Registrar Mon-Fri 6:30a - 3:00p

About the role

The Registrar under general supervision of the Director is responsible for timely and accurate scheduling, insurance eligibility and verification, referrals and authorization, patient registration, point of service collection, transfer and discharge of all hospital patients. They serve as the first point of contact for providers and patients, via phone and in person. They support the hospital in all areas as requested, ensuring the accuracy of demographic and financial data recorded, accurate and timely hand off of patient and/or registration documents and physician orders to clinical care departments, and promote patient safety by arm banding every patient (Red Rules) at every point of contact prior to the end of the registration process.

Responsibilities

• Completes registration and scheduling processes according to established protocol, ensuring the integrity of the patient's clinical record.
• Maintains cash drawer in accordance with established procedures.
• Participates in the daily reconciliation of cash collected and daily deposit as assigned.
• Completes Medical Necessity screening as required by Medicare for outpatient diagnostic services.
• Calculates patient's share of cost and performs point of service collection in accordance with upfront collection policy and procedure; collecting self-pay portions, co-payments, and past due patient portions at the time of check in; all other collections to be collected at discharge.
• Reviews registrations daily for quality assurance, and correction of errors prior to close of business (reports provided by supervisor).
• Researches scheduled appointment log for 3 days out to ensure appropriate insurance documentation, eligibility and verification, completion of referral and/or authorization requirements, and notification to patient of patient portion due at time of service.
• Schedules patient within 24 hours of appointment if insurance pre-certification/authorization requirements are not met.
• Promotes a culture of safety through proper identification, proper reporting, documentation and prevention of medical errors in a non-punitive environment.
• Arm bands every patient (Red Rules) prior to the end of the registration process.
• Follows the appropriate check in process to electronically date/time stamp patient arrival and departure/handoff times.
• Includes compliance with EMTALA rules and regulations when working in the Emergency Room, including appropriate registration of the ER OB patient.
• Aids patient in registering for and utilizing the Patient Portal to ensure compliance with Meaningful Use Documents thoroughly and accurately.
• Flags patient accounts as necessary for collection of past due balances, incorrect demographics, and other critical notifications as needed.
• Utilizes payer websites and/or eligibility interface for eligibility and benefit detail, and assigns insurance plans according to validated results.
• Performs and documents pre-certification/authorization at time of service for all registrations in compliance with payer requirements. This includes communication to payer of ALL recorded/ordered procedures.
• Explains registration forms to the expressed understanding of the patient and obtains the signature of the patient or authorized individual in compliance with state and federal guidelines.
• Documents account notes with the results of the COB review. This includes the Medicare Secondary Payer Questionnaire when the primary insurance is traditional Medicare.
• Assigns insurance plans in the correct order in accordance with MSPQ results.
• Completes registration and scheduling processes according to established protocol, ensuring the integrity of the patient's clinical record.
• Maintains cash drawer in accordance with established procedures.
• Participates in the daily reconciliation of cash collected and daily deposit as assigned.
• Completes Medical Necessity screening as required by Medicare for outpatient diagnostic services.
• Calculates patient's share of cost and performs point of service collection in accordance with upfront collection policy and procedure; collecting self-pay portions, co-payments, and past due patient portions at the time of check in; all other collections to be collected at discharge.
• Reviews registrations daily for quality assurance, and correction of errors prior to close of business (reports provided by supervisor).
• Researches scheduled appointment log for 3 days out to ensure appropriate insurance documentation, eligibility and verification, completion of referral and/or authorization requirements, and notification to patient of patient portion due at time of service.
• Schedules patient within 24 hours of appointment if insurance pre-certification/authorization requirements are not met.
• Promotes a culture of safety through proper identification, proper reporting, documentation and prevention of medical errors in a non-punitive environment.
• Arm bands every patient (Red Rules) prior to the end of the registration process.
• Follows the appropriate check in process to electronically date/time stamp patient arrival and departure/handoff times.
• Includes compliance with EMTALA rules and regulations when working in the Emergency Room, including appropriate registration of the ER OB patient.
• Aids patient in registering for and utilizing the Patient Portal to ensure compliance with Meaningful Use Documents thoroughly and accurately.
• Flags patient accounts as necessary for collection of past due balances, incorrect demographics, and other critical notifications as needed.
• Utilizes payer websites and/or eligibility interface for eligibility and benefit detail, and assigns insurance plans according to validated results.
• Performs and documents pre-certification/authorization at time of service for all registrations in compliance with payer requirements. This includes communication to payer of ALL recorded/ordered procedures.
• Explains registration forms to the expressed understanding of the patient and obtains the signature of the patient or authorized individual in compliance with state and federal guidelines.
• Documents account notes with the results of the COB review. This includes the Medicare Secondary Payer Questionnaire when the primary insurance is traditional Medicare.
• Assigns insurance plans in the correct order in accordance with MSPQ results.

Requirements

• High school diploma or GED required.
• Prior hospital or physician practice experience preferred.
• Excellent computer skills, oral and written communication and customer service skills.

Physical Demands and Working Conditions

• Frequent: sitting & reaching.
• Occasional: standing, walking, lifting, carrying & pushing.
• Visual and hearing acuity required.
• Work is inside, with good ventilation and comfortable temperature.
• Exposure to: toxic/caustic chemicals or detergents, communicable diseases, blood-borne pathogens.