Patient Registration Specialist - PRN - St. Elizabeth Hospital - Enumclaw, WA at Enumclaw

Description

Tenet, through its subsidiaries, owns and operates acute care hospitals and numerous related health care services. Our mission is to be recognized for our commitment to our people and partners who provide quality, innovative care to the patients we serve in our communities. It's a spirit you can experience first-hand and it's a philosophy that can enhance your own approach to health care and your career goals.

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management, patient communication s, and value-based care solutions, we empower healthcare decision makers-hospitals, health systems, physicians, self-insured employers, and payers-to better connect every point of care and wellness management. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

Conifer Health Solutions is currently hiring for a Patient Registration Specialist.

JOB SUMMARY

This job is responsible for performing receptionist, registration, and clerical duties associated with patient admission and related activities in accordance with internal standards and guidelines and regulatory requirements. Work includes collecting, recording, and distributing patient demographic and financial information via the computer and manual systems. An incumbent verifies and explains authorizations and referrals for patient services. Work also includes handling cash, receiving payments from patients for hospital and medical services rendered, and recording amount received.

Work involves the application of knowledge relating to insurances and privacy/confidentiality practices, medical terminology and the patient registration process.

This job exists in multiple departments, and while there may be minor differences in job content, they are not significant for classification purposes. Overall, the natures of the work and job requirements are consistent between departments.

ESSENTIAL JOB FUNCTIONS:

The following section contains representative examples of job duties that might be performed in positions allocated to this job class. Roles and responsibilities may be altered to accommodate changing business conditions and objectives as well as to tap into the skills and experience of its employees. Accordingly, employees may be asked to perform duties that are outside the specific work that is listed. It is not required that any position perform all duties listed, so long as primary responsibilities are consistent with the work as described. Performance standards developed for incumbents allocated to this job class may also contain relevant job content information and are referenced hereto.

• Receives, collects, verifies, records, updates and distributes patient demographic, physician and financial information in accordance with FHS standards and guidelines; provides payment options for services rendered, accepts payments.
• Coordinates and verifies insurance benefits and eligibility on all patient accounts; explains authorizations and referrals for patient services to ensure timely payment; ensures that all documentation and verification required is documented in patient account at the time of visit.
• Requests and collects monies from patients and documents accounts according to FHS policy; enters data electronically on patient charges and orders; balances and maintains cash drawer and daily deposit.
• Answers verbal and written requests in accordance with HIPAA guidelines and departmental procedures; responds to requests for patient financial information; investigates concerns/issues; and may refer customers to appropriate hospital resources.
• Explains consent forms and obtains patient signatures in accordance with all applicable state and federal insurance regulations, (e. WAC, CMS, WSHA). Obtains current physician orders to accompany patient chart; receives and logs patient articles for safekeeping in accordance with internal procedures.
• Performs administrative support duties including (but not limited to) meeting and greeting patients, telephone/communications escort services and hospitality assistance.
• Performs related duties as required.

Qualifications

MINIMUM JOB QUALIFICATIONS: The following section contains representative examples of competencies and job qualifications directly related to successful performance in the position. The categories are broad, reflecting minimum requirements. It is not intended to be an exhaustive list of all possible requirements nor does it include general competencies, expectations and/or skills that are universally applicable to the work, but are not critical for recruitment purposes or to overall job performance.

Education/Work Experience Requirements
High school diploma (or GED equivalent), successful completion of an accredited medical terminology course or equivalent on-the-job training, and one year experience in patient registration, insurance verification or related function,
OR any equivalent combination of education and experience that would demonstrate acquisition of the knowledge/skill required to perform the duties of the position.

Job Knowledge/Skills

• Knowledge of hospital financial options and payment alternatives, and insurance requirements.
• Basic knowledge of federal and state payor requirements, including Medicare, DSHS, L&I, HMO and PPO Contracts.
• Knowledge of insurance contract information, authorization guidelines and notification procedures.
• Knowledge of the meaning and usage of medical terminology and abbreviations sufficient to perform the duties of the position.
• Knowledge of the functionality of automated (ADT) systems.
• Knowledge of basic insurance billing requirements.
• Ability to communicate effectively, verbally and in writing, and to maintain strict confidentiality of information.
• Ability to ensure compliance with all state and federal regulatory insurance mandates, laws and policies (e.g. WAC, HIPAA, CMS, WSHA, EMTALA) as appropriate within designated scope of authority.
• Ability to establish and maintain effective working relationships as required by the duties of the position.
• Ability to maintain awareness of, and maintain compliance with, all applicable federal and state regulatory guidelines.
• Ability to work with team members to analyze and resolve issues for continuous process improvement.
• Ability to apply effective data collection/assimilation and work prioritization skills as appropriate within designated scope of authority.
• Ability to understand and apply basic mathematical functions such as addition, subtraction, multiplication, division and percentages.
• Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency.
• Ability to recognize compliance challenges relating to policies, standards and requirements
• Ability to independently analyze and solve complex problems and issues.
• Ability to rapidly prioritize tasks with accuracy and consistency, and to perform multiple activities simultaneously.
• Ability to read, understand and accurately apply new regulations, business contracts, policies, procedures and technical manuals as appropriate within designated scope of responsibility.

MINIMUM JOB QUALIFICATIONS: The following section contains representative examples of competencies and job qualifications directly related to successful performance in the position. The categories are broad, reflecting minimum requirements. It is not intended to be an exhaustive list of all possible requirements nor does it include general competencies, expectations and/or skills that are universally applicable to the work, but are not critical for recruitment purposes or to overall job performance.

Education/Work Experience Requirements
One year of work experience in Patient Accounting or Admitting in a healthcare environment, OR any combination of experience and education that would demonstrate the capability to perform the duties of the position.

Job Knowledge/Skills:

• Knowledge of medical insurance and the application of diagnostic codes.
• Knowledge of payor and billing, including Medicare, DSHS, L&I and HMO/PPO contracts.
• Knowledge of Medicaid eligibility requirements sufficient to perform the duties of the position.
• Ability to establish and maintain effective working relationships as required by the duties of the position.
• Ability to understand and explain procedures, and to identify and correct billing errors.
• Ability to use automated systems and operate office equipment at an acceptable level of proficiency.

IN AN EFFORT TO PROVIDE A MORE HEALTHY, SAFE AND SATISFYING ENVIRONMENT TO OUR EMPLOYEES, INDIVIDUALS TO WHOM JOB OFFERS ARE EXTENDED WILL UNDERGO NICOTINE TESTING AS A PART OF THE PRE-EMPLOYMENT PROCESS.
Country: USA, State: Washington, City: Enumclaw, Company: Conifer Health Solution.