Patient Registration Representative - Phoenix, AZ - Full-time / Part-time

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.Employing
excellent customer service skills, the Patient Registration
Representative is responsible for ensuring a positive patient experience
throughout the registration process. Primary Responsibilities:Appropriate patient identificationCollecting accurate and thorough patient demographic dataObtaining insurance information and verifying eligibility and benefitsDetermining and collecting patient financial liabilityReferring patients to the Patient Registration Specialist as needed for assistance with financial counseling and/or clearanceRegistration: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.Responsible for reviewing assigned accounts to ensure accuracy and required documentation is obtained and complete.Meet
CMS billing requirements for the completion of the MSP, issuance of the
Important Message from Medicare, issuance of the Observation Notice,
and other requirements, as applicable and Observation Notice, and other
requirements, as applicable and documenting completion within the
hospital’s information system for regulatory compliance and audit
purposes.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.Follows EMTALA-compliant registration steps for both Emergency Department and Labor and Delivery areas.Assesses self-pay patients for presumptive eligibility and when appropriate, initiates the process.In
the Emergency Department 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
as required.Monitors and addresses tasks associated with the Mede/Analytics PAI tool.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 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.Financial Processing and Assistance: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 and Billing Assistance Program to all patients regardless
of financial concerns or limitations. Refers patients to Patient
Registration Specialist as appropriate.Documents the referral to the Patient Registration Specialist in the ADT system.Provides financial clearance services to self-pay patients prior to discharge or within 24-business hours.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:Understands and follows the Cashier policy and procedures.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 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.AZO360

Required Qualifications: High School Diploma or GED Any registration experience within a physician office and/or hospital Previous experience in requesting and processing financial payments Previous experience working with Microsoft Office productsUnderstanding of Insurance Policies and Procedures Knowledge of Medical TerminologyPreferred Qualifications: Bilingual in English and SpanishCareers 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.