Pre-Registration Call Center Specialist - Rome Memorial Hospital

Rome Health is seeking a Pre-Registration Call Center Specialist. The Pre-Registration Call Center Specialist is responsible for all aspects of the Pre-registration process and associated activities to include: insurance verification, medical necessity validation, point of service collections and arrival destination instructions. Patient registration activities are conducted in both centralized and decentralized locations within the hospital and in outpatient service locations. The Patient Access Associate is responsible to communicate across the system to ensure team functionality; engage in active communication with patients, team members within the department as well as other departments, managers, directors, and physicians; use communication as a means to solve challenges and enhance the patient experience.

POSITION RESPONSIBILITIES:

• Receives patients of all ages coming to the hospital for medical services in a courteous and compassionate manner.
• Answer incoming and conducts out-bound calls in a professional manner.
• Demonstrates service excellence with every encounter with external/internal customers, providers and departments in a professional manner.
• Creates a pre-registration visit from a scheduled visit via phone call with patient in order to capture various data elements in accordance with billing requirements and or state/federal mandates.
• Advances accounts from a "scheduled" status to a "pre-register" status appointment status via phone conversation with patient.
• Obtains personal, financial and statistical information from patient to create or update the patient record in the hospital electronic information system.
• Ensures valid physician orders are present for patient services and scans to the patient encounter record.
• Obtains and enters patient's primary care provider in the patient record.
• Verifies insurance coverage status and follows up with patient if insurance reflects inactive status; updates insurance detail to reflect correct insurance status in the patient record.
• Completes Medicare Secondary Payer Questionnaire at time of service for every patient encounter for Medicare Beneficiaries.
• Works with surgical/speciality office for accuracy of CPT and ICD 10 codes.

EDUCATION,TRAINING,EXPERIENCE,CERTIFICATION AND LICENSURE:

• Work in an acute care hospital, physician's office, or other health care agency desirable but not mandatory.
• High School diploma or equivalent.
• Previous "Patient Access" or Registration experience preferred/desired but not required. CHAA/CHAM Certification preferred.