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HM
Hurley Medical Center
Bariatric Patient Representative
Career Insights for Registrar / Patient Service Representative
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Based on Michigan data
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What they do
A Registrar or Patient Service Representative provides direct assistance to patients at a health care or long term care facility. Answers questions and helps resolve complaints; provides liaison with health care providers; may assist with coordinating appointments or addressing billing or insurance issues.
$44,452 / year median in Michigan
+2% projected growth
Job Description
Serves as patient coordinator to follow the patient from scheduling of initial consultation appointment through date of surgery. Performs more difficult and complex clerical functions including data entry, cash posting support, insurance verification for all physician and mid-level practitioner professional fees. Participates in quality assessment and continuous quality improvement activities. Performs all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley family Standards of Behavior.
Works under the direct supervision of the Bariatric Center Manager/Clinic Coordinator who reviews work for accuracy and conformance to standard procedures. Communicates with patients, third-party payers, physicians, and clinics by telephone, email, or U.S. Mail. Maintains extensive working knowledge regarding the authorization process for bariatric surgery with the ability to differentiate criteria between the multitude of payers. Completes patient interviews to obtain health insurance information, health history and anthropometrics to assess for potential bariatric surgery candidacy. Schedules consultation and seminar appointments. Provides extensive patient education related to health insurance benefits, policy and program criteria as well as steps needed to quality for bariatric surgery. Maintains regular communication with patients throughout surgical preparation process. Monitors individual patient progress toward meeting necessary insurance, surgeon and program criteria for surgical readiness. Provides customer service to prospective patients, outlining available services which actively contributes to program growth. Works with pre-admission testing department to coordinate timely care relative to time of surgery. Obtains medical records/clearances from physicians and clinics. Processes faxes and incoming mail. Verifies insurance coverage/benefits with third party payers for all surgical related procedures. Obtains authorization for required post-bariatric surgery procedures. Navigates insurance and hospital based software systems i.e. WebDenis, Health Nautica, etc., in conjunction with the Hospital's Utilization Review department guidelines to ensure appropriate surgical and hospital stay designations. Compiles and maintains surgical scheduling logs and patient data base systems. Accesses appropriate information systems for retrieval/input of information, charge entry, cash posting support. Submits for insurance approvals. Participates in appeal process with the provider, patient and insurance company. Works with other in-house departments to coordinate scheduling of surgery, including pre-surgical testing and educational appointments. Maintains surgeon schedules related to surgeon and operating room availability, patient readiness and insurance authorization dates for bariatric surgery. Schedules esophagogastoduodenoscopy's for eligible patients. Performs other related duties as assigned. Utilizes new improvements and/or technology that relate to job assignment. Education equivalent to completion of the twelfth school grade, supplemented by business courses. One (1) year of experience in responsible office work in a clinical or outpatient setting. Working knowledge of office practices and procedures, business English, spelling and arithmetic, and medical terminology. Knowledge of basic third-party billing procedures and policies. Some billing/coding knowledge required. Aptitude for computerized information processing. Ability to make accurate and rapid arithmetic calculations and tabulations. Ability to write legibly and to read and interpret charts and other data. Ability to maintain, keep, and to prepare medical records. Ability to understand and follow oral and written instructions. Ability to tactfully and courteously communicate with patients, physicians, Medical Center staff, and the general public.
Works under the direct supervision of the Bariatric Center Manager/Clinic Coordinator who reviews work for accuracy and conformance to standard procedures. Communicates with patients, third-party payers, physicians, and clinics by telephone, email, or U.S. Mail. Maintains extensive working knowledge regarding the authorization process for bariatric surgery with the ability to differentiate criteria between the multitude of payers. Completes patient interviews to obtain health insurance information, health history and anthropometrics to assess for potential bariatric surgery candidacy. Schedules consultation and seminar appointments. Provides extensive patient education related to health insurance benefits, policy and program criteria as well as steps needed to quality for bariatric surgery. Maintains regular communication with patients throughout surgical preparation process. Monitors individual patient progress toward meeting necessary insurance, surgeon and program criteria for surgical readiness. Provides customer service to prospective patients, outlining available services which actively contributes to program growth. Works with pre-admission testing department to coordinate timely care relative to time of surgery. Obtains medical records/clearances from physicians and clinics. Processes faxes and incoming mail. Verifies insurance coverage/benefits with third party payers for all surgical related procedures. Obtains authorization for required post-bariatric surgery procedures. Navigates insurance and hospital based software systems i.e. WebDenis, Health Nautica, etc., in conjunction with the Hospital's Utilization Review department guidelines to ensure appropriate surgical and hospital stay designations. Compiles and maintains surgical scheduling logs and patient data base systems. Accesses appropriate information systems for retrieval/input of information, charge entry, cash posting support. Submits for insurance approvals. Participates in appeal process with the provider, patient and insurance company. Works with other in-house departments to coordinate scheduling of surgery, including pre-surgical testing and educational appointments. Maintains surgeon schedules related to surgeon and operating room availability, patient readiness and insurance authorization dates for bariatric surgery. Schedules esophagogastoduodenoscopy's for eligible patients. Performs other related duties as assigned. Utilizes new improvements and/or technology that relate to job assignment. Education equivalent to completion of the twelfth school grade, supplemented by business courses. One (1) year of experience in responsible office work in a clinical or outpatient setting. Working knowledge of office practices and procedures, business English, spelling and arithmetic, and medical terminology. Knowledge of basic third-party billing procedures and policies. Some billing/coding knowledge required. Aptitude for computerized information processing. Ability to make accurate and rapid arithmetic calculations and tabulations. Ability to write legibly and to read and interpret charts and other data. Ability to maintain, keep, and to prepare medical records. Ability to understand and follow oral and written instructions. Ability to tactfully and courteously communicate with patients, physicians, Medical Center staff, and the general public.