Registration Specialist

About the role

Performs a variety of administrative and clerical duties to manage patient registration and patient financial obligation.

Core job duties and responsibilities

• Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing.
• Scans insurance cards & photo identification.
• Provides information concerning insurance, payment of bills and hospital procedures.
• Completes managed care responsibilities in regard to obtaining pre-certification and authorizations.
• Prepares WVU Medicine standard consent form, notice of privacy practice and/or other necessary paperwork related to registration and presents to patient/family/legal guardian for signatures.
• Obtains electronic signature for consent to treat and patient financial obligations.
• Collections deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems.
• Prepares armband for patient identification.
• Balances daily receipts and cash drawer for patient payments as needed.
• Follows up on accounts as indicated by system flags (courtesy dismissal/comments/red stickers).
• May initiate various screenings and obtains all pertinent information for coverage and completes appropriate paperwork.
• Performs medical necessity checks and completes Advanced Beneficiary Notice as needed.
• Schedules, reschedules, or cancels patients in accordance with hospital workflows.
• Checks for order completeness and validate order against scheduled service.

Physical requirements

• Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, and grasping.
• Visual acuity must be within normal range.
• Manual dexterity to operate keyboards, fax machines, telephones, and other business equipment.
• Sitting and/or standing for extended periods of time.
• Reading and comprehension ability.

Skills and abilities

• Ability to accurately utilize applicable computer software and equipment for access processing & demonstrates ability to follow down time procedures.
• Demonstrate knowledge of procedure to report and/or document unsafe/hazardous conditions, incidents and defective equipment in compliance with hospital policy.
• Requires considerable attention to detail, the ability to be organized and to be able to perform multiple tasks simultaneously.
• Requires the ability to memorize a considerable amount of information, and to be able to reference information not retained from written sources or from appropriate personnel.
• Requires the ability to understand medical insurance requirements for payment and basic knowledge of covered services.
• Excellent written and verbal communication skills and the ability to understand written and verbal communication.
• Basic knowledge of medical terminology.