Registration representative job description

1. Manages and coordinates all aspects of patient registration and pre-registration, scheduling, insurance verification, patient medical records, and financial counseling functions; ensure that all aspects of these functions support optimal patient and provider satisfaction.

2. Serves as a Lead for Patient Registration; supervises personnel which includes work allocation, training, and enforcement of internal procedures and controls, and problem resolution; motivates employees to achieve peak productivity and performance.

3. Maintains effectiveness of patient flow, Oversee the daily activities of the registration area to insure department standards are met. Maintain QA statistics and report results to Site Manager, provides and supports ongoing recommendations for optimization of front-end processes in response to ever changing reimbursement rules, regulation and implement such changes as directed. Monitor and secure all signatures necessary for treatments, release of medical information, and assignment of insurance benefits and payment of services from legally responsible patients.

4. Assists Site Manager in educating registration staff of any changes pertinent to their roles, and develops procedures and trains staff on new systems. Assists with orientation of new staff.

5. Act in capacity of Site Manager in his/her absence, and inform Site Manager of all issues upon return. Serves as a primary contact for Site Managers relating to technical areas.

6. Excel in all functions performed by patient access representatives, register all patient types; when appropriate serve/function as Patient Registration Representative

7. Provides high quality customer service to both external customers (patient, referring providers, and insurance carriers) and internal customers (health care providers and staff) that meets or exceeds the service standards of the health care industry.

8. Greets patients; family members; and customers in a positive and welcoming manner.

9. Answers telephone calls and provides adequate assistance to callers.

10. Checks patient into the clinic via the electronic record to acknowledge the patient has arrived for an appointment or is requesting to be evaluated; and to generate a visit record for the patient.

11. Ensures compliance with HIPAA and HITECH standards.

12. Inputs ticket requests for facility maintenance; property; and Healthcare Technology as needed into the electronic system.

13. Gathers and verifies patient information including data entry of information into an electronic data base; actively verifies correct identity of patient using at a minimum two (2) patient identifiers (full name; date of birth; last four numbers of social security number; mother’s maiden name; Certificate of Indian Blood and/or tribal enrollment number; or other identified patient specific, unique identifiers).

14. Actively obtains and verifies pertinent and accurate patient registration information i.e., demographic; emergency contact; any alternate healthcare coverage; etc.

15. Confirms patient eligibility for health care coverage and clarifies any managed care arrangements.

16. Enters all information accurately into electronic databases or into the medical record when necessary.

17. Obtains third party coverage information by collecting and photocopying health insurance cards i.e., Medicaid; AHCCCS; Medicare; or other applicable healthcare coverage.

18. Obtain signatures for required documents.

19. Initiates prescreening for all patients with no alternate resources for potential eligibility under Medicaid, Medicare, etc. Works closely in identifying all alternate resources available, such as OTP: Sliding Fee Discount Program, Prenatal Care Discount Program, A Step Ahead, Tennessee Breast & Cervical Screening Program, Ryan white Program, etc.

20. In the event of claim information discrepancy or denial; incumbent determines the source of discrepancy or reasons for denial and implements corrective action as appropriate to ensure that the claims can be processed for payment.

Infection Control, Safety & CMS:

21. Adheres to established Hand Hygiene Standards.

22. Adheres to Universal Precautions and Infection Control protocols.

23. Reports safety issues or concerns to Safety Officer, Security, or Site Manager of the clinic.

24. Organizes, inventories, orders, and maintains clerical supplies forms, and other documents needed for the clinic.

25. Performs other duties as assigned.

JOBS THIS POSITION DIRECTLY SUPERVISES

The Lead Registration Representative provides back-up supervision of the following jobs in the absence of the Office/Clinic Manager.

Job Title

Number of Incumbents

Front Desk/Registration Clerks

POSITION REQUIREMENTS

Education: High school diploma or equivalent

Experience: Minimum of three years experience as a medical office assistant; working knowledge of computers; proven communication and customer service skills.

Licenses or Certifications: N/A

**The salary range for this position is from $13.28-$16.60/hr dependent upon experience.**

The Registration Representative performs a variety of data entry and general registration functions for outpatient departments in the facility. It is the responsibility of the registration representative to accurately collect patient demographic and insurance data to ensure appropriate reimbursement and claim filing. The registrar will utilize technology to accurately quote and collect patient liabilities that have been identified by the insurance company. Under the direction of the patient access manager , is responsible to follow all registration and admitting policies and procedures. Performs a variety of admitting/administrative tasks to arrange the admission of patients of all ages to the Hospital. Acts as a resource in providing all customers with the highest level of service. Enhances the hospital experience for patients, families and visitors by providing appropriate hospitality and concierge services.

The person in this position works under general supervision, is responsible for various shifts, may be subject to over 40 hours per week and/or callback as required, and may also be required to remain on campus immediately before, during, and after severe weather and/or disasters.

Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization is a proud a member of the Mayo Clinic Care Network and includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.

+ High School Diploma or General Education Degree Required

+ Six (6) months of relevant revenue cycle experience is preferred

+ Must have the ability to demonstrate the following: Medical Terminology, Written communication skills, Verbal communication skills, Medicare regulations, Coding, Specific applications to use PC, applications to achieve work goal, Office applications: email, fax module, scan PDF, Fast paced work environment, Meeting deadlines, Organized, Time management, Conforming to standards, Phone customer service, Face-to-face customer service, Registration, Healthcare financial regulations, Interpreting insurance coverage and reimbursement, Patient privacy, Coordination patient needs with various service levels, Works well within a team structure.

Attends to patients, families and visitors needs while waiting for any registration process. Maintains and controls the visitation flow throughout the Medical Center according to policy. Stays abreast of the location of all departments of the Medical Center. Knowledgeable of the various procedures performed in each area. Answers telephone calls without unnecessary delay. Exhibits the ability to deal with periods of stress, knowledge of Medical Terminology, and enters information accurately into the Patient Management System (Invision). Demonstrates a thorough knowledge of Compliance and Medical Necessity validation.
Work Schedule

80 hour bi-weekly as scheduled

Department Description- Collection of demographic and insurance data on the front end for reimbursement purposes. Screening Medicare patients for medical necessity. Compassionate Care Services that include financial counselors exploring funding alternatives for these patients and upfront collections.

Experience Required

Knowledge of hospital terminology, hospital billing procedures, computer experience required and excellent interpersonal skills.

McLeod Health is the region's destination for medical excellence. Our excellence extends from the Midlands to the Coast along the border of North and South Carolina - serving more than one million people. As medical needs grow - we grow, expand, and improve our facilities and services. The McLeod Health network is comprised of 7 hospitals with locations in Florence, Darlington, Dillon, Manning, Cheraw, Loris, and Little River. We have also expanded into the Carolina Forest area of Myrtle Beach for patients looking for primary care and family physicians.

Founded over a century ago, McLeod is a locally owned, not-for-profit healthcare system which features the strength of more than 800 physicians and 2,000 registered nurses, and more than 8,500 employees. McLeod constantly seeks to improve patient care with efforts that are physician led, data-driven and evidence-based.

If you would enjoy working in a dynamic environment and are looking for an opportunity to become part of a stellar team of professionals, we invite you to apply online today. We are an equal opportunity employer.