Outpatient Registrar - full time, evenings

Penn Medicine; Doylestown Township (Bucks County); On-site; USD 36,000 - 46,000; Full time

Job summary

Penn Medicine seeks a Full-time Pre-Registration Clerk for the Doylestown Hospital campus to ensure accurate outpatient registration and reimbursement. You will manage patient data, verify insurance, and secure necessary authorizations, contributing to a positive patient experience.

Responsibilities include confirming demographics, coding, and coordinating with physicians and payers. Excellent customer service and teamwork are essential for success in this role.

Qualifications

• Excellent customer service and communication skills are required.
• Ability to negotiate, solve problems, and multitask effectively.
• Strong prioritization and multitasking abilities.
• Teamwork and collaborative spirit are essential.

Responsibilities

• Pre-Register / Register Patients.
• Identify correct medical records and visit accounts.
• Enter demographic information accurately.
• Enter physician-documented reasons for visit and ICD codes.
• Verify patient insurance eligibility and benefits.
• Determine correct insurance plan identification with multiple contracts.
• Verify eligibility and benefits per department protocols.
• Screen for service capitation and Medicare Secondary Payer questions.
• Document payer data and resolve account errors promptly.
• Secure and/or verify authorization for service.
• Monitor account until authorization is completed.
• Enter orders into relevant systems as required.
• Check Medical Necessity and process ABNs.
• Contact physician offices for updated scripts when needed.
• Identify patient financial responsibility and collect amounts.
• Assess need for financial assistance and direct to resources.

Skills

Customer service

Negotiation

Problem solving

Prioritization

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.