Patient Registration Specialist PRN Mixed Shifts

About the role

At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. As a Patient Registration Specialist, you will play a significant part in creating a great experience for patients and their families!

Responsibilities

• Verify patient identification, demographic information, and insurance information.
• Enter patient information accurately into the hospital information system (EPIC).
• Refer patients with questions regarding financial liability to appropriate resources.
• Provide estimates for out‑of‑pocket costs.
• Accept point‑of‑service payments.
• Accept medical authorization or referral forms, if appropriate.
• Process key documents to facilitate obtaining insurance information.
• Educate patients/families on the use of registration kiosks or online systems.
• Identify routine issues and escalate to Supervisor, Patient Access.
• Process insurance claim forms.
• Review claims/accounts for complete information, correct and complete forms to ensure accuracy.
• Access information and translate data into information acceptable to the claims processing system.
• Prepare claims for return to provider/subscriber if additional information is needed.
• Maintain all appropriate claim files and follow up on suspended or outstanding claims.
• Identify, research, and resolve issues related to coordination of benefits, subrogation, and general inquiry issues, then communicate the results.
• Identify routine payer or provider issues and escalate to Lead Patient Financial Services Representative.
• Act as a point of contact for assigned payers.
• Maintain compliance with HIPAA and other regulatory requirements throughout all activities.
• Protect the safety of patient information by verifying patient identity to preserve the integrity of the patient record and ensure all records are complete, accurate, and unique to one patient.

Requirements

• Associate degree in Accounting or Business Administration preferred.
• Prior work experience performing customer service activities within a hospital or clinic environment, an insurance company, managed care organization, or other health care financial setting preferred.
• Knowledge of insurance and governmental programs, regulations, and billing processes and/or managed care contracts and coordination of benefits preferred.

Skills

• Ability to multitask in a busy environment.
• Ability to make quick decisions independently.
• Excellent