Denials Prevention Specialist - Registration Quality

Description Position Summary The Denials Prevention Specialist

• Registration Quality is responsible for identifying, correcting, and preventing registration-related errors that lead to claim denials.

This role focuses on improving front-end data integrity within MEDITECH, working across Patient Access, Billing QA, and Denials teams to reduce eligibility, authorization, and demographic-related denials. This position serves as the bridge between front-end operations and downstream revenue cycle performance, ensuring that patient accounts are accurate before claims are created.

• 1. Registration Quality Review (Primary Function)
• Audit patient accounts for accuracy in: o Insurance selection and plan accuracy o Member ID and group number o Demographics (name, DOB, address) o Guarantor information o Coordination of benefits (COB)
• Work

MEDITECH

work queues: o REG-ERR

• o

REG-ELIG

• o Registration-related denial queues (DEN-ELIG
• , DEN-REG
• ) • Correct errors prior to claim submission when possible•2.

Denial Root Cause Analysis (Front-End Focus)

• Review denied claims to identify registration-driven root causes, including: o Eligibility failures o Incorrect payer selection o Missing or incorrect subscriber data
• Categorize and track denial trends tied to registration issues
• Quantify impact (volume, dollars, repeat errors)
• 3. Front-End Process Improvement
• Identify workflow gaps in: o Scheduling o Registration o Eligibility verification
• Recommend and help implement process improvements to reduce errors at intake
• Partner with leadership to standardize front-end practices
• 4. Education & Training
• Provide ongoing education to Patient Access staff on: o Common registration errors o Payer-specific requirements o Best practices for insurance capture
• Develop quick-reference guides and training materials
• Conduct targeted retraining for individuals or departments with high error rates
• 5. Collaboration Across Revenue Cycle
• Work closely with: o Denial Specialists (to understand downstream impact) o Billing QA (to align front-end corrections with claim edits) o Coding (when registration impacts billing accuracy)
• Participate in cross-functional denial prevention meetings
• 6. Work Queue & SLA Management
• Maintain assigned

MEDITECH

work queues: o Prioritize high-risk and high-dollar accounts o Ensure timely correction of errors before billing

• Meet established turnaround times (typically =24-48 hours pre-bill)
• 7. Reporting & Performance Monitoring
• Track and report: o Registration-related denial rates o Error trends by registrar/location o Improvement over time
• Provide actionable insights to leadership
• Work Queue Ownership
• REG-ERR
• REG-ELIG
• DEN-ELIG
• (for root cause analysis and feedback loop)
• Registration-related pre-bill edit queues