Patient Business Service Rep II - Registration

Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

Access Registration Tasks                                                                                                                                

• Exceed productivity standards as outlined by business line
• Complete patient registration (post clinical triage of patient) by obtain and verify health plan coverage
• Accurately document patient demographics and health plan information
• Support access registration, insurance verification and authorization functions
• Contact physician offices and/or payers for follow-up on eligibility and authorizations and
• Maintain quality scoring and accuracy on all accounts worked
• Ability to work independently and make responsible decisions
• Completes timely follow-up on assigned accounts to ensure no cash loss
• Demonstrates the ability to prioritize work with minimal oversight to meet outlined goals
• Acts as a knowledge resource for team members
• High level understanding of client host system functions
• Clearly documents actions taken and next steps for account resolution in patient accounting system

Ensure all accounts are worked within client standards and Federal Regulations.                         

• Work within federal, state regulations, department/division & all Compliance Policies       
• Maintain clear, concise, and accurate documentation of all attempts and/or contacts made and received for accounts in accordance with company and client specifications  

Maintain continuing education, training in industry career development                                                    

• Maintain current knowledge of and comply with all federal and state rules and regulations governing phone calls and collections including HIPAA, FDCPA, Privacy Act, FCRA, etc.
• Attend training sessions as directed by management and disseminate to colleagues
• Integrate information obtained through training sessions and policy changes immediately into daily routine

EDUCATION: High School

EXPERIENCE:

• Minimum of 1 year of Access Registration or front office physician healthcare experience
• Minimum of 3 year in hospital or physician operation
• Minimum of 1 year of basic computer skills to include MS Office apps: Outlook, Word, Excel

OTHER HELPFUL EDUCATION OR EXPERIENCE-State other desired, but not required, education or experience.

• Epic hospital system experience
• Demonstrate knowledge of communication regulations relating to HIPAA and TCPA and other FCC requirements
• Experience with Insurance payers (Medicare, Medicaid, Commercial, Workers Compensation) preferred
• Remote working experience

KNOWLEDGE, SKILLS and ABILITIES - Describe specific minimum knowledge, skills, and abilities required for this position.  Also, list any special courses, certifications, or physical requirements that are necessary.  This is especially critical for screening candidates.

• Exceptional customer service skills.
• Excellent verbal and written communication skills.
• Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality.
• Proficient use of hospital registration and/or billing systems, and Microsoft Word and Excel software applications.
• Ability to follow regulations outlined by state, federal, and third-party coverage procedures. 
• Ability to model the basic values of the mission, vision and values of Xtend Healthcare and the client.
• Ability to manage multiple tasks simultaneously and adjust to issues as needed in a dynamic work environment.
• Ability to prioritize and effectively anticipate and respond to issues as they arise.
• Ability to post transactions in multiple systems.
• Good analytical and problem-solving skills.
• Ability to work independently.