Company: Covenant HealthCare
Posted on: July 10, 2019
FULL TIME BENEFITED
The Registration Associate is responsible for completing the
scheduling, pre-registration and registration processes. This
includes obtaining and verifying insurance to determine eligibility
and corresponding benefit levels. Based on findings calculates
patient liabilities. Assures the patient understands their
financial obligation, identifies payment solutions and collects
liabilities. Screens patients for financial assistance needs.
Responsible for staying current on coding, insurance/billing
requirements, as well as keeping up to date with government
regulations and Covenant HealthCare insurance contracts. Obtains
and verifies that the Consent for Treatment /Release of Information
and payor specific documents are signed according to legal
guidelines and Administrative Policies. Informs and helps to
educate patients on Advance Directives. Observes strict patient
confidentiality and adheres to policies and procedures. Performs
other duties as assigned.
A primary aspect of this role includes positive relations with
patients, guests, physicians, co-workers and other departments.
Must be able to work well with the public and to be tactful in
often hectic and stressful situations.
Demonstrates excellent customer service performance in that his/her
attitude and actions are at all times consistent with the standards
contained in the Vision, Mission and Values of Covenant HealthCare
and the commitment to Extraordinary Care for Every Generation.
Contributes to organization success targets for net operating
Models Covenant s Mission, Vision and Values of keeping our
commitment to Extraordinary Care for Every Generation.
Uses effective interpersonal communication and investigative
interview skills to accurately identify and record demographic,
insurance, diagnostic, procedural/clinical information.
Maintains patient confidentiality during this process and promotes
a positive first impression.
Understands the importance of satisfying the needs of the customer
by interacting with him/her in a friendly and caring way. Is
attentive to customer s needs both psychologically and
Provides a secure and pleasant experience that does not interfere
or cause delay in medical care.
Answers customer questions related to admission, registration,
scheduling, insurance, billing and payment.
Knowledgeable to work as a resource to all units, departments and
team members to positively impact patient care, customer
satisfaction and financial reimbursement.
Accurately records interview information necessary for work flow of
other departments (Clinical Resource Management, Central Business
Office, Nursing Units, Security, Pastoral Care, Physician Offices,
Has extensive knowledge of the various billing regulations for
multiple insurances to correctly determine set up, coverage
assignment and filing order of insurances.
To enable electronic claim submission without CBO intervention is
responsible for utilizing insurance verification tools to
accurately verify patients insurance information. Identifies
co-insurances, co-pays, deductibles, non-covered/self pays and
provides patient with estimation of their liability.
CPT coding knowledge required as it relates to providing patient
Responsibilities include ability to tactfully and respectfully
communicate patient financial obligations and point of service
collection processes. Familiar with Discounting Financial
Aware of which insurances require what tests/procedures need to be
preauthorized and refers to Preadmission Specialist nurse.
Responsible for obtaining prior to scheduling based on specific
procedure and insurance types.
Facilitates and investigates referral and authorization status for
managed care patients.
Fiscally responsible to request/accept/post payments of cash,
check/echeck, credit cards and/or set up payroll deduction.
Explains and supplies patient with accurate receipt.
Demonstrates expertise/proficiency in use of multiple computer
Epic - ADT, Cadence, ASAP and Enterprise Billing
Passport - Real Time Eligibility, Patient Payment Estimator, and
Maintains multiple computer on-line sign-ons. Has ability to
interpret and glean necessary information from numerous insurance
Proficient knowledge and technical competency of the various
workflows to work all areas of registration including ECC,
outpatient, inpatient admitting, scheduling, and pre-registration.
Ability to work independently in all facets of registration,
verification, authorization and scheduling having effective problem
Able to complete a registration including understanding the
differences in workflows/protocols when registering the following
type patients: CMU, PICC Line, tooth extraction, city/state
employee, patient in network vs. out of network, Workers
Compensation, Occupational Medicine, Motor Vehicle Accident, Tattoo
Removal, JP Farley insurance, Out of State Medicaid, patient
accompanied by Child Protective Service staff, foreign address,
foreign Insurance, employed through Employment Agency, St. Mary s
Health Insurance, ABW County Health Plan, Michigan Lutheran
Seminary, Michigan Department of Corrections, Saginaw County Jail
Inmates, Research Studies, VA Medical Center and when a patient
needs HAR created for physician documentation purposes.
Able to correctly identify and assign guarantors for all patient
types including auto, Third Party Liability, patients who are
minors, custodial parent, etc.
Detail orientated to determine proper documentation specifically
related to guarantor information to avoid overlay of guarantor
information there by preventing HIPAA violation.
Has thorough knowledge of scheduling for multiple departments
throughout Covenant. Requires in-depth knowledge of procedures
performed in Cardiology, Imaging and Diagnostics including Special
Procedures/Sedation, PET Scans, Diabetes Management, Wound Healing
Center, Radiation Oncology, Sleep Lab, Pulmonary Rehabilitation,
PICC Team, Auditory Clinic, Child Birth Education, Pulmonary
Function, Bariatric/Lap Band , Lactation and Partnership for Better
Recovery. Makes independent decisions to maximize staffing,
resource allocation and revenue opportunities.
Accurately records all information related to patient s diagnosis
and procedure. Uses proper medical terminology and spelling.
Explains examination preparations to patients for certain
Works independently, proactively analyzes situations, identifies
alternative solutions to make appropriate decisions.
Able to quickly arrive patients into EMR system to enhance clinical
care of patients in ECC.
Understanding of when to arrive patient as J. Doe.
Correct patient identification in placement of armbands.
Acts as gatekeeper in following process identifying private patient
(non- publish) policy.
Must be alert for unique situations (potential red flag/identity
theft, patients presenting without a physician order).
Knowledge of the many Federal, State and Local government
regulations as they relate to Patient Access and billing
requirements. These include but are not limited to EMTALA, COBRA,
HIPAA, Important Message from Medicare, Red Flag Rules, Advance
Beneficiary Notice, Medicare Secondary Payer, No Fault Laws and
Worker s Compensation rules. Stays up to date with changes to
Able to interpret, research, and communicate information with tact
to multiple entities including physicians, departments, patients,
visitors, payers, etc.
Explains hospital admission policies and uses appropriate
organizational/priority-setting skills to facilitate the
coordination of patients getting to the appropriate setting.
Covenant HealthCare is an equal opportunity employer.
Keywords: Covenant HealthCare, Saginaw , REGISTRATION ASSOCIATE, Other , Saginaw, Michigan
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