Er Registrar - Mishawaka, IN, United States - Saint Joseph Health System

Description

Employment Type:
Part time Shift:

Greets patient/family members and obtains/verifies demographic, clinical, financial and insurance information in the process of registering patients for service delivery.

This process includes benefit verification, notification and collection of patient liabilities, collection of patient signatures on all appropriate forms, and the imaging/copying of registration documents.

Knows and adheres to all laws and regulations pertaining to patient health, safety and medical information.
Ensures the patient is properly identified and has on armband prior to leaving registration area.
Meets or exceeds established customer service, productivity, and quality standards in all essential functions.

Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

Completes entire registration process and maintains departmental objective for accuracy by validating/obtaining all required demographic, clinical, financial and insurance information in the registration computer system.

Activities may occur in multiple locations, including patient access points of service, ancillary departments, patient nursing units, the Emergency Department as well as via telephone.

Ensures insurance card copies, consent forms and other required paperwork is documented in the patient's electronic medical record.

Utilizes and validates information from multiple internal and external computer sources, such as various payers, Patient Access and Patient Accounting systems, or other healthcare providers, to ensure data accuracy.

This includes performing insurance eligibility/benefit verification utilizing a variety of mechanisms, primarily Electronic Data Interchange transactions, payer web access and, in some cases, calling payers directly and documenting that information in the registration system.

Informs patient/guarantor of their liabilities and collects appropriate patient liabilities including co-payments, co-insurances, deductibles, and deposits prior to or at the point of registration.

In collection of funds, documents payments in the patient accounting system and provides patient with a payment receipt.

Provides pricing estimates and communicates pre-service patient liability based on expected charges from price guide or Financial Counselor, and potential coverage, as requested.

Performs bed control functions that relate to multiple patient types (Inpatient Admission, Outpatient Observation, Bedded Outpatients, Diagnostic Outpatients, Emergency Department) to ensure status is correct against the physician order for compliance and payment purposes.

Validates medical necessity to ensure clinical and financial clearance. Contacts scheduling, physician office and/or ancillary department staff for clarification on diagnosis and/or test(s)/procedure(s) as necessary. Presents patient with Advanced Beneficiary Notice or waiver if medical necessity conditions are not met.

Resolves account, system, and technology issues within the department and collaborates with other departments to resolve issues, using the help of the Resolution Center when necessary.

Provides information, directions, transportation within the facility and assistance to patients, family members and visitors, ensuring timely, customer-centric service delivery.

Communicates with various ancillary departments to ensure smooth patient flow and high data integrity.
May serve as relief support, if the work schedule or work-load demands assistance to departmental personnel. Cross-training in various functions is expected in order to assist in the smooth delivery of departmental services.

Education:
High school graduate required. Working knowledge of medical terminology preferred.
Knowledge in word processing and spreadsheet applications required.

Assigned hours within your shift, starting time, or days of work are subject to change based on departmental and/or organizational needs.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation.

Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do.

A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.