as follows: scheduled patients no later than 24 hours.
• Enters complete insurance verification information.
• Obtains and scans copies of insurance cards, front and back, as well as a copy of a picture ID at the time the patient presents for service.
• Provides and explains all registration documents (i.e., General consent forms, Advance Directive information, Patient Rights information, and Privacy Notice information).
• Affixes all registration documents, as well as orders, to the appropriate area (i.e., Nursing units, ancillary departments, etc.) after completing the registration process.
• Prior to the end of the shift, conducts a self-audit of all registrations to ensure that information is accurate and complete.
• Demonstrates full knowledge of Compliance Advisor's functionality as it relates to Medicare Compliance and accurately enters diagnoses according to prescriptions to check for ABN compliance.
• Ensures that every registration has attached the correct procedure, diagnosis (no R/O), printed physician's name and address on RX/referral, and the signature of the doctor when indicated.
• Assists patients in understanding their insurance benefits and explains hospital financial and deposit policies, including up-front collections, following established guidelines for up-front collections and collecting and disbursing revenue.
• Maintains compliance with Patient Access processes and Federal, State, and Local Laws and regulatory standards (ACHA, HIPPA, Medicare, Medicaid, EMTALA, COBRA, etc.).
• Demonstrates flexibility and ability to perform multiple functions within the Patient Access department.
• The individual is cross-trained to perform duties across various areas assigned.

Qualifications

• Bilingual in Spanish required.
• Education: High school graduate or equivalent level of training. Some college preferred.
• Experience: 1-3 years' practical experience in registration, collections, and insurance verifications preferred. Hospital Registration or Physician Office Front Desk experience.