Registration Lead Representative - Harrison Medical Center
Tenet HealthcareAbout the role
JOB SUMMARY
Demonstrates knowledge of departmental financial clearance and displays Patient Access leadership skills to lead a wide range of duties in support of departmental efficiencies which may include but not limited to performing administrative duties, scheduling, registration, reception and patient check out functions, Revenue Cycle Reports, drive team performance and accountability, shift daily Patient Access Operations for department, collaborates with Department leaders in process and operational excellence.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
- Greeting customers following Conifer Standards of Care, provides world-class customer service, completes full patient registration on date of service, adheres to financial & cash control policies & procedures, thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.). Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services. Schedules diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed). Coordinates with clinical departments on schedule modifications.
- Administrative duties, to include but not limited to, schedule management for Patient Access departments, as well as providers including calendars and schedules for providers at various facilities. Takes meeting notes, minutes and follow up action items. Completes data entry assignments along with creating various reports for departments and management.
- Provides full patient financial counseling, education & referrals, employs and completes all patient liability collection escalations through proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
- Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors. Performs scheduling, checks out patients and coordinates after care for patients.
- Performs thorough analysis of workflow quality (registration audits, point of service collection audits, cash audits), Revenue Cycle Reports, completes departmental operational reports based on team performance accountability, shift daily Patient Access Operations for department, collaborates with Department leaders in process and operational excellence.
- Creates staff schedules, reviews time off requests, and facilitates team huddles & department meetings with Patient Access Leadership.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Minimum typing skills of 35 wpm
- High level working knowledge of all Software, programs and equipment, including PCs
- High level working knowledge of PC/CRT/printer
- Knowledge of function and relationships within a hospital environment preferred
- Advanced Customer service skills and experience
- Ability to work in a fast paced environment
- Ability to receive and express detailed information through oral and written communications
- Course in Medical Terminology required
- Advanced Understanding of Third Party Payor requirements preferred
- Advanced Understanding of Compliance standards preferred
- Advanced Patient Liability Collection performance and high achievement in productivity
- Must be cross trained in all Patient Access service areas
- Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
- Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
- Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
- Identifies opportunities to improve patient relations and shorten the time it takes to handle the registration processes
- Conifer requires its
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