GENERAL SUMMARY:

Facilitates admission and registration process for all inpatients and outpatients. Obtains essential information for registration and pre-certification, ensures all data is accurate, forms are complete and signed for inpatients, surgical outpatients and diagnostic outpatients. Establishes good rapport with and maintains effective communication with patients, parents, physicians, house officers, nursing staff and others.

ESSENTIAL FUNCTIONS/COMPETENCIES

• Receives notification of need for registration/admission from physician, physician agent, surgery scheduling, nurses, or clinics.
• Obtains complete and accurate patient, demographic and insurance information, identifying all payment sources and pre admission certification requirements to enhance the revenue cycle and prevent denials of reduction in benefits.
• Assembles forms as necessary.
• Coordinates bed assignment with the Clinical Nurse Coordinator.
• Converts pre registration to visit when a patient/family arrives in a timely manner and assembles patient charts.
• Verifies information previously obtained for accuracy and completeness.
• Obtains complete and accurate data at the bedside for patients when appropriate, thus supporting the medical needs of the patient.
• Obtains authorization for medical treatment/testing or admission from parents or legal guardian. Seeks to obtain accurate sociologic information to ascertain responsibility for signing the Authorization for Treatment. Refers to Social Worker when legal guardianship issues arise.
• Distributes Privacy Notice to parents and obtains written acknowledgement of receipt of notice.
• Obtains complete and accurate data at bedside for all nonscheduled admissions, when appropriate, thus supporting the immediate medical needs of the patient.
• Assumes responsibility for entering into AM all patient transfers, discharges, expirations and physician notification changes
• Identifies, collects and accepts copayments and POA’s at time of registration or refers family to Patient Financial Counselor for assistance.
• Develops working knowledge of insurance companies and their requirements. Calls insurance company to initiate the pre certification process. Verifies Medicaid, UHC & Midlands Choice eligibility for CARES patients
• Establishes good rapport with and maintains effective communications with patients, their parent/guardians, physicians, all visitors, house officers, nursing staff and other departments.
• Determines if patient is an adult in Nebraska for completion of Advance Directive status. If there is an Advance Directive instructs patient/parents that it must be placed on the chart. If of legal age and no Advance Directive, provides information on creating an Advance Directive. Documents correctly in AM
• Responsible for completion of Add/Change physician form when physician not in AM pull down menu, routes completed form to Medical Staff Office & follows through with updating patient registration once physician has been added to AM
• Coordinates Outpatient Ambulatory Ancillary services & can identify specific registration protocol based upon patient clinic type
• Assumes responsibility of daily follow-up with Signature Bin with emphasis on collection of insurance information for timely authorization

SECONDARY FUNCTIONS/COMPETENCIES

• Assures completion of Self-Pay Form for all true self-pay accounts and forwards to Patient Financial Counselor.
• Issues proximity cards to parents in Access from 7AM-8PM and Security resumes responsibility around those hours.
• Adheres to opening and closing department routines. Separates and sorts reports generated by computer and fax. Files or delivers report to the appropriate person. Closing and opening staff to give appropriate report to person handing over information.
• Responsible for receiving and transporting specimens collected at home.
• Coordinates with CyraCom or in-house interpreter to facilitate registration of limited English proficiency customers.
• Performs other duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES:

• Knowledge: Must know medical terminology
• Skills: Must be able to type 40 words per minute.
• Ability to pay attention to detail.
• Abilities: Provide a pleasant and welcoming appearance to all with which you come in contact. Ability to work with minimal supervision.

EDUCATION AND EXPERIENCE:

• High school diploma or GED equivalent preferred or equivalent ability to read, write and follow oral and written directions.
• One year experience working in a health care or insurance setting preferred.
• Previous customer service required
• Insurance and collections experience preferred