PATIENT REGISTRATION SPEC

Position Summary

Cumberland Medical Center in Crossville, Tennessee is part of Covenant Health, East Tennessee’s largest nonprofit health system. This position coordinates the centralized scheduling of outpatient diagnostic and surgical procedures, collects and enters financial and demographic information, and ensures verification of benefits.

Responsibilities

• Collects co-payments/deposits based on verification information obtained, generates receipts to the payer, and delivers all cash transactions to the cashier for proper posting to the patient account.
• Maintains strict confidentiality of patient information.
• Notifies the Financial Counselor immediately upon scheduling or registering any potential self pay, worker’s compensation patient, or any non-covered procedures.
• Makes patient type changes based on information given from Medical Records Staff and/or Care Coordinators, ensuring documentation is present in the medical record to support the change.
• Schedules operative and diagnostic procedures utilizing the HBOC scheduling system.
• Verifies insurance benefits and obtains pre-certification from various third-party payers.
• Enters faxed reservations into the HBOC scheduling system.
• Documents each scheduled procedure/event with detailed information.
• Notifies departments of any special resources required for procedure/event.
• Participates with clinical and care management areas to address opportunities to improve overall collections and cash flow.
• Analyzes claims denial data for opportunities to achieve improved collections, enhance relations with insurance companies and physician practices, and improve workflow process.
• Reports pertinent procedural changes/updates to appropriate leadership.
• Explains a variety of necessary information to the patient/family member, such as: consent for treatment, advance directives, medical/financial release, deposit requirements, billing and payment policies and advanced beneficiary notices.
• Demonstrates ability to keep abreast of regulatory and insurance requirements ensuring that changes are incorporated in daily job functions.
• Coordinates with Nursing Services the flow of inpatient and observation patient admissions.
• Activates manual systems for computer network downtime, printing schedules in advance when necessary.
• Notifies leadership of unscheduled downtime occurrences.
• Coordinates scheduling of classrooms for meetings, conferences, etc., ensuring confirmation is provided for the correct date and time.
• Completes required education assignments annually.
• Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.

Qualifications

• Minimum Education: None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill, and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED.
• Preference may be given to individuals possessing a Bachelor’s degree in a directly-related field from an accredited college or university.
• Minimum Experience: One (1) year experience in a hospital or financial setting OR minimum three (3) years of total customer facing/customer service experience required.