PT REGISTRATION SPECIALIST

About the role

The Patient Registration Specialist at French Hospital Medical Center is responsible for ensuring a positive patient experience through excellent customer service during registration, insurance verification, benefit analysis, and financial clearance processes.

Responsibilities

• Identify patients, financially clear them across pre-registration to discharge, and counsel them on financial liability.
• Verify payer sources, refer to alternative payment assistance programs, and accurately capture all demographic and insurance information for appropriate reimbursement.
• Determine and collect patient financial liabilities or arrange payment plans, serving as a primary information source for patients and families on policies and rights.
• Maintain up-to-date knowledge of specific admission, registration, and pre-registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, Maternity, and Rehabilitation Units.
• Ensure the pre-registration process is complete for all assigned accounts at least 5-days prior to the scheduled date of service whenever possible.
• Verify insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilize approved scripting.
• Obtain referral, authorization and pre-certification information and document this information in the ADT system.
• When appropriate, ensure the payer receives a Notice of Admission on all admissions, scheduled and non-scheduled, with 24-hours or the next business day.
• Maintain compliance with CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements applicable and documenting completion within the hospital's information system for regulatory compliance and audit purposes.

Requirements

• High School Graduate General Studies and Minimum 2 years of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle-related role.
• Experience in requesting and processing financial payments.

Qualifications

• Exceptional customer service and communication skills.
• Meticulous attention to detail in financial processes.
• A strong understanding of insurance and payment assistance.

Skills

• Knowledge of specific admission, registration, and pre-registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, Maternity, and Rehabilitation Units.
• Ability to maintain up-to-date knowledge of these requirements.
• Experience in verifying insurance eligibility and benefits.
• Ability to obtain referral, authorization, and pre-certification information.
• Ability to ensure timely delivery of notices of admission.
• Compliance with CMS billing requirements.
• Experience in requesting and processing financial payments.

Benefits

• Medical
• Prescription Drug
• Dental
• Vision
• Life Insurance
• Paid Time Off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
• Tuition Reimbursement
• Roth 401(k)
• Traditional 401(k)
• Defined Benefit Plan

Pay

The posted compensation range of $27.51 - $34.48 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting.

Schedule

Monday - Friday 8:00am - 5:00pm

Category

Billing and Scheduling