Registration Specialist

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 to the patient.
• Completes managed care responsibilities in regard to obtaining pre-certification and authorizations.
• Prepares WVU Medicine standard consent form, notice of privacy practice, and 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 validates 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

• Accurately utilizes applicable computer software and equipment for access processing.
• Demonstrates ability to follow down time procedures.
• Knows how 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 perform multiple tasks simultaneously.
• Requires the ability to memorize a considerable amount of information and reference information not retained from written sources or from appropriate personnel.
• Knowledge of medical insurance requirements for payment and basic knowledge of covered services.
• Excellent written and verbal communication skills.
• Basic knowledge of medical terminology.

Additional Job Description

• The department operates 24/7, and all staff participate in a rotating holiday schedule.
• Scheduled Weekly Hours 20
• Shift Varied