Patient partner vs registration representative

Differences between patient partner and registration representative duties and responsibilities

Patient partner example responsibilities.

• Communicate with insurance companies on a continuous basis to ensure hospital reimbursement and attain authorization for home and rehabilitation services.
• Verify and confirm CPT codes for correct sleep study, verify that the referral and scripts are sign.
• Collaborate with health care team (s) provide concurrent review and identify ICD-9 and CPT billing codes.
• Listen carefully for key concerns of patients and respond accordingly.
• Provide assistance in directing and escorting non-emergency patients to other designations throughout the hospital setting.
• Comply with HIPPA and OSHA protocol guidelines and demonstrate a professional level of confidentiality in regard to all patient/facility affairs
Show more

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.
Show more