Registration Specialist-Patient Access Emergency Department

About the role

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

Responsibilities

• Obtains demographic, billing, and insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing; scans insurance cards and photo identification.
• Provides information to the patient concerning insurance, payment of bills, and hospital procedures.
• May complete managed care responsibilities, including obtaining pre-certification and authorizations.
• Prepares WVU Medicine standard consent form, notice of privacy practice, and/or other necessary paperwork related to registration; presents to patient/family/legal guardian for signatures.
• Obtains electronic signature for consent to treat and patient financial obligations.
• Collects deposits, co-payments, deductibles, and 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; 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.

Requirements

• High school graduate or equivalent.
• State criminal background check and Federal (if applicable), as required for regulated areas.

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.

Working Environment

• High volume, fast-paced environment.
• Exposure to communicable disease.
• Frequent interactions with patients, medical staff, and support staff on a continual basis.

Skills

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

Schedule

Scheduled Weekly Hours: 24