87963 - Registration Specialist-Patient Access

WVU Medicine; Fairmont, Northern (WV, KY); Hybrid; USD 20,000 - 28,000; Part time

Job summary

WVU Medicine in Fairmont, WV, is seeking an administrative professional to manage patient registration and related financial obligations. The role involves collecting demographic and insurance data, processing bills, and ensuring accurate entry into registration and billing systems.

Responsibilities include securing pre-certifications, preparing consent forms, handling payments, and maintaining patient records.

Qualifications

• High school diploma or equivalent.
• State criminal background check and Federal (if applicable) background checks as required for regulated areas.

Responsibilities

• Obtain demographic, billing, and insurance information and enter into registration and billing systems.
• May handle pre-certification and authorization requirements.
• Prepare consent forms and privacy notices and obtain signatures.
• Collect deposits, co-pays, deductibles, and patient payments; provide receipts and document in systems.
• Prepare patient armband for identification.
• Balance daily receipts and cash drawer; follow up on accounts per system flags.
• Initiate screenings and collect information for coverage; complete necessary paperwork.
• Perform medical necessity checks and complete Advanced Beneficiary Notice as needed.
• Schedule, reschedule, or cancel patients per hospital workflow.
• Check order completeness and validate against scheduled services.

Skills

Data entry

Customer service

Attention to detail

Multitasking

Communication

Insurance knowledge

Documentation

Education

High school diploma or equivalent

Tools

Registration/Billing software

Job description

This position performs a variety of administrative and clerical duties to manage patient registration and patient financial obligation.

Minimum Qualifications

• 1. High school graduate or equivalent.
• 2. State criminal background check and Federal (if applicable), as required for regulated areas.

Core Job Duties and Responsibilities

• 1. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification. Provides to the patient, information concerning insurance, payment of bills and hospital procedures.
• 2. May complete managed care responsibilities in regard to obtaining pre-certification and authorizations.
• 3. Prepares WVU Medicine standard consent form, notice of privacy practice and/or other necessary paperwork related to registration and presents to patient/family/legal guardian for signatures. Obtains electronic signature for consent to treat and patient financial obligations.
• 4. Collects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems.
• 5. Prepares armband for patient identification.
• 6. Balances daily receipts and cash drawer for patient payments as needed. Follows up on accounts as indicated by system flags (courtesy dismissal/comments/red stickers).
• 7. May initiate various screenings and obtains all pertinent information for coverage and completes appropriate paperwork.
• 8. Performs medical necessity checks and completes Advanced Beneficiary Notice as needed.
• 9. Schedules, reschedules, or cancels patients in accordance with hospital workflows.
• 10. Checks for order completeness and validate order against scheduled service.

Physical Requirements

• 1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, and grasping.
• 2. Visual acuity must be within normal range.
• 3. Manual dexterity to operate keyboards, fax machines, telephones, and other business equipment.
• 4. Sitting and/or standing for extended periods of time.
• 5. Reading and comprehension ability.

Working Environment

• 1. High volume, fast paced environment.
• 2. Exposure to communicable disease.
• 3. Frequent interactions with patients, medical staff, and support staff daily on a continual basis.

Skills and Abilities

• 1. Ability to accurately utilize applicable computer software and equipment for access processing & demonstrates ability to follow down time procedures.
• 2. Demonstrate knowledge of procedure to report and/or document unsafe/hazardous conditions, incidents and defective equipment in compliance with hospital policy.
• 3. Requires considerable attention to detail, the ability to be organized and to be able to perform multiple tasks simultaneously.
• 4. Requires the ability to memorize a considerable amount of information, and to be able to reference information not retained from written sources or from appropriate personnel.
• 5. Requires the ability to understand medical insurance requirements for payment and basic knowledge of covered services.
• 6. Excellent written and verbal communication skills and the ability to understand written and verbal communication.
• 7. Basic knowledge of medical terminology.

Employment Details

Scheduled Weekly Hours: 20
Shift: Night (United States of America)
Exempt/Non-Exempt: United States of America (Non-Exempt)
Company: WVUH West Virginia University Hospitals
Cost Center: 1554 WVUH FMT
Patient Access Address: 1325 Locust Avenue Fairmont West Virginia

Equal Opportunity Statement

Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

About WVUHS

The West Virginia University Health System is West Virginia’s largest health system and largest private employer, providing care to communities across West Virginia, Maryland, Ohio, and Pennsylvania. The integrated academic health system includes 25 hospitals and five institutes, with more than 3,500 licensed beds, 4,000 clinicians, 39,000 employees, and $8.5 billion in annual operating revenues. Anchoring the system in Morgantown, West Virginia, are WVU Hospitals, an 880-bed academic medical center, and the 150-bed WVU Medicine Golisano Children’s Hospital. Together, the Health System’s hospitals, clinics, and specialty programs provide a comprehensive continuum of care, ranging from community-based primary and specialty services to highly complex, quaternary care and post-acute care.