St. Joseph's Hospital - Registration Specialist
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Performs a variety of administrative and clerical duties to manage patient registration and patient financial obligation.
MINIMUM QUALIFICATIONS
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
- High school graduate or equivalent.
- State criminal background check, and federal, if applicable, as required for state department of health (e.g. PA DOH, OH DOH, MD DOH, WV DHHR) regulated areas based on physical work location.
CORE JOB DUTIES AND RESPONSIBILITIES
The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
- Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification. Provides to the patient, information concerning insurance, payment of bills and hospital procedures.
- May complete managed care responsibilities in regard to obtaining pre-certification and authorizations.
- Prepares WVU Medicine standard consent form, notice of privacy practice and/or other necessary paperwork related to registration and presents to patient/family/legal guardian for signatures. Obtains electronic signature for consent to treat and patient financial obligations.
- Collects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems.
- Prepares armband for patient identification.
- Balances daily receipts and cash drawer for patient payments as needed. Follows up on accounts as indicated by system flags (courtesy dismissal/comments/red stickers).
- May initiate various screenings and obtains all pertinent information for coverage and completes appropriate paperwork.
- Performs medical necessity checks and completes Advanced Beneficiary Notice as needed.
- Schedules, reschedules, or cancels patients in accordance with hospital workflows.
- Checks for order completeness and validate order against scheduled service.
PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, and grasping.
- Visual acuity must be within normal range.
- Manual dexterity to operate necessary equipment.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.
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