Patient Registration Clerk- Hartford, CT

Company: A-Line Staffing Solutions
Location: Hartford
Posted on: May 3, 2021

Job Description:

A Patient Registration Representative is needed for a major hospital in Hartford, CT!Core responsibilities include:1. Verifies patient identification2. Enters patient information accurately into appropriate hospital information system(s).3. Refers patients with questionsShift:Days 7: 30am-3: 30pmESSENTIAL FUNCTIONS1. Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Core Values, and Vision in behaviors, practices, policies and decisions.2. Maintains compliance with HIPAA and other regulatory requirements throughout all activities. Protects the safety of patient information by verifying patient identity to preserve the integrity of the patient record and ensures all records are complete, accurate, and unique to one patient.3. Performs pre-registration, insurance verification and financial clearance activities in a variety of settings and for multiple patient types. Communicates frequently with patients/family members/guarantors, and physicians or their office staff in the deployment of key activities. Interviews patients to collect data, initiates electronic medical records, validates and enters data related to procedures, tests and diagnoses. Determines need for appropriate service authorizations (pre-certifications, third-party authorizations, referrals) and contacts physicians and Case Management/Utilization Review personnel, as needed. Obtains and verifies the accuracy and completeness of physician orders for tests and procedures, which includes name, date of birth, diagnosis, procedure, date, and physician signature to minimize risk to hospital reimbursement. Accurately uses the patient search feature to find the correct patient information and disseminates data to clinical systems for patient care. Identifies required forms or templates based on the types of services patients will receive.4. Performs insurance eligibility/benefit verification, utilizing EDI transactions and payer web access, and calls payers directly. Documents information within the patient accounting system through insurance eligibility/benefit verification. Refers accounts identified as self-pay to benefit advocacy resources. Conducts data search of manuals, physician systems, previous accounts or payment source history, when appropriate.5. Provides financial information and patient payment options. Informs patient/guarantor of liabilities and collects appropriate patient liabilities, including co-payments, co-insurances, deductibles, deposits and outstanding balances at the point of pre-registration or point of service. Documents payments/actions in the patient accounting system and provides the patient with a patient estimate of out of pocket costs and a payment receipt in the collection of funds. Acquires necessary documents including patient identification, insurance cards, consent for treatment, assignment of benefits, release of information, waivers, ABNs, advance directives, etc. Identifies need for patient/guarantor signature based on patient encounter/visit. Scans appropriate documents.6. Provides information and assistance to patients, family members and visitors in a courteous, professional, and empathetic manner; ensuring timely, efficient customer service in a fast paced, high energy environment. Communicates with various ancillary departments to ensure smooth patient flow and high data integrity.7. Cross trains in various functions to assist in the timely delivery of department services. Performs routine duties relating to patient placement, reservation duties, which includes responsibility for bed assignments, transfers, and providing functional guidance as necessary.8. Performs scheduling of patients using HIS or scheduling software as necessary.9. Interprets data, draws conclusions, and reviews findings with Lead Patient Access Concierge for further review.10. Takes initiative to continuously learn all aspects of Patient Access Concierge Role to support progressive responsibility.11. Other duties as needed and assigned by the manager.12. Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behaviorMINIMUM QUALIFICATIONS1. High school diploma or an equivalent combination of education and experience. Associate degree in Accounting or Business Administration highly desired. Past work experience of at least one to three (1-3) years within a hospital or clinic environment, an insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities is highly desired. Consideration may be given for commensurate customer service experience in another industry. Knowledge of insurance and governmental programs, regulations and billing processes (Medicare, Medicaid, Social Security Disability, Champus, and Supplemental Security Income Disability), managed care contracts and coordination of benefits is highly desired. Working knowledge of medical terminology, anatomy and physiology, and medical record coding (ICD-10, CPT, HCPCS) is preferred. Must have a basic understanding of the core Microsoft suite offerings (Word, PowerPoint, Excel).2. Excellent communication skills both verbal and written, data entry skills, and organizational abilities. Superior interpersonal skills are necessary for interacting with customers and colleagues. Accuracy, attention to detail, ability to work independently, and good time management skills are required.3. Completion of regulatory/mandatory certifications and skills validation competencies preferred.4. Must be a self-starter, comfortable working in a fast paced, results oriented, collaborative, people-centered environment.

Keywords: A-Line Staffing Solutions, Hartford , Patient Registration Clerk- Hartford, CT, Other , Hartford, Connecticut