Outpatient Registrar

Penn Medicine, University of Pennsylvania Health System; Doylestown (Bucks County); On-site; USD 25,000 - 30,000; Full time

Job summary

Penn Medicine in the Philadelphia region seeks an accurate pre-registration specialist for outpatient accounts. You will positively identify the patient, ensure correct demographic data, and enter visit details to support accurate reimbursement.

The role supports a high-quality patient experience and smooth operations within outpatient services. Responsibilities include verifying insurance eligibility, obtaining necessary authorizations, processing physician orders, and guiding patients to

Qualifications

• H.S. Diploma/GED (Required).

Responsibilities

• Pre-Register / Register Patients, verify correct medical record and visit account.
• Enter/ update complete demographic information and reasons for visit with ICD codes.
• Verify insurance eligibility, benefits and plan identification; screen for service capitation.
• Secure/verify necessary authorizations to prevent charge denials; monitor until complete.
• Enter physician orders into the ADM/ITS; check Medical Necessity and ABN processing.
• Identify and collect patient financial responsibility; direct to financial assistance if needed.

Education

H.S. Diploma/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.

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

• 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.
• 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.
• 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.
• 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.
• 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

• H.S. Diploma/GED (Required)

Education or Equivalent Experience:

• H.S. Diploma/GED (Required)

Live Your Life's Work

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

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.