Hospital admissions clerk vs registration representative

Differences between hospital admissions clerk and registration representative duties and responsibilities

Hospital admissions clerk example responsibilities.

• Manage front office check-in, insurance verification and certifications from doctors.
• Register patients upon entry of the emergency room while collecting personal medical and insurance information.
• Process surgery schedules for billing.
• Assist nurses and doctors with paging other personnel and teams (stroke, trauma, radiology, etc).
• Check insurance eligibility for Medicare and Medicaid.
• Administer registration of patients and pass on information to require hospital departments.
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Registration representative example responsibilities.

• Work with third party payer requirements including Medicare, Medicaid (AHCCCS), manage care plans, and commercial plans.
• Manage and update demographic and insurance information, including authorizations and referrals, while demonstrating HIPPA confidentiality regulations.
• Verify eligibility and insurance benefits for patients, including Medicare, Medicaid, private insurance and workers' compensation.
• Maintain patient privacy in accordance with HIPAA with a high level of professionalism, compassion, productivity, and accuracy.
• Maintain proficient level of knowledge regarding Medicare requirements, HIPAA compliance and reimbursement criteria.
• Complete registration process for inpatients, outpatients, and emergency patients accurately and efficiently in accordance with policies and procedures.
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