Lead Patient Registration Specialist

• Manages scheduling resources for patient appointments

• Manages communication tools for patient scheduling requests by patients and care teams

• Manages the pre-registration review process for insurance verification for upcoming appointments

• Retrieves payment collection for services, flat rate services, co-pay or up-front collections

• Collects documentation by the requirements and timeliness for registration compliance

• Scan registration documents into the electronic health record

• Reviews and assigns insurance tiering for proper payor assignment. 

• Validates insurance eligibility and pre-authorization requirements

• Communicates with peers, patients, and care teams through multiple communication channels for appointment requests and patient-initiated outreach

• Create new patient profiles in the electronic health record with quality data input of demographic information and proper identification collection

• Manages multiple worklists assigned: New Patient Registration Worklist

• Schedules and register for various disciplines: Primary Care, Behavioral Health, Optometry, Rehabilitation, Radiology, Laboratory, and others. Cross training for assigned coverage as a PRS. 

• Coordinates signing up patients in the MySEARHC patient portal

• Enacts SEARHC’s 7 Standard of Service Excellence and provides exceptional customer service delivery 

• Works well with peers, patients, and leadership

• Participates in departmental improvement efforts, maintains a clean and safe working environment for self, staff, and patients, and maintains compliance with annual competencies. 

• Identifies community resources, fosters partnerships, and utilizes resources effectively.

• Refers all patients without insurance coverage or questions to a Financial Counselor for resolution. 

• Refers patients to the Patient Health Benefits team for screening/enrollment in available/qualified insurance resources

• Provides training for new employees in the PRS Trainee and PRS roles

• Under the guidance of supervisor, audits encounters of PRS Trainee and PRS team members and shares corrections that need to be made.

• Reporting: Schedule fill rate tracking, third next available

• Monitors incoming schedule requests messaging tools for timely response by team

• Monitors standby/waitlistfor timely response by team

• Manages updates to providers90 day rolling schedules and block placements

• Provides supervisor support in the absence of the supervisor with guidance by manager

• 60 % of the job will require training andwork the tasks in the PRS Trainee and PRS JD20% auditing and reporting and 20% care team/dyad partner communication.

• Other duties as assigned

Education,Certifications, and Licenses Required

• High School Diploma or GED preferred

• Preference given to applicants with advanced degree.

• Basic Life Support preferred.

Experience Required

• 2 years of healthcare office experience or a minimum of an associate degree in lieu of healthcare office experience required.

• Internal candidates with at least 1 year of experience as a Patient Registration Specialist or similar role at SEARHC will be considered qualified for this role.

Knowledge of

• Available services at SEARHC, other tribal health organizations in Alaska, and community. 

• Customer service principles. 

• General knowledge of front-end revenue cycle requirements

Skills in

• Skilled at attention to detail and quality data input. 

• The use of equipment such as computers.

• Oral and written, and interpersonal communications. 

• De-escalation and critical thinking skills

• Quality review and providing training feedback

Ability to

• Prioritize work and multi-task in a fast-paced office setting with many interruptions

• Receive escalated scenarios for review prior to escalating to supervisor

• Read and comprehend simple instructions, short correspondence, and memos

• Demonstrate time-management, organizational, and customer service skills

• Work flexible hours with limited unplanned absence and ability to work independently

Computer Skills:  

• Proficient in Microsoft Office Products including Word, Excel, and PowerPoint

Other Qualifications: 

• Strong organizational & time management abilities

• Teamwork 

• Leadership

• Proficient in EHR systems

Travel Required:

• Travel 

Safety and Risk Management Responsibilities:

• Employees are responsible forcomplying with safe work rules; reporting all accidents and injuries immediately; cooperating in all accident and injury investigations; reporting defective equipment and unsafe conditions.

Physical Demands:

• While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand; walk; sit; use hands to finger, handle or feel and reach with hands and arms.

• The employee is occasionally required to climb or balance; stoop, kneel, crouch or crawl. The employee must lift and/or move 50 lbs.

Work Environment

• The noise level in the work environment is usually moderate.