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St. Joseph's Hospital and Medical Center Registration Representatives - Phoenix, AZ
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Phoenix, AZ Phoenix, Arizona |
About this job
Position Description:
Energize your career with one of Healthcare's fastest growing companies.
You dream of a great career with a great company – where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our Service Centers, improve our Service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.
This opportunity is with one of our most exciting business areas: Optum –a growing part of our family of companies that make UnitedHealth Group a Fortune 14 leader.
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions, and treatments; helping them to navigate the system, finance their Healthcare needs, and stay on track with their Health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation, and Performance.
Employing excellent customer service skills, the Registrar is responsible for ensuring a positive patient experience throughout the registration process. Primary duties include appropriate patient identification, collecting accurate and thorough patient demographic and insurance information to ensure appropriate reimbursement, determining and collecting patient financial liability, and ensuring referral to financial counseling as needed. Adheres to organization policies for the resolution of patient financial liability and various payment options.
The Registration Representative is an information source for patients and families by explaining hospital policies, patient financial responsibilities and Patient Rights and Responsibilities. We are seeking a Registration Representatives for all shifts.
Primary Responsibilities:
- Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units.
- Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration.
- Properly identifies the patient to ensure medical record numbers are not duplicated.
- Obtains information and completes the Medicare Secondary Payer Questionnaire (MSP) and other payer-specific documents as required.
- Collects and enters required data into the ADT system with emphasis on accuracy of demographic and financial information in order to ensure appropriate reimbursement.
- Carefully reviews all information entered in ADT on pre-registered accounts. Verifies all information with patient at time of registration; corrects any errors identified.
- Identifies all forms requiring patient/guarantor signature and obtains signatures.
- Ensures all required documents are scanned into the appropriate system(s).
- Identifies all appropriate printed material hand-outs for the patient and provides them to the patient/guarantor (Patient Rights and Responsibilities, HIPAA Privacy Act notification, Advance Directive, etc.).
- Follows downtime procedures by manually entering patient information; identifying patient?s MRN in the MPI database, assigning a financial number; and, accurately entering all information when the ADT system is live.
- Understands and follows the Cashier policy and procedures.
- Inventories and stores patient's valuables following proper procedure.
- Helps to update physician offices and clinical areas of changes in Patient Registration requirements, processes or programs.
- The above statements reflect the general details considered necessary to describe the essential functions of the job as identified, and shall not be considered as a detailed description of all work requirements that may be inherent in the position.
- Follows EMTALA-compliant registration steps.
- Follows protocol for special cases, including but not limited to 5150, Sexual Assault Response Team (SART), Domestic Violence patients, Child Protective Services, incarcerated patients, Worker Compensation patients, auto accidents, animal bite reporting, etc.
- Follows approved scripting, verifies insurance benefits on all patients registered daily by using electronic verification systems or by contacting payers directly to determine the level of insurance coverage.
- Thoroughly and accurately documents insurance verification information in the ADT system, identifying deductibles, copayments, coinsurance, and policy limitations.
- Obtains referral, authorization and pre-certification information; documents this information in the ADT system and submits notices of admission when necessary.
- Verifies medical necessity check has been completed for outpatient services. If not completed and only when appropriate, uses technology tool to complete medical necessity check and/or notifies patient that an ABN will need to be signed. Identifies payer requirements for medical necessity.
- Verifies patient liabilities with payers, calculates patient's payment, and requests payment at the time of registration.
- Identifies any outstanding balance due from previous visits, notifies patient and requests patient payment.
- Sets up limited payment plans for patients who cannot pay their entire current copayment and/or past balance in one payment.
- Thoroughly and accurately documents the conversation with the patient regarding financial liabilities and agreement to pay.
- When collecting patient payments, follows department policy and procedure regarding applying payment to the patients account and providing a receipt for payment.
- Clarifies division of financial responsibility if payment for services is split between a medical group and an insurance company. Ensures this information is clearly documented in the ADT system.
- When necessary, escalates accounts to appropriate Patient Registration leadership staff, based on outcomes of the verification process and patient's ability to pay.
- Complies with HIPPA, PHI and its implications, ABN, MSP, EMTALA, etc. and other regulations which affect the registration process
- Understands and follows the Delay/Defer procedure and escalates accounts that do not meet financial clearance standards to Patient Registration leadership immediately.
- Explains the Payment Assistance Program to all patients regardless of financial concerns or limitations. Refers patients to Financial Counseling as appropriate.
- Reviews self-pay patients to identify potential eligibility for government aid and/or other payer sources. Refers patient to Financial Counseling for assistance.
- Documents the referral to Financial Counseling in the ADT system.
- Acts as resource to other hospital departments regarding insurance benefits and requirements and collaborates with other departments, as needed, to ensure proper compliance with third party payer requirements.
Requirements
Required Qualifications:
- High School Diploma/GED.
- 1+ year of experience in Hospital Patient Registration Department or a Physician office setting.
- Cash Handling experience.
- Insurance Benefit Verification experience.
Preferred Qualifications:
- Bilingual fluency in English and Spanish.
- Knowledge of Medical Terminology.
Optum360 is a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage all our resources to bring financial clarity and a full suite of revenue management services to health care providers nationwide.
If you're looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.SM
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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