REGISTRATION COORDINATOR (PRN) - Cody Regional Health

JOB TITLE: Registration Coordinator

DEPARTMENT: Patient Financial Services

REPORTS TO:Revenue Cycle Director/Assistant Revenue Cycle Director

JOB SUMMARY

Accurate collection and data entry of the financial and demographics information for all patients registered to our facility to ensure accurate billing processes. Ensuring verification of benefits and pre-certification requirements are met. Follow up as necessary on all urgent and unscheduled registrations for consistency in the process with patient understand and receiving information on the patient liability. Understanding of the federal and state guidelines. Follow the EMTALA regulations for the Emergency department registration. Ensures the Pre-Registration is presented to the ED staff prior to triage processes. Places the patient on the ED tracker board for communication from registration to the ED clinical staff. Strive for excellence in quality, efficiency and provide the highest customer service for all patients. Continue to look for ways to improve our process, by becoming lean, professional and proficient. Explained to patient the financial requirement and request payment at time of service. Understand and displays knowledge of the HIPPA guidelines.

JOB REQUIREMENTS

Will accept any combination of formal education and or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential task of the job.

High School diploma or GED.

EXPERIENCE

Experience in hospital setting, physician office and financial area preferred. Physician office, registrations, pre-registration experience preferred. Must have excellent communication skills. Cash collections experience preferred. Insurance related experience preferred.

SKILLS

Computer and typing skills. Excellent telephone communication skills. Excellent customer service skills. Ability to adapt to all situations in a professional-manner.

REQUIRED CERTIFICATIONS

None

ESSENTIAL FUNCTIONS

• Collect co-pay/deposit based on the verification information obtained, generate a receipt after entering payment into the system.
• Maintain strict confidentially of patient information
• Recommends to the lead/supervisor/director regarding updates to the policy and procedure that supports our values and are intended to increase efficiency and promote data integrity
• Notify VA within 12-hour of registration for notification of facility entrance.
• Makes patient type changes based on information from Case Management, Quality and HIM departments.
• Verifies all insurance benefits and obtains pre-certification from various third-party payers. Enters data into the computer system as a cross-reference.
• Has extensive knowledge of insurance plan requirements.
• Understanding of all regulatory and insurance requirements ensuring that changes are incorporated in a daily job function.
• Assures the registration process is maintained in a professional-manner, maintaining continual registration accuracy to a 95% with accepted error rate 5%.
• Daily audit of all registrations with staff understanding own error and correcting claim within 24 hours of registration to ensure of accurate billing processes.
• Explain the required form and obtain signatures. Example of forms: Condition of Service, HIPPA, MSPQ, IMM, MOON, ABN. Provide copies of signed documents to the patient.
• Require from all patients the insurance information/CARD front and back and legal identification and physician order for every registration process. Calling the provider to obtain the orders is acceptable. Scan all documents into the patient account and notate action.
• Recognizes situations that require supervisor/director assistance.
• Continual training for all staff in the requirements and process for TRAUMA and CODE patients in the ED setting.
• Shows initiative to cross-train in all areas of registration and become proficient in those areas.
• Demonstrates the ability to handle varying tasks and setting priorities.
• Demonstrates the ability to manually perform downtime procedures. When downtime has been activated, the staff will enter all downtime data into the system immediately. Once data is entered, coordinator can then begin registration process.
• Follows policy, procedures and safety standards. Complete required education assignments.
• Works toward achieving goals and objections and participates in Quality improvement initiatives as requested.
• Displays competence in use of all Information Computer Systems that supply information regarding patient registration.
• Refers patient concerns regarding their billing to the customer service department within the PFS Department.