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Purpose of Job This position is responsible for complete and accurate pre-registration and registration of various patient types, including, inpatient admissions, outpatient, emergency services, and same day surgeries at multiple locations. Job Functions
Efficiently registers patients, in person or via phone, capturing and verifying all required information in order to identify the patient, contact the patient, and receive proper reimbursement for services on initial claim submission.
Assigns the appropriate Guarantor for each patient.
Ensures patients receive necessary disclosures, privacy information, and signs the Consent to Treat documentation.
Verifies insurance eligibility and benefit information using real time eligibility; reviews the insurers response to each verification request and takes appropriate action based on the response to ensure the proper insurance plan and billing address are entered in the system.
Completes the MSQ, as appropriate, for patients with Medicare
Collects financial obligations from patients and provides financial counseling and/or estimates when appropriate.
Reconciles and performs end of day cashier duties
Works with internal staff and third party payers to obtain information necessary for the registration.
- Initiates treatment authorization requests and pursues referrals per payer guidelines. Works with clinical staff to determine likely ICD-10, DRG and/or CPT Codes.
- Ensures Inpatient Notification process to third party payers is completed within established time frames.
Assists and refers internal and external customers to proper resources for questions.
Provides professional and courteous customer service to internal and external customers.
Adheres to strict confidentiality when handing patient information.
Meets established quality and productivity standards/requirements.
Performs other duties as assigned
Minimum Education/Work Experience
High school graduate or equivalent
1-2 years previous healthcare experience
Familiar with medical terminology
Strong customer service experience
Knowledge/Skills/Abilities
Ability to effectively handle high-stress fast paced environment
Ability to meet and maintain the necessary background checks as aligned with position functions
Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above
Ability to multi-task and high attention to detail
Ability to perform basic math functions and count money
Ability to serve patients in a friendly and efficient manner
Knowledge of basic computer functions and Microsoft Office applications
Ability to work autonomously and as a team
Ability to respond appropriately to unpredictable situations and diverse patient populations
Capable of making independent decision with the use of strong critical thinking and problem solving skills
Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions mentioned above
Preferred Qualifications
Cognitive and Mental Demands Time Awareness - Frequent
Writing - Continuous
Initiation of Work - Continuous
Memory - Continuous
Receptiveness to Change - Frequent
Reasoning - Continuous
Required Sequences in Work - Continuous
Problem Solving - Continuous
Attentiveness Duration - Continuous
Social interactions - Frequent
Mathematical Aptitude - Occasional
Conflict Management - Occasional
Reading - Continuous
Detail Oriented - Frequent Compensation Many factors are taken into consideration when determining compensation such as: the requirements of the position, experience, education, knowledge, and skills along with location and internal equity. Pay listed does not include any shift, weekend, or other differentials. Benefits Ridgeview strives to provide comprehensive and market competitive benefits to meet the needs of our employees and their families. Click here to view the benefits available.
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Ridgeview Medical Center
Jan 19, 2025