Greets and receives the patient into
the health care system. Manages the
registration process to ensure the financial viability of WVUH. Responsible for accurate and timely
interviewing of patients and/or relative in a courteous manner to obtain registration
data based upon comprehensive data elements to complete the registration
process. Communicates with physician offices concerning clinical
information. Communicates and supports
hospital departments using scheduling system.
Schedule multiple services in correct clinical sequence. Ensures that all state/federal regulations
are met. Initiates and coordinates the
information necessary for prompt and efficient admission, transfer or discharge
of patients in compliance with state and federal regulations. Maintains knowledge of revenue cycle
operations, third party reimbursement, and medical terminology. Uses excellent customer service, written and
oral communication skills.
diploma or equivalent required. College course work in accounting or business-related fields preferred. Three to five
years of recent experience in a physician/hospital scheduling and registration
or business office environment required.
Experience and knowledge in
admissions, registration, and insurance verification. Excellent
oral and written communication skills.
Working knowledge of office
equipment and computers. General knowledge of hospital payment plan guidelines. Working
knowledge of healthcare insurance payers.
Basic knowledge of medical
terminology. General knowledge of hospital clinical departments and services
protocols. Strong negotiation skills. Strong communication skills.
General knowledge of time of
service collection procedures preferred.
Excellent customer service
and telephone etiquette. Must demonstrate the ability to use tact and diplomacy in dealing with
WORKING CONDITIONS/PHYSICAL DEMANDS:
a computer keyboard, monitor and mouse.
telephones and transcribe messages.
verbally, written and electronically with healthcare personnel, families and patients.
be scheduled to work various shifts based on departmental and patient needs.
be required to travel between facilities/buildings.
meet Department of Labors MEDIUM
duty standard (MEDIUM WORK- exerting
up to 50 pounds of force occasionally, and/or up to 20 pounds of force
frequently, and/or up to 10 pounds of force constantly).
to bend, stoop, reach and be capable of normal rotation, standing and walking
for an 8-10 hour shift.
position may require unsupervised access to patient confidential information.
EXPOSURE CLASSIFICATION I
TB EXPOSURE I
aware of any potentially conflicting situations and I request not to
participate in the following aspects of a patients care or treatment because
of cultural values, ethics or religious beliefs (Specify any staff rights or
indicate NONE; initial)
ACCOMMODATIONS:I request the following reasonable
accommodations (special equipment, etc) in order to perform the functions of
this position (Specify accommodations or indicate NONE; initial)
The preceding job description has been designed to
indicate the general nature and level of work performed by employees within
this classification. It is not designed to contain or be interpreted as a
comprehensive inventory of duties, responsibilities and qualifications required
of employees assigned to this job. The organization reserves the right to alter
working hours, based on needs.
Insurance, Billing and Scheduling Responsibilities
information from patient/family/legal guardian and correctly enters into the
scheduling and registration/billing systems for service and claim processing.
Understanding of applicable computer systems, i.e.,
Scheduling, Medical Necessity and Insurance Verification.
Coordinate and assist in the completion of all
activities relating to the patients finances, to facilitate the collection
and distribution of information and to expedite a smooth and timely billing
and collection process.
Verify insurance. Validate pre-cert/pre-auth information
after completion of insurance verification and record results in system. Performs other insurance related functions
as required or necessary.
Understand and use applicable CPT and ICD-9
Correctly, search MPI for patient
Completes Medicare Secondary Payer forms, where
applicable. Completes medical
necessity screening. Verify medical
necessity for applicable payer and service
Prepares Advance Beneficiary Notices.
Follows up on accounts as indicated by system
flags (courtesy dismissal/comments/red stickers.
Obtains and scans patients insurance/medical
cards and drivers license into the registration system.
phone calls in professional and courteous manner. Use phone system in correct manner.
Check order document for completeness. Validate orders against scheduled services.
Follow-up with add-on patients in priority
timeframe. Provide applicable prep
instructions to patients.
Communicate with and support hospital
departments using Scheduling system.
Communicate with physician offices concerning
Update physician department contact list as new
information is received.
Schedule multiple services in correct clinical
Cancel or reschedule patients in accordance with
Correctly process non-staff physician order and
Generate and use scheduling system reports on a
Ability to accurately utilize applicable
computer software and equipment for access processing.
Maintains scheduling and registration accuracy
threshold of 95% as identified in audit processing.
Demonstrates ability to follow established
computer down time procedures.
Initiates Black Lung SSI screening. Identifies all patients covered under Black
Lung and documents in the registration/billing systems.
B. Legal Standards and Safety Requirements
Follows hospital, state and federal guidelines
for ensuring safe environment for workers, patients and public. Ensures compliance by staff to hospital,
governmental and insurance regulations.
C. Service and Communication
Communicates and interacts with clients,
families, visitors, physicians, departmental and hospital staff and the public
in general in a manner that demonstrates professionalism and concern for the
Remains current and responsive to changes in
healthcare delivery, standards established by professional organizations,
regulatory and accrediting bodies and the needs of the organization.
E. Quality Assessment and
the processes to assess and improve the services provided and compliance with
regulatory requirements. Reports
results assessment and improvement processes to the appropriate
Performs other duties as assigned which support the mission and values
of the organization
accepts assignments within scope of practice, skill set and level of