REGISTRATION & ELIGIBILITY SPECIALIST -
UNM Hospital · Albuquerque, NM · 1 mo ago
AdministrativeFull-time
We need to output HTML fragment with sections: Use
for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections where there is real specific content. The posting includes Position Summary (we can treat as About the role). Detailed Responsibilities (Responsibilities). Qualifications (Education, Experience, etc). Also there is Physical Conditions etc maybe part of Requirements? There's no explicit Benefits, Pay, Schedule. So we should not create those sections. Also we should not repeat job title. No metadata like Department, FTE, Shift? Those are minor metadata; we can fold into a short
maybe under About the role? The instruction: "Do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short
or drop it." So we can include a short paragraph with Department, FTE, Shift maybe. But we need to preserve all substantive information. The Department, FTE, Shift are substantive? They are metadata but maybe we can include them in a short
under About the role. The instruction says "fold minor metadata into a short
or drop it." So we can include them in a
. We need to remove boilerplate: Compensation Disclaimer (should be removed). Also remove any duplicated lines. Also remove cookie/navigation/legal/EEO etc. Not present. We need to use
- for any list of duties/requirements/benefits. The responsibilities are a long paragraph with many items separated by semicolons or line breaks. We should break them into list items. The posting has sections like PATIENT CARE -, CUSTOMER SERVICE -, etc. We can treat each bullet as list item. We'll need to parse the responsibilities text and create
- for each distinct duty. Similarly for qualifications: Education, Experience, Nonessential, Credentials, Physical Conditions. We can make list. We must not invent or summarize away detail. Must preserve all substantive information. So we need to include all details from the posting. Let's extract content. First, we have: Compensation Disclaimer (remove) Department: Ambulatory PreRegistration Ctr FTE: 1.00 Full Time Shift: Days Position Summary: Perform pre-registration and registration functions for area assigned; verify insurance coverage eligibility and benefits; obtain authorization for admission; verify required referrals and/or prior authorization are in place; interview patients for outdated or missing demographics; professional and efficient phone call handling via telephone ACD system in a call center setting; perform as first contact for Persons in Custody of Law Enforcement Agency (PICLEA) as they arrive for care; screen patients for coverage and assist them in navigating their financial options including UNMH or other UNM Health Systems financial assistance, NM Medicaid, or other State and Federal Programs. Advise, inform and assist patients before and after their admission. Ensure adherence to Hospitals and departmental policies and procedures. No patient care assignment. Detailed Responsibilities: (then a long list with headings like PATIENT CARE -, CUSTOMER SERVICE -, etc.) We need to extract each bullet. Let's copy the responsibilities section text: "Detailed Responsibilities: PATIENT CARE - Assist patients in locating departments; schedule and coordinate patient appointments; refer patients and families to appropriate services and resources CUSTOMER SERVICE - Provide information and assistance to internal and external customers; provide and ensure quality service and customer satisfaction DATA - Perform data entry and research using various hospital system programs DATA ENTRY - Enter various data into computer; verify data, make corrections and ensure accuracy REGISTRATION - Interview patients and/or families to obtain demographic, financial information and signatures as required; schedule new and follow-up appointments PRIOR AUTH/INSURANCE - Verify insurance coverage and benefits on patients needing an Auth; provide notification of admission and obtain auth for emergency admits; obtain authorizations for same day surgery, inpatient surgery, direct admits and any other pre scheduled stays or procedures. Provide all pertinent medical history/documentation for insurance companies and other payors in order to obtian an auth; document Cerner with correct information; Scan all documents concerning authorization and reimbursement into Siemens document imaging; may collect down payments for and copays for procedures. Create Pre Admits in Cerner as appropriate PRIOR AUTHORIZATION - Complete pre-screening process for specialty clinic appointments for referral and/or prior auth FINANCIAL ASSISTANCE - Interview patients and complete the application process for State/Government programs; maintain MOSAA certification with the State; interview and approve patients for UNM Hospital charity and discount programs FINANCIAL ASSISTANCE - Refer self-pay patients for financial assistance; make financial assistance appointments ELIGIBILITY - Determine and process eligibility for financial assistance (Including Medicaid, SCI, UNM Care, Commercial, Medicare, PHS/Indian Health Service, Salud, Self Pay) REFERRALS - Maintain a knowledge of community financial resources and refer patients appropriately (EMSA). TRAINING - Perform training with registration and admitting personnel to assure proper registration and knowledge of business practices to include financial assistance programs TRAINING - Perform outreach/training with clinical areas to ensure process flow remains tight and to maintain open communication CUSTOMER RELATIONS - Establish and maintain good rapport and effective working relationships with patients, visitors, physicians and Hospitals employees DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops LIAISON - Perform as liaison between clinic staff, providers, and the insurance company or other payors to coordinate financial benefits/ coverage and prior authorizations FRONT DESK - Answer phones at front desk and assist walk-in patients as needed. Provide after hours/weekend information desk coverage for the hospital. Re-identify patients for Blood Bank and Health Information Management Department. Organize folders for floor visits to patients. Admit surgical patients and direct admits that present to the Admitting office. Input all pre-admits for PALS and direct admissions as appropriate. Log all admissions in the Admitting logs. PATIENT CARE - Accept and issue patient's valuables from patients and the Emergency Department Staff. Perform floor visits to interview patients