Registration Specialist - Thomas Hospital Pediatrics

Responsibilities

• Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
• Provides to the patient, information concerning insurance, payment of bills and hospital procedures.
• May complete 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.
• Collects 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.

Requirements

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

Skills

• 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.

Schedule

Scheduled weekly hours: 40. Shift: Non‑Exempt (United States).