Outpatient Registrar

Penn Medicine, University of Pennsylvania Health System; Doylestown (Bucks County); On-site; USD 42,000 - 62,000; Full time

Job summary

Penn Medicine is seeking staff to complete accurate outpatient pre-registration/registration, verify insurance, obtain needed authorizations, and enter physician orders with precision.

The role emphasizes accurate demographics, coding, and guiding patients to financial assistance as needed. It involves direct interaction with patients in outpatient settings at Penn Medicine facilities.

Qualifications

• Complete accurate pre-registration or registration for outpatient accounts, maintaining standards set for accuracy, positive patient experience and successful reimbursement for services.
• Verify patient’s insurance eligibility and benefits; determine correct insurance plan identification with potentially multiple contracts.
• Secure and/or verify authorization for service; monitor patient account until authorization is completed.
• Enter physician orders accurately into the ADM and ITS systems; check Medical Necessity and ABN’s where applicable.
• Identify and collect patient’s financial responsibility; direct patients to appropriate financial assistance if needed.

Responsibilities

• Pre-Register / Register Patients and positively identify correct medical record and visit account; enter all demographic information and physician-documented reasons/ICD codes.
• Verify insurance eligibility and benefits; determine plan identification, screen for service capitation, and document payer data.
• Secure and verify authorization for service to prevent denials; monitor until authorization is complete.
• Enter physician orders into ADM/ITS; verify Medical Necessity and ABN’s; contact physician offices for updated scripts as needed.
• Identify patient financial responsibility and provide information on financial assistance when appropriate.

Education

High school Diploma or GED

Job description

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Summary

• Complete accurate pre-registration or registration for outpatient accounts, maintaining standards set for accuracy, positive patient experience and successful reimbursement for services.

Responsibilities

• 1. Pre-Register / Register Patients .Positively identify correct medical record and correct visit account. .Enter/ update complete demographic information. .Enter all physician-documented reasons for visit and ICD codes.
• 2. Verify patient’s insurance eligibility and benefits .Determine correct insurance plan identification, with potentially multiple and differing contracts. .Verify eligibility and benefits using available resources and according to department protocols. .Screen for service capitation. .Complete Medicare Secondary Payer questions as required. .Document accounts with payer data .Consistently resolve account errors in individual work queue within prescribed time frame; maintain individual/group RQA quality score at or above minimum standard.
• 3. Secure and/or verify authorization for service .Verify and/or secure specific related authorization requirement necessary to prevent later denial of charges by the carrier. .Monitor patient account until authorization has been completed.
• 4. Enter physician orders accurately .Enter physician orders into the ADM and ITS (Pre Natal registration only) Order Management modules, as required. .Check Medical Necessity and process ABN’s (Advanced Beneficiary Notices). .Proactively contact physician offices for updated scripts when necessary.
• 5. Identify and Collect patient’s financial responsibility .Collect patient financial responsibility. Calculate patient estimated cost as applicable. .Identify need for financial assistance and direct patients to appropriate resource.

Credentials

Education or Equivalent Experience

• H.S. Diploma/GED (Required)

Benefits

• We believe that the best care for our patients starts with the best care for our employees.
• We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region.

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.