REGISTRATION REPRESENTATIVE

Responsibilities

• Verifies and registers emergency and outpatient patients.
• Obtains insurance, financial information, patient identification, and copies of insurance cards from the patient or guarantor.
• Enters information in the electronic medical record with a high degree of accuracy in a timely manner (15 minutes max).
• Notates registration via comments for potential problems, such as language barriers, foreign country addresses, inability to obtain info, etc.
• Notices and notifies appropriate personnel of system problems.
• Assists with the activity of the area as needed.
• Performs Point of Service collections for expected out-of-pocket and patient responsibility expenses.
• Verifies insurance eligibility in accordance with department guidance, such as CHC, HDX, insurance web portals, and reports questionable insurance.
• Follows up with patient accounting for resolution.
• Provides patients or their representatives with federal, NYS, local, and hospital mandated documents, such as brochures, HIPAA, Patient Rights, etc.
• Creates a positive first impression while greeting patients when they present for registration.
• Completes quality assurance by reviewing registration data for accuracy and correcting delinquent data.
• Completes online courses assigned by the Health System and attends department meetings and training sessions.
• Completes work queues/lists, reports, etc. to ensure prompt and accurate billing.
• Offers departmental assistance and informative support to current and newly hired colleagues.
• Reports to ED for bedside registration, ensuring the mobile PC is working and fully stocked.
• Plays a role in verifying insurance eligibility and reporting questionable cases.
• Places thermal ID band on patients in accordance with infection control protocol and notifies clinical staff of any issues with armband placement.
• Follows Code 99 protocol, updates information, and notifies appropriate departments.
• Maintains a log of deceased patients, documenting all pertinent information.
• Identifies and refers potential problems to senior staff/leadership, such as bodies in the morgue over 24 hours, and missing death certificates.
• Checks personnel folders/email daily, corrects registration errors.
• Performs other related duties as assigned.
• Serves as a brand ambassador by upholding the WMC Health Mission, Vision, and CARE values and promoting excellence in the patient experience, during every encounter.

Qualifications/Requirements

• Experience in insurance/authorization verification, preferably 1-3 years.
• Knowledge of medical terminology is a plus.
• A high school diploma or equivalent.
• No licenses/certifications required.
• The individual must be able to come into contact with human blood and other potentially infectious materials.
• Universal precautions, use of personal protective equipment and devices, and adherence to infection control policies are required.
• Excellent communication skills, including conflict management, tact, persuasion, and problem-solving.
• A commitment to the Guest Services program and promotion of quality patient care and customer satisfaction while maintaining safety and cost efficiency.
• Detail-oriented and multitasking skills are preferred.