Covenant HealthCare
US:MI:SAGINAW, PRIMARY CAMPUS-COOPER
EVENING SHIFT, 80 HOURS PER PAY
FULL TIME BENEFITED, EVERY THIRD WEEKEND & 2 HOLIDAYS PER YEAR REQUIRED
WEEKDAY SHIFTS: COOPER CAMPUS 12:30 PM-9:00 PM
WEEKEND SHIFTS: EMERGENCY CARE CENTER 11:00 PM-7:30 AM
HOLIDAY SHIFTS: EMERGENCY CARE CENTER 11:00 PM-7:30 AM
Summary:
The Registration Associate is responsible for completing the scheduling, pre-registration and registration processes. This includes obtaining and verifying insurance to determine eligibility and corresponding benefit levels. Based on findings calculates patient liabilities. Assures the patient understands their financial obligation, identifies payment solutions and collects liabilities. Screens patients for financial assistance needs.
Responsible for staying current on coding, insurance/billing requirements, as well as keeping up to date with government regulations and Covenant HealthCare insurance contracts. Obtains and verifies that the Consent for Treatment /Release of Information and payor specific documents are signed according to legal guidelines and Administrative Policies. Informs and helps to educate patients on Advance Directives. Observes strict patient confidentiality and adheres to policies and procedures. Performs other duties as assigned.
A primary aspect of this role includes positive relations with patients, guests, physicians, co-workers and other departments. Must be able to work well with the public and to be tactful in often hectic and stressful situations.
Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to Extraordinary Care for Every Generation.
Responsibilities:
Contributes to organization success targets for net operating margin.
Models Covenant's Mission, Vision and Values of keeping our commitment to Extraordinary Care for Every Generation.
Uses effective interpersonal communication and investigative interview skills to accurately identify and record demographic, insurance, diagnostic, procedural/clinical information.
Maintains patient confidentiality during this process and promotes a positive first impression.
Understands the importance of satisfying the needs of the customer by interacting with him/her in a friendly and caring way. Is attentive to customer's needs both psychologically and physically.
Provides a secure and pleasant experience that does not interfere or cause delay in medical care.
Answers customer questions related to admission, registration, scheduling, insurance, billing and payment.
Knowledgeable to work as a resource to all units, departments and team members to positively impact patient care, customer satisfaction and financial reimbursement.
Accurately records interview information necessary for work flow of other departments (Clinical Resource Management, Central Business Office, Nursing Units, Security, Pastoral Care, Physician Offices, MMR, etc.).
Has extensive knowledge of the various billing regulations for multiple insurances to correctly determine set up, coverage assignment and filing order of insurances.
To enable electronic claim submission without CBO intervention is responsible for utilizing insurance verification tools to accurately verify patients' insurance information. Identifies co-insurances, co-pays, deductibles, non-covered/self pays and provides patient with estimation of their liability.
CPT coding knowledge required as it relates to providing patient estimates.
Responsibilities include ability to tactfully and respectfully communicate patient financial obligations and point of service collection processes. Familiar with Discounting Financial Assistance policies.
Aware of which insurances require what tests/procedures need to be preauthorized and refers to Preadmission Specialist nurse. Responsible for obtaining prior to scheduling based on specific procedure and insurance types.
Facilitates and investigates referral and authorization status for managed care patients.
Fiscally responsible to request/accept/post payments of cash, check/echeck, credit cards and/or set up payroll deduction. Explains and supplies patient with accurate receipt.
Demonstrates expertise/proficiency in use of multiple computer programs including;
Epic - ADT, Cadence, ASAP and Enterprise Billing
Passport - Real Time Eligibility, Patient Payment Estimator, and Address Verification
Microsoft Office
Maintains multiple computer on-line sign-ons. Has ability to interpret and glean necessary information from numerous insurance resources/websites.
Proficient knowledge and technical competency of the various workflows to work all areas of registration including ECC, outpatient, inpatient admitting, scheduling, and pre-registration. Ability to work independently in all facets of registration, verification, authorization and scheduling having effective problem identification/resolution skills.
Able to complete a registration including understanding the differences in workflows/protocols when registering the following type patients: CMU, PICC Line, tooth extraction, city/state employee, patient in network vs. out of network, Workers Compensation, Occupational Medicine, Motor Vehicle Accident, Tattoo Removal, JP Farley insurance, Out of State Medicaid, patient accompanied by Child Protective Service staff, foreign address, foreign Insurance, employed through Employment Agency, St. Mary's Health Insurance, ABW County Health Plan, Michigan Lutheran Seminary, Michigan Department of Corrections, Saginaw County Jail Inmates, Research Studies, VA Medical Center and when a patient needs HAR created for physician documentation purposes.
Able to correctly identify and assign guarantors for all patient types including auto, Third... For full info follow application link.
Covenant HealthCare is an equal opportunity employer.
