The posting
Job Description
Provides Patient Registration support 24/7 relative to admissions, discharges, and transfers in an accurate and timely manner. Interviews incoming patients to secure accurate and complete demographic and insurance information and authorization for admission/registration and efficient and effective billing. Utilizes the EMR system to verify and document insurance related information necessary for patient care, discharge planning, and billing purposes. Participate in quality assessment and continuous quality improvement activities. Comply with all appropriate safety and infection control standards. Perform all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior. Works under the supervision of a departmental director or designee who assigns and reviews work for conformance with established procedures and standards.
Responsibilities
- Conduct thorough, accurate, and timely patient interviews in the Emergency Department in person to obtain demographic data and accurate health insurance information. This includes identifying and entering new insurance information into the system and verifying existing insurance coverage.
- Initiates and answers Pre-Registration interviews via telephone to complete patient registration for all upcoming surgical and procedural visits (e.g. OR procedures, Cath Lab, GI, Radiology).
- Provide excellent customer service to the medical center patients, staff, and visitors for all registration related activities. This includes activities such as direct admissions, pre-admissions, escorting patients and visitors to intended areas, deceased patient workflows, and many other customer related duties.
- Assist in conducting pre-admission and inpatient admission reviews to verify/validate insurance coverage and submit pre-certitification/authorization notifications when required as assigned by the shift supervisor.
- Identify and document all Motor Vehicle Accident related cases, including Michigan Assigned Claims Program (MACP) and follow proper steps to complete necessary questionnaires and/or application with the patient while onsite.
- Utilize available tools to complete registration related tasks in the most effective and efficient manner. This includes (but not limited to) verifying insurance coverages via Real Time Eligibility (RTE), insurance websites, or manual phone calls if needed.
- Obtain other details necessary for patient movement and throughput such as patient’s Primary Care Provider (PCP) information, Preferred Pharmacy, and any other items that are deemed necessary by the enterprise.
- Obtain signatures required by the medical center from the patient, such as the hospital consent to treat, Appointment of Representative (AOR) form, or any other required forms.
- Consistently work with teammates and the leadership team to help improve workflows, update processes, and foster a positive work culture. Promotes better patient experience tools such as MyChart patient portal & Hello World sign-up and utilization.
- Obtain, copy and/or scan pertinent documentation such as insurance cards, identification cards, referrals/authorization information presented at time of registration.
- Maintain all primary assignments based on financial goals assigned to the Patient Access department. This consists of working any error work queues or reports to accomplish timely accounts resolution. Account resolutions may require contacting patients, vendors, other health facilities, or third party payers to obtain additional information. It may also require thorough review of the patient chart to obtain information needed (demographics, diagnosis codes, insurance info, etc.).
- Demonstrate effective judgment and ability to understand, react competently to, and treat (if appropriate) unique needs of patient age groups and special demographics served at the medical center as a safety net hospital.
- Perform other related duties as required/assigned. Utilizes new improvements and/or technologies that relate to job assignment.
Qualifications
- High school graduate and/or GED equivalent.
- One (1) year of experience in responsible office work.
- Knowledge of third-party insurance eligibility and benefit structures, managed care requirements for treatment authorization, and the methods of obtaining treatment authorization preferred.
- Knowledge of ICD-9/10 and CPT-4 code assignments preferred.
- Knowledge of medical terminology and procedures preferred.
- Knowledge of office practices and procedures.
- Ability to accurately type at 30 words per minute.
- Ability to write legibly.
- Ability to make rapid and accurate arithmetic calculations and tabulations.
- Ability to maintain simple clerical records and to prepare reports from such records.
- Ability to follow oral and written instruction.
- Ability to deal with patients, physicians, and hospital/medical center personnel in a tactful, courteous, and professional manner.
