Registration Rep

Overview Admits patients, which includes interviewing, preparing admitting forms, and assigning rooms. Receives all faxed documentation from outside the facility and verifies accuracy and Medical Necessity before attaching to patient accounts. Responsibilities Responsible for registration start up process, consents signed, dated and witnessed appropriately; facilitates transfers to ancillary areas; prepares admitting sign in log, assists in pre-registering whenever possible; distributes upfront information forms to admitting. Ensures proper identification of patient before registration begins by obtaining social security number, insurance cards, and driver's license. Verifies all data for accurate patient and guarantor data. Ensures financial, biographical data, documentation have been obtained properly. Monitors admitting work flow to insure patients are registered promptly. Handles return mail follow-up to obtain correct guarantor mailing address. Responsible for receiving all faxed documentation and reviews all orders for accuracy and Medical Necessity per hospital policy and insurance guidelines. Attaches all faxed documentation to the correct accounts. Meet departmental budget and staffing requirements. Provide input for new processes and strategies for improvements. Responsible for compliance with hospital, departmental and billing and collection policy and procedures, including Medicare medical necessity, offers recommendations for departmental improvement, follows flowchart work process. Monitors financial data, demographics and documentation; ensures 98% data accuracy; develop process for elimination of insurance denials due to lack of pre-certification, insurance verification, insurance follow up; monthly audits will be performed by supervisor to determine if quality goal is met. Meet JCAHO accreditation. Meet accounts receivable goals, increase front-end collections by 30%, decrease bad debt, eliminate denials. Understands the importance and value of our customers to include patients, visitors, physician and staff, increase patient satisfaction, community involvement.

Qualifications Education:

Minimum Experience - High School or equivalent preferred.

Experience:

Minimum Experience - On-the-job training or equivalent training in admitting procedures.

Additional Skills/Abilities:

Completes Hospital and Department orientation. Ability to work with personal computer. Ability to manage a sometime stressful work environment; subject to varying and unpredictable situations. Ability and willingness to work long irregular hours