Registration Services Representative - Clinical Practice Services

Summary 

The Registration Services Representative (RSR) is responsible for complete registration & eligibility on non-central scheduled patients, scheduled inpatients, and research patients. This includes answering incoming calls for registration and using work lists to ensure all registrations are complete before the patient arrives in the clinic. The RSR enters insurance information obtained from the clinic check-in process, and corrects registrations forwarded via work queues from billing system edits. The RSR is responsible for running electronic eligibility checks and completing MSP questionnaires for Medicare patients. Information is documented in the Epic system with extreme accuracy to ensure proper billing and collections and customer service.

Hybrid Position: 95% Remote & 10% Onsite, must live in Metro Milwaukee, WI area.

Primary Responsibilities  

• Registers patients via phone and work lists/reports to ensure complete and accurate registration data is in the Epic system before the patient’s clinic visit.

• Enter all patient demographics and insurance and coverage information in software or databases.

• Ensures compliance policies are followed to avoid fraudulent billing, consent forms, and Medicare questionnaires.

• Verifies Medicare and Medicaid eligibility. Requires full knowledge of on-line eligibility systems.

• Apply extensive knowledge of miscellaneous and managed care insurance contracts.

• RSR may need to call the patient and/or insurance carrier to verify coverage and eligibility as needed.

• Enters insurance information obtained from the clinic check-in process. This will come via work queues containing insurance card copies, which are scanned or faxed by the clinic. Registration updates will also be made from billing edits, which will also come via work queues.

• Checks e-mails, Epic work lists and Epic Inbasket regularly throughout the day to keep up to date with any changes and receive information on patients who need registration services.

• Assists with quality control measures and special projects as situations demand.

• Reviews own work and works reports to verify accurate information and corrects any registration issues.

Knowledge – Skills – Abilities 

• Knowledge of quality control, customer service standards, information management, procedural process, and recordkeeping.

• Computer, technical, interpersonal, oral communication, listening, and patience skills.