Pre-Registration Specialist II

Summary of Job Duties

This position works under supervision and provides comprehensive support for finance and patient care activities. The Pre-Registration Specialist II is the go to resource for complicated registrations. The work with coordination of benefits (COB) issues to ensure that primary insurance is filed appropriately and the secondary follows the primary. It is the responsibility of the Pre-Registration IIs to assist in denials of coordination of benefits issues on accounts not set up properly.

Qualifications

• Minimum Qualifications: High School Diploma/GED Two (2) years of experience in customer service & 2 years of healthcare experience, preferably in registration or insurance verification or equivalent combination of experience and education Ability to follow oral instruction, 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’s degree or Bachelor's degree, healthcare related Prefer 4 years of healthcare experience involving registration with insurance involvement. Knowledge in basic medical terminology preferred, medical terminology competent within 3 months of hire. Registration experience is preferred.

Additional Information

• Pre-Registration IIs collect patient intake documents ahead of the appointment which saves time and reduces paperwork. The specialist’s responsibilities include but is not limited to answering new and existing inbound/outbound calls, collection of 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 II directs out of network insured patients to Office of Financial Counseling while advising in network patients of their insurance copay and deductible.
• The Specialist II must be able to perform all duties of the Pre-Registration Specialist. Pre-Reg IIs assist with training and monitor calls for new Pre-Registration Specialist staff. 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.
• The Pre-Reg IIs will get the out of network calls referred to them to work with Financial Counseling to resolve. The IIs must have the ability to work with complicated out of network insurance issues with both insurance company and patient referrals. This may require contacting physicians and informing physicians of the patient’s insurance status. Pre-Registration Specialist IIs must have ability to jump on difficult calls and assist Pre-Registration Specialists as needed. The IIs must have the ability to work with complicated out of network insurance issues with both insurance company and patient referrals. This may require contacting physicians and informing physicians of the patient’s insurance status.
• Pre-Reg IIs must be able to train at the elbow new staff to the Pre-Reg Department - sometimes more than one new employee at a time. Each new employee needs several weeks of at the elbow support, provided by Pre Reg IIs. 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.
• Maintains required job skill competencies and completes skills assessment annually; completes and maintains documentation of continuing education hours annually.

Special Instructions to Applicants

Please contact askrecruitment@uams.edu for any recruiting related questions. All application materials must be uploaded to the University of Arkansas System Career Site Please do not send to listed recruitment contact. Pre-employment Screening Requirements: Annual TB Screening, Criminal Background Check 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: Hearing, Sitting, Talking Frequent Physical Activity: Crouching, Feeling, Grasping, Lifting, Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting, Talking, Walking Occasional Physical Activity: Climbing, Crawling, Feeling, Kneeling, Pulling, Pushing, Standing, Stooping Benefits Eligible: Yes