Registration Services Representative - Clinical Practice Services

Primary Responsibilities

• Registers patients via phone and work lists/reports to ensure complete and accurate registration data is in the Epic system before the patient’s clinic visit.
• Enters all patient demographics and insurance and coverage information in software or databases.
• Safeguards compliance policies to avoid fraudulent billing, consent forms, and Medicare questionnaires.
• Verifies Medicare and Medicaid eligibility. Requires full knowledge of on-line eligibility systems.
• Applies extensive knowledge of miscellaneous and managed care insurance contracts.
• May need to call the patient and/or insurance carrier to verify coverage and eligibility as needed.
• Enters insurance information obtained from the clinic check-in process. This will come via work queues containing insurance card copies, which are scanned or faxed by the clinic.
• Checks e-mails, Epic work lists and Epic Inbasket regularly throughout the day to keep up to date with any changes and receive information on patients who need registration services.
• Affords assistance with quality control measures and special projects as situations demand.
• Reviews own work and works reports to verify accurate information and corrects any registration issues.

Knowledge – Skills – Abilities

• Quality control, customer service standards, information management, procedural process, and recordkeeping.
• Computer, technical, interpersonal, oral communication, listening, and patience skills.

Minimum Required Education

High School Diploma

Minimum Required Experience

2 years

Preferred Experience

Experience in a healthcare environment or customer service setting.