Pre-Registration Specialist

Summary of Job Duties

This position works under supervision and provides comprehensive support for finance and patient care activities. The Pre-Registration Specialist collects patient intake documents ahead of the appointment which saves time and reduces paperwork. The specialist’s responsibilities include but are not limited to answering inbound/outbound calls, collecting patient demographics, which include personal demographics, employment, guarantor, emergency contact information and insurance information. While checking insurance the Specialist verifies insurance information, checks for Medicaid PCP information, answers Medicare Questionnaires, and checks for out of network or out of area coverage. The Specialist directs out-of-network insured patients to Office of Financial Counseling while advising in network patients of their insurance copay and deductible. The Pre-Registration Specialist gives detailed appointment information that includes time, location, and physician information.

Qualifications

• Minimum Qualifications: High School, GED or formal educational equivalent2 years’ customer service or healthcare experienceAbility to follow oral instructions, read, and write. Computer /basic keyboard skills, telephone etiquette skills, and general knowledge of office machines including printers and scanners. Excellent customer service skills.
• Preferred Qualifications: Associate degree in general studies or relatedOne Year in medical office setting

Additional Information

• 20% Customer Service: Interacts with and assists the public in a professional and friendly manner, virtually. Demonstrates effective communication skills, communicating accurate and complete information; maintains strict confidentiality. Demonstrates positive working relationships with co-workers, management team, and ancillary departments; deals with conflicts in a positive and professional manner using careful listening and negotiation skills to resolve disagreements; consistently utilizes communication devices and keeps accurate records. Demonstrates effective service recovery skills; follows the Core Concepts of Patient and Family Centered Care and the Basic Code of Conduct Guidelines. Assists internal and external stakeholders as needed with exceptional customer service. Strong customer service skills are required as the basic for then working on the technical aspects of this position with the patient.
• 50% Insurance Identification and verification: Conducts pre-registration, inputs and/or updates accurate patient information; conducts insurance verification and benefits explanation by running eligibility on patients, requesting outside records, and gathering outside medical records from referrals; files patient charts as needed. This requires the Pre-Reg Specialist to understand insurance plan codes and be able to work with the patient to ensure correct information is placed on the correct Epic account. Appointment schedulers transfer the calls to Pre-Reg to add insurance information. Insurance does change and the Pre-Reg Specialist changes the insurance plans and codes as needed. The Specialist needs to be able to recognize out of network plans and refer the case to a Pre-Reg Specialist II or to a supervisor.
• 15% Insurance company interactions & Medical Reports: The Pre-Reg Specialist has to understand insurance well enough to call insurance companies and discuss worker compensation coverage, pre-approved visits and any other coverage issues, and then be able to explain to the patient what coverage UAMS is accepting as in network. This position may maintain initial plan of care (signatures, etc.), and is responsible for recording daily and monthly statistics and communication of any medical records issues which can include PCP referrals, information from insurance companies.
• 5% Professional Development: Attends required training and/or in-services; attends staff meetings and participates in the orientation and/or training of new staff; participates in annual educational needs assessment. Maintains required job skill competencies and completes skill assessment annually’ completes and maintains documentation of continuing education hours annually.
• 10% Other duties may be assigned to this position: May include standing up a call-in line for communicable disease screening, overflow from Student Employee Health. Requires rapid changeable communication with patients.

Salary Information

$16.83

Required Documents to Apply

• Resume

Optional Documents

Special Instructions to Applicants: Recruitment Contact Information: Please contact askrecruitment@uams.edu for any recruiting related questions. All application materials must be uploaded to the University of Arkansas System Career Site https://uasys.wd5.myworkdayjobs.com/UASYS Please do not send to listed recruitment contact. Pre-employment Screening Requirements: This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law. Constant Physical Activity: Frequent Physical Activity: Occasional Physical Activity: Benefits Eligible: Yes