Patient Registration - Business Office Clerk

People

• Assigned tasks to be completed accurately, and within specified timelines.
• Affirms Annual competency education is up to date and completed prior to deadlines.
• Participates in regular departmental staff meetings and facility-wide meetings.
• Always on time for work and attendance is within company policy guidelines.
• Willingness to assist in orientation of new staff and ensuring a high level of employee satisfaction and retention.
• Performance self-evaluations to be completed and returned before scheduled date for annual performance review.
• Performs and conducts self in a professional and appropriate manner in all situations.
• Demonstrates respect and cooperation in all staff relationships, and a genuine willingness to prevent or resolve inter-personal conflicts.
• Demonstrates the ability to participate in and/or implement team decisions.
• Accepts and implements change in a positive and professional manner.

Functions

• Performs registration processing for various system patient types including but not limited to outpatient clinic, outpatient surgery, observation, in-patient, emergency, and direct admissions/transfers.
• Informs management of all extraordinary situations involving medical and clinical staff, visitors, patients, or other departments.
• Communicates with other hospital departments to facilitate excellent patient care.
• Confirms demographic information with the patient during interview and ensures all patients demographic information is entered accurately into the facility EHR database.
• Updates patient records by direct data input.
• Performs bedside registration to complete needed demographic information when required.
• Obtains insurance information and enters insurance information into the EHR.
• Screens patients for funding upon preadmission and arrival.
• Generates and distributes all necessary forms relating to patient admissions and registration, including but not limited to: Consent for Treatment, Patient Rights and Responsibility, Notice of Physician Ownership, WC Accident/Injury forms (OJI), Medicare Secondary Questionnaire, Advanced Beneficiary Notices (ABN), Medicare Important Message (CMS), Third Party Liability (TPL) forms, Notice of Patient Privacy (NPP), Financial Responsibility/Estimate forms, patient handbook, and other needed medical forms.
• Secures necessary signatures and obtains copies of all insurance cards.
• Utilizes electronic signature platforms for forms to be completed by the patient/guarantor for signature.
• Properly identifies/generates patient medical record number, in order to, reduce potential medical risk and/or duplication.
• Obtains patient identification for reference and retention.
• Advises patient or patient’s guarantor of charges incurred and the need for payment at the time of arrival and/or dismissal.
• Collections indicated amounts from patient or patient’s guarantor and properly batches and posts in payment posting system.
• Secures deposits and corresponding paperwork as stipulated by department policies.
• Documents notes on non-payment when encountered.
• Gives patients detailed instructions and/or directions to other pertinent clinical areas.
• Assists with customer service issues and handles intake phone calls.
• Escorts patients/visitors to clinical areas (using wheelchairs if necessary).
• Processes admissions by assigning patients to a bed/location provided by inpatient unit.
• Interprets physician orders, ensuring proper order status, and that documentation requirements are met and completed.
• Maintains scanned copies of all pertinent registration documentation within the EHR.
• Consistently uses facility approved translation system for proper patient communication when a translator is required. Documenting translation validation appropriately.
• Understands how to process patients during system outages “Downtime”
• Performs other duties as assigned.

Quality

• Assures that business office systems are in place to maintain compliance with State, Federal, and accreditation standards.
• Complies with departmental policies and procedures to meet regulatory and community standards.
• Ensures accurate and complete registration processing and works to maintain departmental quality goals.
• Collection of deductible, co-pays, co-insurance and other amounts as indicted on estimated insurance benefits worksheet.
• Maintains workflow of registration processing and communicates issues to management when required action is needed.
• Provides prompt and professional phone courtesy while answering phone calls.
• Prompt and accurate payment posting when performing daily collections.

Finance

• Manages collection activities to maximize revenue to assure budgeted EBITDA results are achieved.
• Ensures registration processing accuracy meets department goals in order to promote timely and accurate billing.
• Account management is performed according to SP benchmarks and guidelines.
• Actively participates in achieving the monthly collection goals.
• Communicates with patients as necessary to discuss financial responsibility.
• Participates in reducing cost of office supply usage resulting in cost effective operations of areas of responsibility.
• Participates in the fiscal management initiatives for the facility as directed by leadership in accordance with SP benchmarks.
• Ensures effectiveness of internal controls through following all general accountability principles.
• Overtime is justified and approved in advance.

Growth

• Manage work process to maintain high quality standards on increasing case volume.
• Utilize all available automation tools.
• Introduce new or improved tools when applicable.
• Provide excellent customer service to all internal and external customers.
• Accepts change as an opportunity for growth, learning and development.
• Adapts to changing procedures and goals in a cooperative and positive manner.
• Willingness to participate in goal-setting and educational activities for own growth and advancements.