Patient Registration Specialist

OVERVIEW:

This position supports Patient Access operations by investigating complex registration and billing issues, conducting audits, ensuring insurance and authorization requirements are met, and identifying opportunities for process improvement. The role also develops and facilitates employee training, provides ongoing education and guidance to team members and leadership, and maintains resources to promote consistent registration practices, regulatory compliance, and exceptional patient service.

SCHEDULE: 40 hours per week/ Hybrid

Essential Duties and Responsibilities

• Analyze billing denials related to registration errors to investigate root cause. May be responsible for correction of highly complex registration issues and system set up. Respond to inquiries for the purpose of finding resolution to complex registration errors and issues. Research the registration requirements of insurance companies through phone, web, or review of contracts and monitor insurance notification of changes that may impact front end processes. Perform monthly registration audits to confirm pre-admission functions, insurance verification and pre-certification actions are performed and accurate. Takes opportunity through audits to provide education to partners in need of guidance. Provides feedback to partner leadership partners and if audit findings show ongoing issues. Assist patient financial counselors who need assistance with self-estimates, charge costs and act as liaison with physician and office staff to obtain clinical information if needed. Assists with insurance authorizations. Assist with setting up new financial programs such as credit card and bank loan programs. Plans and organizes patient access/registration employee trainings and materials for the purpose of implementing training activities that address front end/access processes at clinic and hospital locations. Develop individual orientation and ongoing trainings for employees to ensure compliance with consistency, uniformity and understanding of registration process. Facilitate training logistics such as presenting and disseminating necessary information for making decisions, increasing the efficiency and effectiveness of communication to the Mercy, and enhancing excellent customer service. Creates and maintains a variety of manual and electronic files and/or records (e.g. training procedure manuals, guides, course materials, handouts/visuals, training records, required reports, etc.) for the purpose of providing up-to-date reference and complying with regulatory requirements and established guidelines. Creates, maintains, and presents a variety of written materials (e.g. reports, memos, sign-in sheets, class lists, etc.) for the purpose of documenting activities, providing written reference, and/or conveying information. Create documents and materials (e.g. refunds, receipts, purchase orders, credit card charges, registration forms, etc.) for the purpose of disseminating information to appropriate parties. Manages duties as assigned.

Education and Experience

High school diploma or equivalent

3 to 5 years of experience on healthcare finance applications to include insurance billing; registration, claim filing and collections.
Knowledge of commonly used concepts, practices and procedures within the health care field.
Experience with Microsoft Outlook, Word and Excel
 

Certification and Licensure

Certification related to health care revenue cycle (Epic, HFMA, etc.) or an equivalently designated certification approved by management within 1 year.

Skills and Abilities
Excellent oral and written communication skills/organizational skills.
Strong problem solving skills.
Knowledge of various health care systems and databases desirable.
Knowledge of general computer applications (word, excel, outlook, etc.)

PAY RANGE:

$21.00 - $31.50

Mercyhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status.

Mercyhealth offers competitive pay and a comprehensive benefits package including:

• Medical, Dental, Vision

• Life & Disability Insurance

• FSA/HSA Options

• Generous, accruing paid time off

• Paid Parental and caregiver leave

• Career advancement and educational opportunities

• Tuition and certification reimbursement

• Certification Reimbursement

• Well-being Programs

• Employee Discounts

• On-Demand Pay

• Financial Education

• Annual recognition/awards events

• Partner appreciation days

• Family entertainment/attractions discount

• Community service/improvement opportunities

Click here for more details regarding Mercyhealth Careers Benefit Information.

At Mercyhealth, we don’t simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin.

Mercyhealth has been nationally recognized for our commitment to our people and culture, including:

• #1 in the nation on AARP's Best Employers for Workers Over 50

• One of Working Mother magazine's 100 Best Companies for Working Mothers

• A Top 50 Company and Top 10 Nonprofit for Executive Women