Pre-Registration Representative - Physical Therapy Kanza - FT - Day

Stormont Vail Health•Topeka, KS

About The Position

Under direction, responsible for the processing of patient accounts from the point of scheduling to the completion of pre-bill editing. This responsibility includes scheduling the service, collecting and verifying the comprehensive data set, verification of insurance, insurance pre-certification, liability calculations, financial education and finalizing financial resolution with patients, financial assistance (HAP) and the identification and resolution of pre-bill edit failures following established policies and procedures, and in compliance with JACHO, Medicare, Payer contracts and other regulatory agencies.

Requirements

High School Diploma / GED Required
2 years Experience in a clinical healthcare position related to patient financial services, registration or scheduling. Required
Knowledge of computers and MS Windows applications. (Required proficiency)

Nice To Haves

Associate's Degree Preferred
Keyboarding skill or typing skill of at least 30 WPM. (Preferred proficiency)
Excellent interpersonal and communication skills and the ability to exhibit patience.
Good math and analytical skills. (Preferred proficiency)
Knowledge of medical terminology. (Preferred proficiency)

Responsibilities

At time of registration, identifies information required and obtains that information. Based upon that information, determines the type of financial education and required forms for that patient. (Medicare ABN, Blue Cross Limited Waiver or Financial Obligation.)
Collects/updates the comprehensive data set at the time of scheduling, validating patient information and determines in or out of network insurance status.
Completes missing data from the comprehensive data set and validates information with patient prior to or upon patient arrival for service.
Identifies insurance sources, collects and documents detailed and accurate insurance information in a timely manner.
Identifies managed care provisions and follows up with appropriate parties to resolve outstanding issues.
Obtains patient estimated charges when appropriate and calculates patient liabilities for requested services.
Negotiates financial resolution through proper sequencing of resolution options and patient’s ability/willingness to pay.
Identify financial assistance screening (HAP) when applicable.
Collates all information and paperwork, including face sheets, pre-authorizations, referrals, Medicare ABN and others in preparation for patient’s arrival and determines patient arrival status (express verses regular processing).
Explain patient information (i.e., advanced directives, patient bill of rights, treatment consents, release of information,), identify and obtain proper signatures.
Determine and explain financial impact to patient of the Medicare ABN, Blue Cross Financial Waiver, Financial Obligation and others.
Screen registrations for sensitive diagnosis and obtain special release according to established hospital policy.
Applies advanced technical billing knowledge to track and resolve pre-service/service data edits.
Clears all applicable comprehensive data bill edits in system.
Notifies case manager of pre-authorization requirements.
Properly utilizes resources when scheduling to reduce waste and maximize productivity.
Remind patients to bring required information, referral forms, co-pays and deductibles, etc. at the time of service.
Consistently uses diplomacy and respect both in person and when using the telephone, and performs effectively and professionally under stressful conditions.
Exhibits a professional and pleasant demeanor when communicating with all customers and anticipates the patient’s need for clarification or additional information for their successful hospital visit.
Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
Performs other duties as assigned