Overview
The Registration Specialist is primarily responsible for ensuring that established standardized front end policies and procedures are effectively and consistently shared with partners. Creates and provides Registration and scheduling training to new and existing partners in a classroom setting. Training that is created provides a standardized training to frontline partners to ensure consistency, quality, and compliance to Mercy policy, procedures and guidelines as well government regulations. Creates and provides training for system upgrades in registration and scheduling. Provides standardized training programs for employees to improve quality and ensure compliance with Mercy policies and procedures, regulations and guidelines. Collaborate with the Mercy hospital and clinic leadership to facilitate standardized delivery of processes to ensure compliance with cash handling, and other established guidelines and standards. Management of registration work queues to correct registration issues to ensure timely filing and reimbursement for services. The Registration Specialist remains a continual resource for frontline and hospital staff via phone and email and onsite training.
Responsibilities
Essential Duties and Responsibilities
- Analyze billing denials related to registration errors to investigate root cause. May be responsible for correction of highly complex registration issues and system set up.
- Respond to inquiries for the purpose of finding resolution to complex registration errors and issues.
- Research the registration requirements of insurance companies through phone, web, or review of contracts and monitor insurance notification of changes that may impact front end processes.
- Perform monthly registration audits to confirm pre-admission functions, insurance verification and pre-certification actions are performed and accurate.
- Takes opportunity through audits to provide education to partners in need of guidance.
- Provides feedback to partner leadership partners and if audit findings show ongoing issues.
- Assist patient financial counselors who need assistance with self-estimates, charge costs and act as liaison with physician and office staff to obtain clinical information if needed.
- Assists with insurance authorizations.
- Assist with setting up new financial programs such as credit card and bank loan programs.
- Plans and organizes patient access/registration employee trainings and materials for the purpose of implementing training activities that address front end/access processes at clinic and hospital locations.
- Develop individual orientation and ongoing trainings for employees to ensure compliance with consistency, uniformity and understanding of registration process.
- Facilitate training logistics such as presenting and disseminating necessary information for making decisions, increasing the efficiency and effectiveness of communication to the Mercy, and enhancing excellent customer service.
- Creates and maintains a variety of manual and electronic files and/or records (e.g. training procedure manuals, guides, course materials, handouts/visuals, training records, required reports, etc.) for the purpose of providing up-to-date reference and complying with regulatory requirements and established guidelines.
- Creates, maintains, and presents a variety of written materials (e.g. reports, memos, sign-in sheets, class lists, etc.) for the purpose of documenting activities, providing written reference, and/or conveying information.
- Create documents and materials (e.g. refunds, receipts, purchase orders, credit card charges, registration forms, etc.) for the purpose of disseminating information to appropriate parties.
- Manages duties as assigned.
Culture of Excellence Behavior Expectations
To perform the job successfully, an individual should demonstrate the following behavior expectations:
Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals.
Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions.
Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals.
Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue.
Education and Experience
High school diploma or equivalent
3 to 5 years of experience on healthcare finance applications to include insurance billing; registration, claim filing and collections.
Knowledge of commonly used concepts, practices and procedures within the health care field.
Experience with Microsoft Outlook, Word and Excel.
Certification and Licensure
Certification related to health care revenue cycle (Epic, HFMA, etc.) or an equivalently designated certification approved by management within 1 year.
Skills and Abilities
Excellent oral and written communication skills/organizational skills.
Strong problem solving skills.
Knowledge of various health care systems and databases desirable.
Knowledge of general computer applications (word, excel, outlook, etc.)
Special Physical Demands
While performing the duties of this job, the employee is regularly required to walk; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl; and talk or hear. The employee is frequently required to sit and work at a computer for long periods of time. The employee is occasionally required to stand. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
While performing the duties of this job, the employee must have good manual dexterity to operate keyboard and telephone; repetitive finger/wrist movement associated with use of keyboard; prolonged sitting. The employee must be able to lift or move office related objects.
Level of Supervision
There are no supervisor responsibilities for this position. Some independent judgment is required, but alternatives are limited by standard practices or procedures.
Supervises
N/A
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