ED Registration Specialist

STATEMENT OF PURPOSE

Registers emergency room patients in a pleasant, professional and timely manner. Conducts patient/guarantor interviews, explains consent for treatment forms, patient rights and financial responsibilities.  Handles all routine patient inquiries related to the registration process.  Insures all necessary demographic and financial data is obtained and accurately entered into the registration screen in Cerner.  Identifies appropriate payer source for accurate and timely reimbursement for services provided.  Ensures that all pre-certification and/or authorization are obtained to meet individual payer payments authorization requirements.

Job Specific Accountabilities

• Interviews patients and enters required data in the EMR System with emphasis on accuracy of demographic data and financial information.
• Carefully reviews physician orders (paper or EMR) to ensure accurate diagnosis is present, spelled correctly, and entered accurately.  For outpatient diagnostics, there is a diagnosis to match each outpatient test ordered.
• Ensures service type and admitting physician name and signature are present.
• Accurately assigns medical record numbers to all patients after performing a thorough search for patient by name, date of birth, and social security number.
• Validates existing demographic data related to prior registrations and updates appropriately.
• Records pertinent comments in EMR System to allow for accurate follow-up.
• Creates armbands and other documents as necessary.
• Provides breaks for the Guest Relations staff as needed
• Distributes face sheets or electronic data to appropriate departments in a timely manner.
• Maintains knowledge of current insurance requirements for timely financial reimbursement.

Obtains and Verifies Financial Information.

·       Copies all necessary insurance information including insurance cards, personal I.D., Driver’s License, etc...

·       Verifies patients’ insurance eligibility and identifies Medi-Cal and Medicare through the appropriate Electronic Eligibility System and through completion of the Medicare questionnaire.

·       Identifies appropriate payor source (Financial Class) in EMR System, thus ensuring appropriate revenue routing.

·       Ensures that all authorizations / pre-certifications are obtained in accordance with payor’s payment authorization protocols.

·       Performs the cashier function for all patients that present cash, check or credit cards as payment for service.

·       Obtains signatures from patient/representative and explains all treatment consent forms (i.e. Conditions of Service, Acknowledgement of Receipt, Advance Directive, Important Message from Medicare, etc...).

·       Issues patient handouts to include “Your Right to Make Medical Decisions Regarding Medical Treatment”, “Notice of Privacy Practices”, “Speak Up” and “Patient Rights & Responsibilities”.

·       Performs all other duties as assigned by department supervisor/director.

Customer Service

·       Exhibits behavior that is courteous, compassionate, polite, friendly, and respectful towards patients, visitors, physicians, and co-workers and extends self to make patients, visitors, clinical staff, and peers feel welcome and respected.

Reports to: Director of Access Services

QUALIFICATIONS

• Knowledge of Medicare, Medi-Cal, Private insurance regulations and as they apply to the admission process.
• Some knowledge of Medical Terminology and EMR (Electronic Medical Records) as they apply to the registration process.
• Strong organizational skills must be able to work in a fast-paced environment with frequent interruptions and remain calm under pressure.
• Minimum of one year experience in a hospital, urgent care or clinic patient registration setting.
• CPR Certification
• CPI Certification within 30 days of hire.