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Patient Registration Specialist

Company: Memorial Health System
Location: Springfield
Posted on: November 23, 2020

Job Description:

DESCRIPTION Registrars are a critical resource in the revenue cycle. The information gathered by a registrar constitutes 50% of the claim information submitted to a third party payer for reimbursement. The completeness and accuracy of their work has a direct impact on the hospital's cash flow and the patient's customer experience related to a hassle free billing process. Registrars register patients for inpatient and outpatient services throughout the hospital. The process includes gathering information from patients, validating received information with insurance carriers, determining benefits, estimating out of pocket costs for the patient, and completing forms with the patient in accordance with federal and state regulations. REQUIRED SKILLS Essential Functions and Job Duties Perform inpatient and outpatient pre-registration and registration procedures: Insurance verification/eligibility and proper sequencing of insurance coverage/plans (coordination of benefits) Complete regulatory requirements (e.g. Consent and NPP) Complete Medicare regulatory requirements (e.g. MSPQ) Assign appropriate guarantor based on patient's age, provided insurance information, and demographic information Obtain patient or patient representative signatures as required by hospital policy or regulatory requirements. REQUIRED EXPERIENCE Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Required Training: Computer Skills Required Skills: Understand insurance plans, codes, and benefits for variety of payers Ability to navigate payer websites and search engines to determine patient insurance eligibility Complex problem solving skills Analytical skills (e.g. audit previous or current day's registration for accuracy) Advanced computer skills and ability to learn new software programs in a fast paced environment Ability to manage multiple tasks/projects at one time Audit/quality assurance skills Typing skills (minimum of 40 words per minute) Education and/or Other Requirements Required Education: High School Diploma Required Experience: 2-3 years customer service experience Preferred Experience: 1 year Registrar experience in healthcare provider setting Bonus/Commission: No

Keywords: Memorial Health System, Springfield , Patient Registration Specialist, Other , Springfield, Illinois

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