Part Time ED Registrar/Patient Access Rep - Manhasset, NY

Position Description:
Healthcare
isn’t just changing. It’s growing more complex every day. ICD-10 Coding
replaces ICD-9. Affordable Care adds new challenges and financial
constraints. Where does it all lead? Hospitals and Healthcare
organizations continue to adapt, and we are vital part of their
evolution. And that’s what fueled these exciting new opportunities. 
 Who are we? Optum360.
We’re 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 our compassion, our talent, our
resources and experience to bring financial clarity and a full suite of
Revenue Management services to Healthcare Providers, nationwide. If
you’re looking for a better place to use your passion, your ideas and
your desire to drive change, this is the place to be. It’s an
opportunity to do your life’s best work.
Primary Responsibilities:
Serves as a primary resource in providing information and facilitating services in the Emergency Department.Greets patients, visitors and employees to the Emergency Department and overall Hospital in a courteous and friendly manner.Assists
medical staff, other hospital departments, physicians, affiliates,
patients and their families with requests for information and services.Provides interpretation of Hospital regulations to patients (i.e. visiting hours, patient services, etc.).Provides information regarding hospital clinic regulations and services.Answers telephone calls and takes messages, responding with appropriate department protocol.Provides hospital rules and regulations, upon request. Performs administrative functions to facilitate patient registration.Interviews patients/significant others and obtains all relevant demographic and insurance data.Obtains necessary signatures and makes copies of relevant documentation.Maintains
current knowledge of changes in regulations, or policies and
procedures, with regard to insurance requirements, hospital policies,
etc.Ensures
patients are charged for all services accordingly and initiates
corrective action, as needed.  Codes insurance carriers and other system
information.Accurately documents all required information in department log book or computer log. Assigns on-line account numbers.  Communicates with Medical Records to see if patient has an existing account number.Prepares and maintains patient chart packages.Prepares chart package to include chart, triage note, ED identification card, labels and visitor pass.Ensures charts are available for medical staff in a timely manner.Reviews ED census with copies of charts that are collected after services are rendered.Reviews and ensures charts are accurately documented and completed after services are rendered.Documents charges and payment data and ensures charts are accurately coded and prepared for billing.Prepares
charts for transfer to Data Processing.  Performs chart break down for
billing, filing and/or transfer to Medical Records.Manages department on-call systems.Pages and contacts medical personnel, physicians, laboratory, etc.Assists staff, affiliated physicians and patients/family members acquire needed information, contacts or services.Initiates Disaster Plan, when necessary.Utilizes reference lists for referrals when requested.Submits laboratory test orders, as required.  Receives and documents results.Processes orders as instructed, ensuring proper labeling of specimens and timely transport to lab.Notifies medical staff of test results in a timely manner.Maintains
accurate records of orders submitted and follows up with outside
departments for results.  Ensures results are documented in patient
chart.Performs related duties, as required.
Verification, Authorization and Compliance:
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 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 patient’s 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 ED 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.
Financial Processing and Assistance:
Understands
and follows the “Delay/Defer” procedure and escalates accounts that do
not meet financial clearance standards to ED leadership immediately.Explains the Payment and Billing Assistance Program to all patients regardless of financial concerns or limitations. 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.
Other duties:
Properly
handles credit card transactions in accordance with PCI-DSS standards
and guidelines.  Will have access to both single card transactions as
well as access to data from multiple transactions or reports and files
containing bulk transactional information containing un-encrypted or
un-redacted credit card information.If required by facility, inventories and stores patient’s valuables following proper procedure.Works
with physician offices and clinical areas to collect and share patient
information and to help update these stakeholders on changes in ED
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.

Required Qualifications:

High School Diploma or GED1+ years of Customer Service experience in a medical settingExperience
with Microsoft Word (Create Correspondence and work within templates),
Excel (Data Entry, Sort/filter, and work within tables) and Outlook
(email and calendar management)Must
be able to work 22.5 hours a week on swing shift. Must be available every
other weekend and varying days during the week with the flexibility to
adjust daily schedule, and work over-time, Holidays and/or weekends, as
needed
Preferred Qualifications: 
Associate's or Bachelor's DegreeExperience
in Hospital Patient Registration Department, Physician's office
setting, Healthcare Insurance Company, revenue cycle vendor and/or other
revenue cycle-related roleUnderstanding of Insurance Policies and ProceduresKnowledge of Medical TerminologyPrevious experience in EMR (Electronic Medical Records)Previous experience in requesting and processing financial payments
Careers with OptumInsight. Information
and technology have amazing power to transform the Healthcare industry
and improve people's lives. This is where it's happening. This is where
you'll help solve the problems that have never been solved. We're
freeing information so it can be used safely and securely wherever it's
needed. We're creating the very best ideas that can most easily be put
into action to help our clients improve the quality of care and lower
costs for millions. This is where the best and the brightest work
together to make positive change a reality. This is the place to do your life’s best work. 
Diversity
creates a healthier atmosphere: UnitedHealth Group is an Equal
Employment Opportunity/Affirmative Action employer and 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.