after a direct admit from the Emergency Department or the clinics CASH - Reconcile and complete cash reconciliation reports; balance and post payments, contractual allowances, and denials REPORTS - Obtain police reports when appropriate for billing information for Patient Financial Services. Do the Census reports for PBX. Work Medicare secondary payor report as assigned RELATED WORK - Perform related duties and responsibilities as required SIGNATURE - Obtain proper signatures for Medicare Rights Consent for Treatment, financial forms for applying for assistance, and other forms as appropriate; assure that patient rights are distributed INFORMATION - Interview patients and/or family at time of admission, pre-admission or discharge to obtain accurate demographic, and financial information; update information on Hospitals computer system to ensure correct billing; register patients for the Laboratory and clinics after hours; provide billing information to Ambulance Services CODING - Assign ICD9 or ICD10, CPT codes as required by insurance companies in order to obtain authorization for services DOCUMENTATION- Send all pertinent medical documentation to insurance companies and other payors for approval. Document final authorization in Cerner and scan all paperwork into Siemens scanning" We need to split by the headings (PATIENT CARE -, CUSTOMER SERVICE -, etc). Some headings appear twice (PATIENT CARE appears twice, TRAINING appears twice, FINANCIAL ASSISTANCE appears twice). We should combine? Probably each occurrence is separate bullet but we can treat each as separate list item. However we must preserve all info; we can just create list items for each heading block. Let's parse manually. I'll create list items: 1. PATIENT CARE - Assist patients in locating departments; schedule and coordinate patient appointments; refer patients and families to appropriate services and resources 2. CUSTOMER SERVICE - Provide information and assistance to internal and external customers; provide and ensure quality service and customer satisfaction 3. DATA - Perform data entry and research using various hospital system programs 4. DATA ENTRY - Enter various data into computer; verify data, make corrections and ensure accuracy 5. REGISTRATION - Interview patients and/or families to obtain demographic, financial information and signatures as required; schedule new and follow-up appointments 6. PRIOR AUTH/INSURANCE - Verify insurance coverage and benefits on patients needing an Auth; provide notification of admission and obtain auth for emergency admits; obtain authorizations for same day surgery, inpatient surgery, direct admits and any other pre scheduled stays or procedures. Provide all pertinent medical history/documentation for insurance companies and other payors in order to obtain an auth; document Cerner with correct information; Scan all documents concerning authorization and reimbursement into Siemens document imaging; may collect down payments for and copays for procedures. Create Pre Admits in Cerner as appropriate 7. PRIOR AUTHORIZATION - Complete pre-screening process for specialty clinic appointments for referral and/or prior auth 8. FINANCIAL ASSISTANCE - Interview patients and complete the application process for State/Government programs; maintain MOSAA certification with the State; interview and approve patients for UNM Hospital charity and discount programs 9. FINANCIAL ASSISTANCE - Refer self-pay patients for financial assistance; make financial assistance appointments 10. ELIGIBILITY - Determine and process eligibility for financial assistance (Including Medicaid, SCI, UNM Care, Commercial, Medicare, PHS/Indian Health Service, Salud, Self Pay) 11. REFERRALS - Maintain a knowledge of community financial resources and refer patients appropriately (EMSA). 12. TRAINING - Perform training with registration and admitting personnel to assure proper registration and knowledge of business practices to include financial assistance programs 13. TRAINING - Perform outreach/training with clinical areas to ensure process flow remains tight and to maintain open communication 14. CUSTOMER RELATIONS - Establish and maintain good rapport and effective working relationships with patients, visitors, physicians and Hospitals employees 15. DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops 16. LIAISON - Perform as liaison between clinic staff, providers, and the insurance company or other payors to coordinate financial benefits/ coverage and prior authorizations 17. FRONT DESK - Answer phones at front desk and assist walk-in patients as needed. Provide after hours/weekend information desk coverage for the hospital. Re-identify patients for Blood Bank and Health Information Management Department. Organize folders for floor visits to patients. Admit surgical patients and direct admits that present to the Admitting office. Input all pre-admits for PALS and direct admissions as appropriate. Log all admissions in the Admitting logs. 18. PATIENT CARE - Accept and issue patient's valuables from patients and the Emergency Department Staff. Perform floor visits to interview patients after a direct admit from the Emergency Department or the clinics 19. CASH - Reconcile and complete cash reconciliation reports; balance and post payments, contractual allowances, and denials 20. REPORTS - Obtain police reports when appropriate for billing information for Patient Financial Services. Do the Census reports for PBX. Work Medicare secondary payor report as assigned 21. RELATED WORK - Perform related duties and responsibilities as required 22. SIGNATURE - Obtain proper signatures for Medicare Rights Consent for Treatment, financial forms for applying for assistance, and other forms as appropriate; assure that patient rights are distributed 23. INFORMATION - Interview patients and/or family at time of admission, pre-admission or discharge to obtain accurate demographic, and financial information; update information on Hospitals computer system to ensure correct billing; register patients for the Laboratory and clinics after hours; provide billing information to Ambulance Services 24. CODING - Assign ICD9 or ICD10, CPT codes as required by insurance companies in order to obtain authorization for services 25. DOCUMENTATION- Send all pertinent medical documentation to insurance companies and other payors for approval. Document final authorization in Cerner and scan all paperwork into Siemens scanning Now Qualifications section: "Qualifications Education: Essential: High School or GED Equivalent