PDD.PDN
Registers patients in a pleasant, professional and timely manner. Conducts patient/guarantor interviews, explains consent forms that require patient/guarantor signature, patient rights and financial processes and responsibilities. Handles all routine patient inquiries related to the registration process. Insures all necessary demographic and financial data is obtained and accurately entered into the registration screen in Cerner. Identifies appropriate payer source for accurate and timely reimbursement for services provided. Ensures that all pre-certification and/or authorization are obtained to meet individual payer payments authorization requirements. QC charts and hands-on training with new staff.
QUALIFICATIONS
– Advanced understanding of health Insurances which includes, Managed Care, Medi-Cal, Medicare and third-party payers.
– High School diploma and equivalent.
– Strong knowledge of admitting operations, laws and regulations as well as strong demonstrated leadership skills.
– Must have at least 5 years of Admitting/Emergency Department experience or equivalent experience.
– Computer Proficiency with various software programs (Microsoft Word, Excel & Outlook), as well as various hospital systems.
– Medical Terminology preferred
– Knowledge of Medical Terminology and EMR (Electronic Medical Records) as they apply to the registration process.
– Excellent English communication skills both verbal and written.
– Must have the ability to resolve issues that arise in a moderate constructive manner.
– CPI Certification within 30 days of hire
MAJOR TASKS, DUTIES AND RESPONSIBILITIES
• Interviews patients and enters required data in the EMR System with emphasis on accuracy of demographic data and financial information.
• Ensures service type and admitting physician name and signature are present.
• Accurately assigns medical record numbers to all patients after performing a thorough search for patient by name, date of birth, and social security number to prevent duplicate MRN’s.
• Validates existing demographic data related to prior registrations and updates appropriately.
• Creates armbands, labels, and other documents necessary to complete a patient chart and armbands patients after a registration encounter is completed.
• Distributes face sheets or electronic data to appropriate departments in a timely manner.
• Maintains 98% accuracy registration rate and satisfactorily completes any and all encounter registrations
• Obtains, registers, and retains all necessary insurance information including but not limited to: insurance cards, insurance information, personal I.D., Driver’s License, etc…
• Verifies patients’ insurance eligibility (Medi-Cal, Medicare, Commercial etc.) through appropriate Electronic Eligibility Systems. Insurance verification accuracy is 98% or higher.
• Identifies appropriate payer source (Insurance Plan) in EMR System, thus ensuring appropriate revenue routing.
• Ensures that all authorizations / pre-certifications are obtained in accordance with payer’s payment authorization protocols, including Notification of Admission submission.
• Obtains signatures from patient/representative and explains all forms (i.e. Conditions of Service, Acknowledgement of Receipt, Advance Directive, Important Message from Medicare, etc…).
• POS collections for all patient financial responsibilities
• Has thorough understanding of DOFR and documents it accurately in Revenue Cycle, PM Office and First Net modules.
• Assists patients in Hospital Presumptive Eligibility application process as it is deemed necessary
• Assist with activating BHU/Access intakes and SDS patients.
• Ensures monthly PHP verification is completed in a timely fashion.
• Documentation is clear accurate and meets the standard set forth by management and records pertinent comments in EMR System to allow for accurate follow-up.
• Is knowledgeable and able to perform QC for the charts that are processed the day before.
• Is proficient in all areas of the registration department and possesses the ability to train new staff.
• Performs various other duties, as assigned.
Salary: $17.77 – $22.21 per hour
