Outpatient Registrar - full time, evenings

Penn Medicine; Doylestown (Bucks County); On-site; USD 32,000 - 52,000; Full time

Job summary

Penn Medicine is seeking a detail-oriented Pre-Registration Specialist at Doylestown Hospital. You will complete accurate outpatient registrations, verify demographics and ICD codes, and ensure proper insurance eligibility and authorization processes to support timely reimbursement.

Strong customer service, multi-tasking, and teamwork are essential as you interact with patients and providers to maintain a positive experience and accurate records daily.

Qualifications

• HS Diploma or GED is required.
• Customer service skills are essential.
• Ability to negotiate and resolve problems.
• Must prioritize tasks and multitask effectively.
• Strong communication skills are required.
• Ability to work well in a team.

Responsibilities

• Complete accurate pre-registration or registration for outpatient accounts.
• Maintain accuracy, positive patient experience, and successful reimbursement.
• Pre-Register / Register Patients.
• Identify correct medical records and visit accounts.
• Enter/update demographic information and ICD codes.
• Verify insurance eligibility and benefits.
• Determine insurance plan identification with multiple contracts.
• Verify eligibility and benefits per protocols.
• Screen for service capitation and Medicare Secondary Payer questions.
• Document payer data and resolve account errors promptly.
• Secure and/or verify service authorization and related requirements.
• Monitor accounts until authorization is complete.
• Enter physician orders into ADM/ITS as required.
• Check Medical Necessity and process ABNs.
• Proactively contact physicians for updated scripts.
• Identify and collect patient financial responsibility.

Skills

HS Diploma or GED

Excellent Customer Service

Negotiation & Problem-Solving

Prioritization & Multitasking

Excellent communication

Teamwork

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.

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?

LOCATION: Doylestown Hospital (Main Campus) - 595 West State Street Doylestown, PA 18901

SCHEDULE: Full time (40 hours per week), M-F from 1:30pm-10pm, no weekends, no on call, no holidays

POSITION SUMMARY:

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

ESSENTIAL FUNCTIONS:

• 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.

MINIMUM REQUIRED QUALIFICATIONS:

• HS Diploma or GED
• Excellent Customer Service Skills
• Negotiation and Problem-Solving Skills
• Ability to prioritize and multitask
• Excellent communication skills
• Ability to work productively as a team

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.