Senior patient service representative vs registration representative

Differences between senior patient service representative and registration representative duties and responsibilities

Senior patient service representative example responsibilities.

• Prioritize and manage multiple tasks; working knowledge of hospital billing systems/ follow-up process and CPT and ICD-9 coding.
• Manage PSR staff and perform all PSR functions including registration, check-out, medical records, order entry and procedure scheduling.
• Pursue reimbursement on accounts with general understanding of CPT, HCPCS, ICD-9, drugs, and revenue codes.
• Collect from insurance companies for Medicaid.
• Speak with insurance companies and facilitates communication between patients and doctors.
• Interact extensively with patients and insurance representatives to explain and educate patient on billing procedure.
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