Summary :

The Patient Access Registrar performs admitting duties for patients admitted for services at ThedaCare. Meets the mission and goals of ThedaCare and regulatory compliance requirements. Works within the policies and processes as they are being performed across ThedaCare.

Job Description:

Schedule:

6:00am•2:00pm

KEY ACCOUNTABILITIES

Assigns accurate MRNs, completes medical necessity/compliance checks, provides proper patient instructions, collects insurance information, receives and processes physician orders, and utilizes overlay tools while providing excellent customer service as measured by Press Ganey. Operates the telephone switchboard to relay incoming, outgoing, and interoffice calls as applicable. Adheres to ThedaCare policies and provides excellent customer service in interactions with the appropriate level of compassion. Is accountable for point-of-service goals as assigned. Utilizes quality auditing and reporting systems to ensure accounts are accurate and complete. Conducts audits of accounts and ensures forms are complete, accurate, and timely to meet audit standards. Performs pre-registration of patient accounts prior to patient visits including inbound and outbound calling to obtain demographic, insurance, and other patient information including patient financial liabilities and collecting point-of-service collections, past due balances, and bad debt. Provides information to the patient/representative or may create and process payment plan options. Explains general consent for treatment forms to the patient/guarantor/legal guardian, and obtains necessary signatures. Explains and distributes patient education documents. Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code. Enters benefit data to support point-of service collections and billing processes to assist with a clean claim rate. Screens medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare. Distributes and documents other forms and pamphlets. Performs other duties as assigned including answering the phones at other facilities.

QUALIFICATIONS

High School diploma or GED preferred Must be 18 years of age

PHYSICAL DEMANDS

Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of fifty (50) pounds without assistance Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties

WORK ENVIRONMENT

Climate controlled office setting with daily movement throughout the facility Interaction with department members and other healthcare providers This position involves frequent phone communication with patients and staff. All inbound and outbound calls are recorded and monitored for quality assurance, training, and compliance purposes. Position requires compliance with department specific competencies.

Scheduled Weekly Hours:

Scheduled FTE:

0.2

Location:

ThedaCare Medical Center•Shawano•

Shawano,Wisconsin Overtime Exempt:

No Worker Shift Details:

Days About ThedaCare ThedaCare is a community health system consisting of seven hospitals, numerous clinics and related services.

We are the third largest health care employer in Wisconsin and the largest employer in the state's second largest economic market•Northeast Wisconsin•with approximately 6,800 employees. Through our 100-year history, ThedaCare has woven itself into the very fabric of the communities we serve. For our employees, ThedaCare offers an environment that not only welcomes but also encourages innovative thinking and fresh approaches to today's health care challenges. We've improved the health of thousands of individuals. We know this because we track our quality and constantly seek to improve our care and services for the members of our communities. This job posting is available in other languages besides English free of charge. Please contact the ThedaCare Employment Center to make your request at 920-830-5800 and then prompt \"1\". ThedaCare is an Equal Opportunity Employer. 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