Pre-Registration Spec BHS

Pre-Registration Specialist/Integrated Care

Completes the pre-registration which includes collecting accurate demographic and financial information for the purpose of clinical care & revenue cycle reimbursement.

• Contacting patients to conduct pre-registration using daily work management queues.
• Maintaining productivity standards set within the department.
• Maintaining registration accuracy threshold of 98% as identified in audit processing.
• Accurately identifies patients in the EMR, collects and verifies all information contained within the registration conversation including demographic and insurance information.
• Verifying insurance eligibility using online eligibility system, payer websites or by phone call.
• Identifying and/or determining patient Out of Network acceptance into the organization.
• Reviewing insurance information & providing patient estimates utilizing price estimator products.
• Collecting patient's out of pocket expenses and past balances.
• Meeting individual and department goals.
• Scheduling, canceling, rescheduling and confirming patient appointments over the phone.
• Finding and coordinating when necessary the patients who need financial assistance to speak with a Financial Counselor (Navigator).
• Providing explanation for billing procedures, policies and provides appropriate literature and documentation.
• Providing exceptional customer-centric service during every encounter with patients, and associates.
• Participating in performance improvement (i.e., follows established work systems, identifies deviations or deficiencies in standards/systems/processes and communicates problems to supervisor or manager).

Service Goals

• Personally connect.
• Keep everyone informed.
• Be on their team.

Specialized Screening

• Initiating auto accident liability coverage.
• Initiating ERSD (end stage renal disease) screening.
• Initiating Veterans Administration eligibility screening.
• Imitating Black Lung SSI screening.
• Initiating Workers Compensation screening.
• Initiating MSP (Medicare secondary screening).

Commitment to Beacon's Six-Point Operating System

• Leverage innovation everywhere.
• Cultivate human talent.
• Embrace performance improvement.
• Build greatness through accountability.
• Use information to improve and advance.
• Communicate clearly and continuously.

Education and Experience

• The knowledge, skills, and abilities as indicated are normally acquired through the successful completion of a high school diploma or equivalent; two or more years of previous work experience in insurance, medical records, coding, billing or related area to develop knowledge of healthcare revenue cycle.
• Knowledge of medical terminology & ICD-10 codes, knowledge of insurance verification process, and third-party payor's, strong communication skills, both written and verbal, experience with computers and other office equipment, good organizational and analytical ability; must be detail oriented, proven customer service skills, along with commitment to patient satisfaction, working knowledge of Microsoft Office: Outlook, Excel and Word.

Knowledge and Skills

• Demonstrates well-developed communication skills to communicate effectively and clearly to a variety of internal and external contacts.
• Demonstrates analytical skills necessary to solve problems and interpret data.
• Promotes collaboration and innovation in the clinical services to ensure an interdisciplinary approach to improving healthcare delivery and the quality of patient care.
• Must be tactful in communicating problems which are often of a highly personal and confidential nature.
• Must be able to maintain professionalism during potential frustrating interpersonal situations.
• Demonstrates a high knowledge level of procedures, including knowledge of CPT codes and ICD-10 Codes.
• Demonstrates a high knowledge of insurance network guidelines to ensure the referral is scheduled in accordance with customer's insurances rules and regulations.
• Ability to type 55-65 WPM.
• Using critical skills to make decisions, identify problems, create solutions and helping to implement change.
• Escalates concerns when necessary.
• Effectively prioritizing work.
• Working at a fast pace and maintaining accuracy.

Physical Demands

• Requires the physical ability and stamina to perform the essential functions of the position.
• Sitting for long periods of time in front of a computer monitor.