Responsible for registering all patient types using established policy and procedures of the facility and communicate effectively with the patient/family, peers and all members of the health care team.  Obtains accurate demographic information from patients and/or family members, verifies all proper insurance information, secure managed care referrals, obtain appropriate signatures on all forms, and collects co-pays at the time of service.  Understands third party regulations, referrals, authorizations, Advance Beneficiary Notice, and Point of Service collections.

Essential Job Functions

Perform all patient registration area functions with a high degree of accuracy. Keep patient flow moving by registering in a timely manner. Verify insurances to maximize reimbursements. Identify insurances that require out-of-pocket expense and collect payment from patient and time of service. Complete Advanced Beneficiary Notices, referrals, and authorizations to secure payment. Other duties as assigned.

Competency and Experience (Knowledge, Skills, and Abilities) 

Required Qualifications/Experience

High School Diploma, GED, or higher level of education. Typing and customer service experience. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience.

Preferred Qualifications/Experience

Medical Terminology Previous registration experience.

License, Certification & Clearances

Act 34-PA Criminal Record Check from the PA State Police system

Supervisory Responsibilities

This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department.

Position Type/Expected Hours of Work

Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System locations.

Equal Employment Opportunity

Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations.

Disclaimer

This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

Work Environment

Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines

When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.

Essential – Absolute Necessity.

Marginal – Minimal Necessity.

Constantly – 5.5 to 8 hours or more or 200 reps/shift.

Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift.

Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift.

Rarely – Less than 0.25 hours or less than 2 reps/shift.

 

Physical Condition

Essential

Marginal

Constantly

Frequently

Occasionally

Rarely

Never

Extreme Heat

 

 

 

 

 

 

x

Extreme Cold

 

 

 

 

 

 

x

Heights

 

 

 

 

 

 

x

Confined Spaces

 

 

 

 

 

 

x

Extreme Noise(>85dB)

 

x

 

 

 

x

 

Mechanical Hazards

 

 

 

 

 

 

x

Use of Vibrating Tools

 

 

 

 

 

 

x

Operates Vehicle

 

 

 

 

 

 

x

Operates Heavy Equipment

 

 

 

 

 

 

x

Use of Lifting/Transfer Devices

 

 

 

 

 

 

x

Rotates All Shifts

 

x

 

 

x

 

 

8 Hours Shifts

x

 

 

 

 

 

 

10-12 Hours Shifts

 

x

 

 

 

x

 

On-Call

 

 

 

 

 

 

x

Overtime(+8/hrs/shift; 40/hr/wk)

 

x

 

 

x

 

 

Travel Between Sites

 

 

 

 

 

 

x

Direct Patient Care

 

x

 

 

 

x

 

Respirator Protective Equipment

 

 

 

 

 

 

x

Eye Protection

 

 

 

 

 

 

x

Head Protection (hard hat)

 

 

 

 

 

 

x

Hearing Protection

 

 

 

 

 

 

x

Hand Protection

 

 

 

 

 

 

x

Feet, Toe Protection

 

 

 

 

 

 

x

Body Protection

 

 

 

 

 

 

x

Latex Exposure

 

 

 

 

 

 

x

Solvent Exposure

 

 

 

 

 

 

x

Paint (direct use) Exposure

 

 

 

 

 

 

x

Dust (sanding) Exposure

 

 

 

 

 

 

x

Ethylene Oxide Exposure

 

x

 

 

 

x

 

Cytotoxic (Chemo) Exposure

 

 

 

 

 

 

x

Blood/Body Fluid Exposure

 

 

 

 

 

 

x

Chemicals (direct use) Exposure

 

 

 

 

 

 

x

Mist Exposure

 

 

 

 

 

 

x

Wax Stripper (direct use)

 

 

 

 

 

 

x

Non-Ionizing Radiation Exposure

 

 

 

 

 

 

x

Ionizing Radiation Exposure

 

 

 

 

 

 

x

Laser Exposure

 

 

 

 

 

 

x

Physical Demands

When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.

Essential – Absolute Necessity.

Marginal – Minimal Necessity.

Constantly – 5.5 to 8 hours or more or 200 reps/shift.

Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift.

Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift.

Rarely – Less than 0.25 hours or less than 2 reps/shift.

Physical Condition

Essential

Marginal

Constantly

Frequently

Occasionally

Rarely

Never

Bending (Stooping)

x

 

 

 

x

 

 

Sitting

x

 

 

 

 

 

 

Walking

x

 

 

x

 

 

 

Climbing Stairs

 

 

 

 

 

 

x

Climbing Ladders

 

 

 

 

 

 

x

Standing

 

x

 

 

x

 

 

Kneeling

 

x

 

 

 

x

 

Squatting (Crouching)

 

 

 

 

 

 

x

Twisting/Turning

x

 

 

x

 

 

 

Keyboard/Computer Operation

x

 

x

 

 

 

 

Gross Grasp

 

x

 

 

 

x

 

Fine Finger Manipulation

 

 

 

 

 

 

x

Hand/Arm Coordination

x

 

 

x

 

 

 

Pushing/Pulling(lbs. of force)

 

x

 

 

x

 

 

Carry

 

x

 

 

x

 

 

Transfer/Push/Pull Patients

 

 

 

 

 

 

x

Seeing Near w/Acuity

x

 

 

x

 

 

 

Feeling (Sensation)

x

 

x

 

 

 

 

Color Vision

x

 

x

 

 

 

 

Hearing Clearly

x

 

x

 

 

 

 

Pulling/Pushing Objects Overhead

 

 

 

 

 

 

x

Reaching Above Shoulder Level

 

 

 

 

 

 

x

Reaching Forward

x

 

x

 

 

 

 

Lifting Floor to Knuckle

10-20

 

 

 

x

 

 

Lifting Seat Pan to Knuckle

5-10

 

 

 

x

 

x

Lifting Knuckle to Shoulder

###

 

 

 

 

 

x

Lifting Shoulder to Overhead

###

 

 

 

 

 

x

When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.

Responsibilities of all Patient Registration Staff

Registration of Patients

Obtaining accurate demographic information, scanning ID and insurance cards, collecting required consents, verifying insurances, collecting co-pays, and running estimates. Access and print scheduling & census reports Checking outside physician orders for accuracy & completion Verify unknown physician licensing for state and/or federal restrictions Attaching electronic orders to the correct accounts Responsible for knowing the difference between all account types (clinical, surgical, client, referred, emergency, inpatient, observation, rehab) and the required documentation/processes for each one

Managing Order Facilitator

Utilizing complex computer systems for indexing/filing of physician orders, authorizations, and test results

Answering phones from within and outside the facility

Transferring or resolving each caller’s concern with their needs

Collecting Co-Pays & Payments

Utilizing Heartland for credit payments and entering into Meditech’s cash drawer Keeping and maintaining all receipts/checks in a secured location for accountants that come to collect them

Collections for all balances

Interpret patient estimates and/or EDI Responses from the insurance verification to determine the amount to collect from the patient

Patient Estimates

Create estimates on self-pay or Non-par insurances via NextBar

Assist with scheduling questions

Navigate the Community Wide Scheduling Desktop in Meditech to address patient’s appointment location/time concerns

Assist with billing questions

Billing is off site and patients present with questions. Assist them with interpreting the bill or getting them in contact with a CMC representative

Reducing denials

Education and follow up on accounts per the monthly reports ran by supervisor

Admissions

Obtaining accurate demographic information, processing electronic communication for patient type changes, verifying insurances, obtain all required signatures (consents, MOON, MEIM, etc.) & documentation needed