Registration Lead

Position Status:

Full time

Shift:

First Shift (Days - Less than 12 hours per shift) (United States of America)

Hours per week:

40

Job Information
Exemption Status: Non-Exempt

A Brief Overview
The individual in this role is a key member of the Registration management team responsible for assisting the Registration Supervisor in supervising day-to-day Registration activities during assigned hours and assisting in the communication of registration information to decentralized registration areas. The incumbent is a resource person providing education, guidance and direction to registration staff during assigned shift while also responsible for scheduling patients and completing registration functions including collecting/validating/updating the patient's comprehensive data set and documenting the registration system, completing electronic verification, identifying managed care issues and referring as appropriate for resolution, obtaining appropriate signatures to satisfy legal or health system requirements and completion of require forms including Medicare MSP, if required, completing financial education and finalization of financial resolution with patients, completing additional registration admission, discharge, transfer functions and resolving edit failures following established policies and procedures. These activities are completed following established policies and procedures, and in compliance with Joint Commission, Medicare, Payer contracts, HIPAA, regulatory agencies and the organization's Code of Conduct.

Education Qualifications

• High School Diploma / GED Required

Experience Qualifications

• 2 years Experience in a clinical healthcare setting such as physician's office or hospital relating to patient financial services, patient registration, patient scheduling or related healthcare experience . Required

Skills and Abilities

• Working knowledge of basic medical terminology. (Required proficiency)
• Detailed knowledge of major third-party billing and contract. (Required proficiency)
• Keyboarding skill or typing skill of at least 30 wpm. (Preferred proficiency)
• Excellent interpersonal and Communication skills and the ability to exhibit patience. Sophisticated customer service skills. (Preferred proficiency)
• Analytical skills necessary for effective problem solving. (Preferred proficiency)
• Ability to handle multiple tasks and make independent decisions regarding work prioritization and coordination. (Preferred proficiency)

What you will do

• Detailed understanding of all technical primary and secondary billing rules and policies and procedures for assigned third party payors and contracts. Understands the Medical and Clinical services provided by the organization.
• Screen registrations for sensitive diagnosis and obtain special release according to established hospital policy.
• Determine estimate of charges when appropriate and calculate patient liability for scheduled service. Identify insurance sources, collect and document detailed and accurate insurance information in a timely manner. Identify and complete Medicaid and charity screening, when applicable. Copy patient insurance cards and explain insurance benefits as appropriate. Complete electronic insurance verification for all participating payers using an electronic eligibility system.
• Collate all information and paperwork required for service department use. (Examples consist of armbands, consents, face sheets/data sheets, etc.). Explain patient information and obtain proper signatures as appropriate (i.e., advanced directives, patients rights, authorization for treatments). Collect, receipt, and document patient payments according to established procedures.
• Welcome all customers in a friendly manner and offer assistance by giving directions or escorting patients to service areas. Collect and verify the accuracy of patient demographic information with patient or family members at the time of registration. Collect and update the comprehensive data set and validate information with patient prior to patient arrival for services. Using information available, correctly identify patient’s point of access, welcome patient and ensure patient is directed to the appropriate location in a timely manner.
• Negotiate financial resolution through proper sequencing of resolution options and patient’s ability/willingness to pay. Following established guidelines, obtain appropriate signatures to satisfy legal or health system requirements and complete required forms including MSP screening.
• Assists with the revision or development of the department's internal documents, procedural manuals and forms, as requested.
• Consistently and accurately documents accounts with activities as needed in a timely manner.
• Obtain physician orders/instructions and contact physician office and/or other hospital department to resolve access issues as necessary.
• Identify managed care provisions and follows up with appropriate parties to resolve outstanding issues.
• Effectively functions as liaison between team, other team leaders, PFS management, physicians or other departments within the organization. Answers questions from other staff or clinic offices by phone or e-mail in a timely manner.
• Informs management of any known or suspected violations by other employees or suppliers.
• Complete scheduling of clinic appointments as applicable.
• Assists Supervisor in ensuring that staff establishes priorities to complete timely, appropriate and accurate patient registration during assigned times. Assists Supervisor in reviewing and maintaining appropriate policies and procedures.
• Effectively coordinates team input to department management related to the development, analysis and maintenance of departmental budget. Effectively coordinates team input to department management related to statistical analysis (work performance issues, quality improvement projects, etc. •Effectively assists individual team members with correct prioritization of work.
• Performs effectively under stressful conditions. Prepares, analyzes, and reports daily team activities. Assists team with problem solving.

Required for All Jobs

• Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
• Performs other duties as assigned

Patient Facing Options

• Position is Patient Facing

Remote Work Guidelines

• Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
• Stable access to electricity and a minimum of 25mb upload and internet speed.
• Dedicate full attention to the job duties and communication with others during working hours.
• Adhere to break and attendance schedules agreed upon with supervisor.
• Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Remote Work Capability

• On-Site; No Remote

Scope

• No Supervisory Responsibility
• 
  
• No Budget Responsibility No Budget Responsibility

Physical Demands

• Balancing: Occasionally 1-3 Hours
• Carrying: Occasionally 1-3 Hours
• Climbing (Ladders): Rarely less than 1 hour
• Climbing (Stairs): Rarely less than 1 hour
• Crawling: Rarely less than 1 hour
• Crouching: Rarely less than 1 hour
• Driving (Automatic): Rarely less than 1 hour
• Driving (Standard): Rarely less than 1 hour
• Eye/Hand/Foot Coordination: Frequently 3-5 Hours
• Feeling: Occasionally 1-3 Hours
• Grasping (Fine Motor): Frequently 3-5 Hours
• Grasping (Gross Hand): Frequently 3-5 Hours
• Handling: Frequently 3-5 Hours
• Hearing: Frequently 3-5 Hours
• Kneeling: Occasionally 1-3 Hours
• Lifting: Occasionally 1-3 Hours up to 20 lbs
• Operate Foot Controls: Rarely less than 1 hour
• Pulling: Occasionally 1-3 Hours up to 20 lbs
• Pushing: Occasionally 1-3 Hours up to 20 lbs
• Reaching (Forward): Occasionally 1-3 Hours up to 20 lbs
• Reaching (Overhead): Occasionally 1-3 Hours up to 20 lbs
• Repetitive Motions: Frequently 3-5 Hours
• Sitting: Frequently 3-5 Hours
• Standing: Occasionally 1-3 Hours
• Stooping: Occasionally 1-3 Hours
• Talking: Occasionally 1-3 Hours
• Walking: Occasionally 1-3 Hours

Working Conditions

• Burn: Rarely less than 1 hour
• Chemical: Rarely less than 1 hour
• Combative Patients: Occasionally 1-3 Hours
• Dusts: Rarely less than 1 hour
• Electrical: Rarely less than 1 hour
• Explosive: Rarely less than 1 hour
• Extreme Temperatures: Rarely less than 1 hour
• Infectious Diseases: Occasionally 1-3 Hours
• Mechanical: Rarely less than 1 hour
• Needle Stick: Rarely less than 1 hour
• Noise/Sounds: Occasionally 1-3 Hours
• Other Atmospheric Conditions: Rarely less than 1 hour
• Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour
• Radiant Energy: Rarely less than 1 hour
• Risk of Exposure to Blood and Body Fluids: Rarely less than 1 hour
• Risk of Exposure to Hazardous Drugs: Rarely less than 1 hour
• Hazards (other): Rarely less than 1 hour
• Vibration: Rarely less than 1 hour
• Wet and/or Humid: Rarely less than 1 hour

Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.

Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.