GENERAL SUMMARY:
Under the direction of the Patient Access Registration Front Line
Manager, the Acute Care Hospital Registrar 1 is accountable to ensure a
smooth timely registration/admission process by obtaining accurate
individual demographic, clinical and insurance data; collecting
co-pay/deductible, residual and prior balances, perform initial
financial screening on all self-pay & out of network patients and then
referring them to the Financial Advisors as necessary while providing
optimal customer satisfaction; reception; and provides patient way
finding as required.
ESSENTIAL DUTIES:
Greet customers promptly with a warm and friendly reception. Direct
patients to appropriate setting, explaining and apologizing for any
delays. Maintain professionalism and diplomacy at all times, following
specific standards as defined in the department professionalism policy.
Register patients for each visit type and admit type and area of service
via EPIC (Electronic Medical Record- EMR). Collects and documents all
required demographic and financial information. Appropriately activates
converts and discharges visits on EPIC.
Accurately and efficiently performs registration and financial functions
to include: Thorough interviewing techniques, registers patients in
appropriate status, following registration guidelines while ensuring the
accurate and timely documentation of demographic and financial data;
obtains the appropriate forms and scans into the medical record as per
department protocol.
Scrutinize patient insurance(s), identifies the correct insurance plan,
selects appropriately from the EPIC and documents correct insurance
order. Applies recurring visit processing according to protocol. May
facilitate use of electronic registration tools where available (Kiosks,
etc.).
Verify patient information with third party payers. Collect insurance
referrals and documents on EPIC. Communicate with patients and
physician/office regarding authorization/referral requirements. Obtain
financial responsibility forms or completed electronic forms with
patients as necessary.
Review/obtain/witness hospital consent forms, and Notice of Privacy
Practices with patient/family. Screen outpatient visits for medical
necessity. Provide cost estimates. Collects and documents Advance
Directive information, educating and providing information as necessary.
Collects and documents Medicare Questionnaire, issue Medicare Inpatient
Letter & Medicare Off-site Notifications as required by Government
mandates. Scan appropriate documents. Manage all responsibilities within
Compliance guidelines as outlined in the Hospital and Department
Compliance Plans and in accordance with Meaningful Use requirements.
Financial Advocacy: Screen all patients self-pay & out of network
patients using the EPIC tools. Provide information for follow up and
referral to the Financial Advisor as appropriate. Initiate payment plans
and obtain payment, Informs and explains to patients/families all
applicable government and private funding programs and other cash
payment plans or discounts. Incorporates POS (point of service)
collection processes into their daily functions
May issue receipts and complete cash balance sheets in specified areas
where appropriate. Utilize audits and controls to manage cash
accurately and safely.
Transcribe written physician orders, communicating with physician/office
staff as necessary to clarify. Determine & document ICD-10 codes.
Performs medical necessity check and issue ABN as appropriate for
Medicare primary outpatients. Note: excluding lab-only outpatients
effective September.
Affix wristbands to patients, prepare patient charts. Manage/prepare
miscellaneous reports, schedules and paperwork. Maintain inventory of
supplies.
May facilitate scheduling in identified areas for ancillary testing.
Mark duplicates Medical Records for merge: identify potential duplicate
records to determi e that th
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