PATIENT REGISTRATION SPEC

Position Summary

Captures the centralized scheduling of all outpatient diagnostic and surgical procedures. Accurately collects and inputs required financial and demographic information for all patients registered at the facility. Ensures verification of benefits and pre-certification requirements are met before scheduled appointments or admissions. Follows up on urgent or unscheduled registrations to maintain consistency in the process.

Responsibilities

• Maintains strict confidentiality of patient information.
• Recommends updates to existing policies and procedures that support the organization's values and enhance efficiency and data integrity.
• Notifies the Financial Counselor of potential self-pay, worker’s compensation patients, or non-covered procedures.
• Enters faxed reservations into the HBOC scheduling system.
• Schedules operative and diagnostic procedures using the HBOC scheduling system.
• Documents each scheduled procedure/event with detailed information.
• Verifies insurance benefits and obtains pre-certification from various third-party payers.
• Participates with clinical and care management areas to improve overall collections and cash flow.
• Analyzes claims denial data to achieve improved collections, enhance relationships with insurance companies, and improve workflow processes.
• Reports pertinent procedural changes/updates to appropriate leadership.
• Deals professionally with patients, physicians, visitors, and other hospital staff members.
• Ensures the registration process is handled in a professional manner, maintaining a registration accuracy rate of 95 to 100 percent.
• Explains necessary information to the patient/family member, such as consent for treatment, advance directives, medical/financial releases, deposit requirements, billing and payment policies, and advanced beneficiary notices.
• Recognizes situations that necessitate supervision, seeking appropriate resources.
• Directs, escorts, or provides wheelchair assistance to the patient upon completion of the registration process to the appropriate nursing unit or diagnostic testing area.
• Prepares the patient account folder by scanning all vital registration/scheduling/verification documents into the optical imaging system.
• Coordinates with Nursing Services the flow of inpatient and observation patient admissions.
• Updates schedules daily of unexpected procedures, cancellations, or changes and communicates with all individuals affected by revisions.
• Shows initiative to cross-train in all duties related to scheduling, registration, verification, and pre-certification.
• Activates manual systems for computer network downtime and notifies leadership of unscheduled downtime occurrences.
• Coordinates scheduling of classrooms for meetings, conferences, etc., ensuring confirmation is provided for the correct date and time.

Qualifications

• Minimum Education: Non 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.
• Licensure Requirement: None.