Requisition #: 234121

Title: Registration Rep - Central Registration

Unit: Revenue Cycle

Shift: Monday-Friday 7-3:30pm days may vary. Hours may vary depending on organizational needs.

Location: UMass Memorial-Marlborough Hospital

UMass Memorial-Marlborough Hospital strives to be the community hospital of choice for patients and the workplace of choice for health care professionals and physicians.

Under the general direction of the Registration Services Supervisor, Manager, and/or Director, performs a variety of complex duties for the registration and basic scheduling skill.

Major Responsibilities:

• Enter Lab, Radiology and basic ancillary service appointments to schedules. Schedules patients for treatment and services for multiple providers at multiple campuses.
• Coordinates the provision of multiple services to patients. Processes updates and corrections to patient insurance and demographic information, as well as obtains prior insurance referrals and authorizations. Collects patient liabilities prior to or on the date of service, as appropriate.
• Arranges a variety of associated tests, procedures, and/or ancillary services according to established guidelines and specific criteria.
• Prioritizes visits and services in a manner that will foster more efficient utilization of physician’s clinical staff, and patient’s time, as well as equipment and facilities.
• Obtains and enters into the computer-based patient registration/scheduling system, demographic, insurance and other related patient information.
• Obtains and verifies patient insurance coverage and follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. Follows up to correct discrepancies as required.
• Telephones and/or notifies patient of appointment times. Provides patient with standard information regarding their personal preparation for scheduled procedures and services.
• Mails patient information packets to patients.
• Transcription of paper orders when applicable.
• Assesses patients’ financial needs and directs accordingly to financial counseling, and refers to appropriate person or area.
• Provides a variety of related clerical duties, such as retrieving medical and other records, faxing, collating, typing, transcribing, taking and relaying messages, etc.
• Maintains accurate and timely records, logs, charges, files and related information as required.
• Collection of patient liabilities including deductibles, copays, coinsurances, self-pay payments, cosmetic procedure payments, and patient balances as appropriate, prior to or on the date of service.
• Obtains patient and witness signatures for all paperwork, including but not limited to Consent to Treat, HIPAA, Privacy, Medicare Rights, Important Message for Medicare, Patient Rights, etc.
• Reviews workqueues to ensure accurate and timely billing.
• Monitors and maintains Patient Access and Revenue Cycle Work queues.
• Maintains scheduling and/or registration accuracy rate of 97% or above.

Standard Staffing Level Responsibilities:

• Complies with established departmental policies, procedures and objectives.
• Attends variety of meetings, conferences, seminars, and on-going training as required or directed.
• Demonstrates use of Lean Methodology and Quality Improvement in daily operations.
• Complies with all health and safety regulations and requirements.
• Respects diverse views and approaches, and contributes in maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
• Performs other similar and related duties as required or directed.

All Responsibilities are essential job functions unless otherwise noted.

Position Qualifications:

License/Certification/Education:

Required:

• High School Diploma Required.

Preferred:

• Associate or Bachelor’s Degree in Business or Healthcare related field preferred.