Outpatient Registrar

Penn Medicine; Doylestown Township (Bucks County); On-site; USD 42,000 - 56,000; Full time

Job summary

Penn Medicine is hiring for a pre-registration/registration role focused on accurate patient enrollment, correct medical records, and complete demographic data entry. You will verify insurance eligibility, identify plans, and document payer data to support successful reimbursements.

The role requires attention to detail and a focus on patient experience. Responsibilities include securing necessary authorizations, entering orders into ADM/ITS modules, and calculating patient financial

Qualifications

• Pre-registration accuracy and positive patient experience.
• Accurate demographic data entry and complete visit information.
• Ability to identify and verify insurance eligibility and benefits.

Responsibilities

• Pre-Register / Register Patients and accurately identify correct medical records and visits.
• Verify insurance eligibility and benefits and determine correct plan identification.
• Secure and/or verify any required authorizations to prevent charge denials.
• Enter physician orders into the relevant systems and ensure Medical Necessity is met.
• Identify and collect patient financial responsibility and direct to financial assistance when needed.

Education

H.S. Diploma/GED

Tools

ADM System

ITS Order Management

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

• 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)

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.

Live Your Life's Work

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.