Major Responsibilities: A. Accurately collects and analyzes all required demographic, insurance/financial, and clinical data necessary to register/admit patients from all payer classes.     1)Interacts with patients, their representatives, physicians, physician office staff, employers, fire departments, law enforcement agencies and others, and reviews new and previously recorded information.     2)Registers patients following departmental processes. Schedules patients for diagnostic services.     3)Follows through in obtaining accurate information on all registrations when complete information is not accessible at the time of registration.     7)Completes the Medicare Questionnaire for all Medicare patients, ensuring inpatients receive the important Medicare Message document.     8)Collects and documents all third party payer information for each patient, maintaining current knowledge of all payer mechanisms as they relate to the registration process.     9)Accurately generates, assembles and processes all required forms, documents and reports including face sheets, labels, and wristbands, medical record forms, and other special documents. Produces and distributes these on a timely basis to both internal and external parties.     10)Analyzes and records data and processes transactions to ensure that an accurate historical patient data base is maintained for each registration encounter. 11. Scans required documents into optical imaging system.     4)Follows EMTALA, HIPAA, payer, and other applicable regulations and standards for registration.     5)Performs online integrated insurance eligibility check for all patients’ accounts and electronically records information on a timely basis.     6)Appropriately explains, secures, and witnesses all signatures required to provide medical treatment, assign insurance benefits, release information, establish financial responsibility and meet other internal regulatory, or payer requirements. Performs duties relating to the hospital revenue cycle that are included in the areas of payer reimbursement, collection of payments, and advance deposits.     8)Reviews and analyzes records of active patients to identify and resolve situations where future care is different than originally identified, including reverification of insurance coverage, recertification of payer requirements, and recalculation of patient liabilities.     9)Monitors work volumes, identifies problems, and notifies management when additional support/staffing is necessary.     10)Participates in resolution of backlogs and staffing concerns     1)Demonstrates the ability to explain payer policies to patients in a clear and accurate manner.     2)Analyzes available documentation and uses software or hospital resources to calculate and explain the expected charges for the services being provided, the amount expected from the payer, and the amount owed by the patient or responsible party. Provides information to patients to ensure they understand the policies that govern the revenue cycle and the processes that will be followed.     3)Explains the charity care process and provides application packet.     4)Completes logs and reports and forwards to the Business office.     5)Explains hospital credit and collection policies and payment options to the patient or responsible party, and negotiates acceptable resolution of expected self-pay balance. Accepts and generates receipts for payments received, and maintains necessary records of transactions.     6)Interprets physician orders for service, uses appropriate accommodation and service codes, and establishes account parameters to ensure revenue is properly recorded and accurate bills are produced.     7)Receives, properly responds to, or redirects telephone, electronic, and in-person inquiries from patients their representative, payers, physicians and their staff, utilization review organizations, internal departments, and other persons and entities Responsible for proper handling of all money received per cash collection protocols.     1)Accurately writes receipts for payments received following proper procedures.     2)Process payments as cash, checks, credit cards. Utilizes automated systems to process credit and debit card transactions.     3)Responsible and accountable for individual cash drawer. Responsible for following cash balancing policies and procedures as designated by Internal Audit. Greets all customers utilizing excellent guest relations techniques     1)Displays empathy to patients and their representatives.     2)Interacts compassionately to ensure their needs are met.     3)Explains the hospital’s revenue cycle expectations to patients and their representatives. Participates in departmental training, team building activities, inservices, and activities essential for department operations.     1)Contributes to the CQI mission by team effort and input.     2)Attends all required departmental inservices.     3)Attends or provides staffing for 75% of the scheduled department meetings.     4)Assists in training new employees as assigned.     5)Assists with flexible work scheduling needs.     6)Operates with relevant knowledge of the working environment, taking initiative to communicate recommendations to management for improvement of the environment, organization or operations, and assists in the implementation of improvements.     7)Receives, properly responds to, or redirects telephone, electronic, and in-person inquiries from patients, their representative, payers, physicians and their staff, utilization review organizations, internal departments, and other person and entities.     8)Participates in special projects as assigned.     9)Maintains proper use of equipment and cleanliness of work area.

Education/Experience Required:3+ years work experience in a healthcare or finance setting (revenue cycle experience preferred) registration, billing, collection etc. Associate degree or active pursuit of advance degree preferred.

Knowledge, Skills & Abilities Required:Successful completion of a data entry assessment Effective organizational and prioritization skills Exhibits sophisticated interviewing, communication and negotiation skills. Possesses intermediate math and business writing skills Knowledge of office equipment Computer literate Excellent Customer Service Skills Medical terminology skills.N/A

Physicial Requirements and Working Conditions: Ability to work in a fast-paced environment with established time constraints and difficult situations Candidate must be able to perform physical tasks such as lifting 50 lbs (for example: boxes or paper & supplies) and assisting in transferring patients in wheelchairs. Will be exposed to frequent standing. Must be able to push patients in wheelchairs Exposure to hazardous and/or contagious materials or illnesses If position has direct patient care or direct patient contact the following lifting requirement supersedes any previous lifting requirement effective 06/01/2015. Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting/movement situations will be assessed on a case-by-case basis.



This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.