Registration Representative - PT - Days - Surgical Areas

Company: Doctors Hospital at Renaissance
Location: Brownsville
Posted on: June 6, 2021

Job Description:

Description Position at DHR Health POSITION SUMMARY : The Registration Representative performs general registration functions including appointment scheduling, collection of applicable co-pays, co-insurance, and deductibles and utilizing the computer system. Obtains complete and accurate patient demographic, insurance, financial information and patient benefits/eligibility; referral/pre-authorizations/pre-certifications approvals from insurance companies and physician offices. POSITION EDUCATION/QUALIFICATIONS : High School Diploma/GED is required.Excellent customer service skills.Computer skills required with knowledge of Microsoft Office suite.Good written and verbal communication skills required.Bilingual - English/Spanish. JOB KNOWLEDGE/EXPERIENCE : Must be able to respond to patient needs by interpreting facial expressions and to communicate effectively utilizing verbal and written communications.One ( 1 ) year of related customer service experienceRequires reasoning ability and good independent judgment.Requires working with frequent interruptions and have strong customer service skills.Must have good working knowledge of computers.Knowledge of medical terminology and the ability to communicate in both Spanish and English is strongly preferred. POSITION RESPONSIBILITIES : Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practicesDemonstrates high quality Service Excellence, positive customer service and telephone etiquette by treating all customers with dignity and respect; utilizing age specific skills and knowledge.Ensures patient confidentiality requirements are met in accordance with HIPAA policies and procedures.Interviews patient or responsible party to obtain demographic information required to register the patient accurately.Obtains and reviews doctor's orders for appropriate signature, date, diagnosis and admission status prior to registration.Communicates effectively with doctor's office to obtain orders when missing or when additional diagnosis is needed for medical necessity.Reviews and confirms patient's financial information by obtaining the insurance carrier information, benefit information, policy number, group name and group number.Ability to identify the appropriate coordination of benefits for insurance carrier.Utilizes on-line verification systems, i.e. TMHP, FISS, and Availity, etc., for eligibility.Explains rates, estimates charges for services and hospital policy regarding up-front collections as needed.Opens and closes cash batches appropriately and uses the approved naming guidelines.Collects deductibles, co-pays, unpaid balances and co-insurance payments and provides patient a receipt.Determines financial status and refers patient for financial screening as appropriate.Adheres to Administration on-call schedule, if Financial Counselor is off duty.Performs appointment scheduling functions and registers patients for ancillary services.Initiates Order Management to enter orders as needed.Reviews records of any prior patient visits to determine status of any unpaid balances.Ability to take over the counter payments from patient statements.Ensures referral/pre-authorization/pre-certification requirements have been met.Accurately completes the Medicare Secondary Payer (MSP) form as appropriate.Initiates Pathway Compliance Advisor to determine if an ABN will need to be provided to patient for services identified as not medically necessary.Provides patient the Important Message from Medicare for all Medicare inpatient admissions.Ensures patients are provided Conditions of Admission form and signature is obtained.Scans photo ID, insurance cards, doctor's order in the appropriate document type in RegAssist.Utilizes Form Fast to print or reprint forms and labels.Verifies and places appropriate wrist bracelet on patient with the two required patient identifiers.Accurately reconciles cash drawer, creates deposit and adheres to security measures.Completes the necessary reports and patient logs, on a daily basis.Ability to assemble patient charts in the proper order for next day schedule.Effectively communicates information about scheduled case procedures to various departments and personnel.Consistently adheres to Doctors Hospital at Renaissance dress policy.Other duties as assigned. LINES OF REPSONSIBILITES : Director... Assistant Director...Manager ... Supervisor...Lead Registration Representative

Keywords: Doctors Hospital at Renaissance, Brownsville , Registration Representative - PT - Days - Surgical Areas, Other , Brownsville, Texas