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Registration Representative - PRN - Varies

Company: DHR Health
Location: Edinburg
Posted on: January 12, 2022

Job Description:

Description Position at DHR Health Job Description:Registration RepresentativeFormulated: 05/30/2019Department:RadiologyReviewed by Senior Human Resources Business Partner:(Date Reviewed)Reports To:Practice AdministratorApproved by Director of Human Resources:(Date Approved)EMPLOYEE'S FULL NAME: FLSA STATUS: Exempt Non-ExemptMISSION STATEMENT: Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time. VISION: Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence. POSITION SUMMARY:Responsible for processing registrations and pre-registrations of all hospital reception areas and offsite locations. To answer any patient questions regarding the patient's scheduled case procedure and any related charges. POSITION EDUCATION/ QUALIFICATIONS:High School Diploma/GED is required. Working knowledge of medical terminology is strongly desired. Medical terminology with good customer service strongly preferredWillingness to be crossed trained to other areas.Organizational skills are necessaryGood written and verbal communication skills required. Ability to read, write and speak EnglishAbility to communicate clearly and concisely with all levels of nursing, administration, and physiciansJOB KNOWLEDGE/EXPERIENCE:Must be able to respond to patient needs by interpreting facial expressions and to communicate effectively utilizing verbal and written communications. One (1) year of related customer service experience Requires reasoning ability and good independent judgment. Requires working with frequent interruptions and have strong customer service skills. Must have good working knowledge of computersKnowledge of medical terminology and the ability to communicate in both Spanish and English is strongly preferred. High degree of competency/experience in general. Requires good communication and organizational skills. POSITION RESPONSIBILITES:Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practicesDemonstrates high quality Service Excellence, positive customer service and telephone etiquette by treating all customers with dignity and respect; utilizing age specific skills and knowledgeEnsures patient confidentiality requirements are met in accordance with HIPAA policies and proceduresObtains required demographic information from the patient or responsible party to register the patient accuratelyCommunicates effectively with doctor's office to obtain orders when missing or when additional diagnosis is needed for medical necessityReviews and confirms patient's financial information by obtaining the insurance carrier information, benefit information, policy number , group name and number Ability to identify the appropriate coordination of benefits for insurance carrierUtilizes on line verification systems, i.e. TMHP, Availity, Relay Assurance etc for eligibilityExplains rates, estimate charges for services and hospital policy regarding up-front collections as neededOpens and closes cash batches appropriately and uses approved naming guidelinesCollects deductibles, co-pays, unpaid balances and co-insurance payments and provides patient with a receipt Determines financial status and refers patients for financial screening as appropriate Performs appointment scheduling functions and registers patients for ancillary servicesInitiates Order Management to enter patient ordersReviews records of any prior patient visit to determine status of any un paid balancesAbility to take over the counter payments from patients statements Ensures referral /pre-authorization/pre-certification requirements have been metAccurately completes the Medicare Secondary Payor (MSP) form as appropriateInitiates Pathway Compliance Advisor to determine if an ABN will need to be provided to the patient for services identified as not medically necessaryEnsures that patients are provided with the Conditions of Admissions form and signature is obtainedScans photo ID, insurance cards, doctor's orders in the appropriate document type in Reg/AssistUtilizes Form Fast to print or re-print forms and labelsVerifies and places appropriate wrist bracelet on patient with the two required patient identifiers Accurately reconciles cash drawer, creates deposit and adheres to security measuresCompletes the necessary reports and patient logs on a daily basisEffectively communicates information about scheduled case procedures to various departments and personnelConsistently adheres to DHR Health dress policyDetermines hospital privileges of physician attending patient by checking the listing of active medical staff. Obtains patient demographic information, type of insurance, diagnosis and procedure requested. Call third party payor to obtain effective dates of coverage, billing addresses, existing condition clauses and network information. Accurately review the Doctor's orders for appropriate signature and diagnosis prior to registration. Posts all payments received to patients accountsCopy and Paste the patient's insurance eligibility on all walk-ins and add-on patientsPrint patient's itemized bills when requestedOther duties as assigned.LINES OF REPSONSIBILITES: Office Supervisor2.Office Manager3.Practice Administrator Assistant Director of Radiology5.Director of Radiology 6. Vice President of Imaging ServicesCUSTOMER SERVICE: Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Compassion, Accountability, Respect, Excellence through Knowledge and Safety & Social Conscience.AGE SPECIFIC:Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age. AMERICANS WITH DISABILITIES ACT: (ADA): A.Essential Duties:Indicated by bold print within performance standards, preceding individual numbered criteria.The following table provides physical requirements that will be associated with, but not limited to, this position: Light/moderate lifting up to 20 lbs, from the floor to shoulder height. YesKneelingYesMust be able to assist other employees with lifting more than 20 lbs.YesWalkingYesLight/moderate carrying up to 20 lbs.YesStanding/SquattingYesStraight pullingYesSittingYesPulling hand over handYesPushingYesRepeated bendingYesStooping/BendingYesReaching above shoulderYesClimbing StairsYesSimple graspingYesClimbing LaddersNoDual simultaneous graspingYesDepth Perceptions neededYesAbility to seeYesIdentify ColorsYesOperating office equipmentYesTwistingYesOperating mechanical equipmentYesCrawlingNoAbility to read and writeYesAbility to CountYesAbility to hear verbal communication without aidYesOperating Personal VehicleYesAbility to comprehend written/verbal communicationYesOther: Ability to deal with stressYesOSHA CategoryIIIB.Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents. C.Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way. D.Aptitudes:HIGH123456LOWIntelligence: General learning ability: The ability to "catch on" or understand instructions and underlying principles. Ability to reason and make judgments. 3 Verbal:Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to und

Keywords: DHR Health, Edinburg , Registration Representative - PRN - Varies, Other , Edinburg, Texas

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