Pre-Registration Representative (MSD) - Pre-Registration MSD - PT - Day

Status: Part time Shift: First Shift (Days - Less than 12 hours per shift) (United States of America) Hours per week: 20 Job Information Exemption Status: Non-Exempt A Brief Overview Under direction, responsible for the processing of patient accounts from the point of scheduling to the completion of pre-bill editing. This responsibility includes: Schedule patients for non-complex services, collect and verify the comprehensive data set, identifying managed care issues and referring as appropriate for resolution; complete required forms including Medicare MSP, if required; verification of insurance eligibility and benefits via electronic transactions, websites or phone calls; insurance pre-certification, liability calculations, financial education and finalization of financial resolution with patients; financial assistance screening; complete additional registration admission, discharge and transfer functions as applicable; resolve edit failures following established policies and procedures. These activities are completed following established policies and procedures, and in compliance with Joint Commission, Medicare, Payer contracts, HIPAA, regulatory agencies and the organization's Code of Conduct.

Qualifications High School Diploma / GED Required Associate's Degree Preferred Experience Qualifications 2 years Experience in a clinical healthcare setting such as physician's office or hospital relating to patient financial services, patient registration, patient scheduling or related healthcare experience. Required Skills and Abilities Working knowledge of basic medical terminology. Intermediate understanding of medical/clinical treatment processes. (Required proficiency) Detailed knowledge of major third-party billing and contract requirements. (Required proficiency) Keyboarding skill or typing skill of at least 30 wpm. (Preferred proficiency) Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or government regulations. Superior written and oral communication skills. Ability to effectively present information and respond to questions from management, physicians, employees and the general public. (Required proficiency) Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages. Ability to apply concepts of basic Algebra. (Required proficiency) Ability to work independently with strong analytical and problem solving skills utilized to determine work prioritization, coordination, application of departmental procedures and resolve complex customer service issues. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Ability to define problems, collect data, establish facts, and draw valid conclusions. (Required proficiency) What you will do Ensures customer concerns are processed in compliance with organization's policies while maintaining the highest level of patient and employee rights, including confidentiality of patient information and personnel issues. Ensures necessary data, identified processing issues and related information is provided to departmental management, appropriate departments and individuals within the organization in a timely manner. Identifies and notifies management of customer service issues and potential process/system problems that cause billing and payment errors and assists in improvement implementation as requested. Informs management of any known or suspected violations by other employees or suppliers. Accurately schedule office visits based upon the physician preferences and needs of the patient. At time of scheduling, determine the type of financial education and required forms for that patient. (Medicare ABN, or Financial Obligation.) Reschedule and cancel patient appointments as requested by the patient or physician. Accurately selects the correct patient when scheduling