Registration Specialist – Morgantown, WV

Greet and receive patient into health care

facility. Responsible for accurate and

timely processing of patient demographics and insurance information. Obtain electronic signature for consent to

treat and patient financial obligation.

Provide excellent customer service, and use strong written and oral

communication skills. This position is

the first impression of the clinic and WVU Healthcare to the patient

MINIMUM

QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1.

High school graduate or equivalent.

PREFERRED

QUALIFICATIONS:
EXPERIENCE:
1.

Typing speed of 25 words per minute is

preferred.

2.

Experience in medical office setting

preferred.

CORE DUTIES AND RESPONSIBILITIES: The statements

described here are intended to describe the general nature of work being

performed by people assigned to this position. They are not intended to be constructed as

an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1.

Obtains

demographic/billing/insurance information from patient/family/legal guardian

and enters into the registration/billing systems for service and claim

processing and scanning insurance cards & drivers license. Maintains registration accuracy threshold

of 98% as identified in audit processing

2.

May complete

managed care responsibilities in regard to obtaining pre-certification and

authorizations.

3.

Prepares WVU

Healthcare 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.

4.

Collects

deposits/co-payments/deductibles/patient liability payments when applicable,

provides patient receipt and documents payment in the registration/billing

systems

5.

Directs

patients needing financial assistance to Patient Services to speak with a

Financial Counselor.

6.

Schedules,

cancels, reschedules and confirms patient appointments over the phone,

through the mail and in person for several physicians within their

department. Determines urgency of

patient medical condition when scheduling appointments. Schedules appointment based on type of

visit and insurance coverage requirements along with all test ordered by

physician and coordinates appropriately.

7.

Balances

daily receipts and cash drawer for patient payments, prepares and places

deposit bag into the safe or delivers it to cashiers office.

8.

Follows up

on accounts as indicated by system flags (courtesy dismissal/comments/red

stickers)

9.

May

initiates auto accident liability coverage.

Identifies all patients involved in an auto accident and obtains all

pertinent information regarding medical or non-fault liability and documents

in registration/billing systems.

10.

May initiate

ERSD (end stage renal disease) screening.

Identifies ESRD patients and obtains all pertinent information

regarding coverage by SSI and documents in the registration/billing systems.

11.

May initiate

Veterans Administration eligibility screening. Identifies all VA eligible patients and

coordinated admission/treatment with AV and documents in the

registration/billing systems.

12.

May initiate

Black Lung SSI screening. Identifies

all patients covered under Black Lung and documents in the

registration/billing systems.

13.

May initiate

Workers Compensation screening.

Accurately identifies all patients seeking treatment for work related

injuries. Assists in completion of

appropriate paperwork and documents in the registration/billing systems

14.

Initiates

MSP (Medicare secondary screening). Obtains

all information regarding MSP.

Documents in registration/billing system all information required on

the MSP form

15.

Participates

in performance improvement (i.e. follows established work systems, identifies

deviations or deficiencies in standards/systems/processes and communicates

problems to coordinator or manager)

16.

Maintains

confidentiality according to policy when interacting with patients,

physicians, families, co-workers and the public regarding

demographic/clinical/financial information

17.

Complies

with Notices of Privacy Practices, and the Patients Rights and

Responsibilities and cooperate with the WVUH Corporate Compliance Program

during employment.

18.

Complies

with annual competency requirements related to Emergency Preparedness,

hazards, blood borne pathogens, universal precautions, infection control,

electrical/fire safety, material safety data sheets and any other topic

deemed appropriate to assigned work areas.

19.

Provides

patients information concerning insurance, payment of bills and hospital

procedures. Consistently maintains

current knowledge of major payor payment provisions.

20.

Communicates

effectively verbally and in writing and places high emphasis on customer

service. Receives and relays pertinent

information to other members of the healthcare team.

PHYSICAL REQUIREMENTS: The physical

demands described here are representative of those that must be met by an

employee to successfully perform the essential functions of this job. Reasonable

accommodations may be made to enable individuals with disabilities to perform

the essential functions.

1.

Frequent

walking, standing, stooping, bending, kneeling, reaching, pushing, pulling,

lifting, grasping and feeling are necessary body movements utilized in

performing duties throughout the work shift

2.

Must

be able to sit for extended periods of time.

3.

Must have

the ability to move throughout the work area and clinic area

4.

Must

have reading and comprehension ability

5.

Must be able

to read and write legibly in English

6.

Visual

acuity must be within normal rang

7.

Must

have manual dexterity to operate keyboards, fax machines, telephones and

other business equipment

WORKING ENVIRONMENT: The work environment

characteristics described here are representative of those an employee

encounters while performing the essential functions of this job. Reasonable

accommodations may be made to enable individuals with disabilities to perform

the essential functions.

1.

High volume,

fast paced patient care environment

2.

Exposure to

communicable disease

3.

Interacts with hundreds of patients, medical staff and support staff on

a continual, daily basis

SKILLS AND ABILITIES:
1.

Ability to

accurately utilize applicable computer software and equipment for access

processing & demonstrates ability to follow down time procedures

2.

Demonstrate

knowledge of procedure to report and/or document unsafe/hazardous conditions,

incidents and defective equipment in compliance with hospital policy

3.

Requires ability to perform repetitious duties

throughout the shift.

4.

Requires considerable attention to detail, the

ability to be organized and to be able to perform multiple tasks

simultaneously.

5.

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

6.

Requires the ability to understand medical

insurance requirements for payment and basic knowledge of covered services.

7.

Must be able to provide information on demand, at

times taking requests from several sources.

8.

Must be able to work with a variety of personality

types and interact with individuals with various levels of education,

capabilities and communication skills

9.

Must

be able to communicate effectively, both in writing and in oral communication

10.

Must be able to demonstrate working knowledge of computers.

11.

Must

demonstrate the ability to use tact and diplomacy in dealing with others

12.

Basic

knowledge of medical terminology preferred

13.

Basic

knowledge of third party payors preferred

14.

General

knowledge of time of service collection procedures preferred

15.

Excellent

customer service and telephone etiquette

Date Reviewed/Revised: March 2017

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