Patient Access Registrar

ThedaCare, Inc.; Midland (TX); On-site; USD 21,000 - 30,000; Part time

Job summary

ThedaCare, Inc. is seeking a Part-time Patient Access Registrar for its Wisconsin facility. The role encompasses pre-registration duties, insurance data gathering, and patient communication to ensure smooth admissions and accurate billing processes.

Responsibilities include MRN assignment, eligibility checks, and explaining consent forms, with a focus on excellent customer service and compliance with press Ganey standards.

Qualifications

• High school diploma or GED.

Responsibilities

• Assigns accurate MRNs, completes medical necessity/compliance checks, provides proper patient instructions, collects insurance information, receives and processes physician orders, and utilizes overlay tools while providing excellent customer service as measured by Press Ganey.
• Operates the telephone switchboard to relay incoming, outgoing, and interoffice calls as applicable, adhering to ThedaCare policies and providing excellent customer service with appropriate compassion, accountable for point-of-service goals as assigned.
• Utilizes quality auditing and reporting systems to ensure accounts are accurate and complete; conducts audits of accounts and ensures forms are complete, accurate, and timely to meet audit standards.
• Performs pre-registration of patient accounts prior to patient visits including inbound and outbound calling to obtain demographic, insurance, and other patient information including patient financial liabilities and collecting point-of-service collections, past due balances, and bad debt; provides information to patient/representative or may create and process payment plan options.
• Explains general consent for treatment forms to the patient/guarantor/legal guardian, and obtains necessary signatures; explains and distributes patient education documents.
• Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code; enters benefit data to support point-of-service collections and billing processes to assist with a clean claim rate.
• Screens medical necessity using the ABN software to inform Medicare patients of possible non-payment of test by Medicare; distributes and documents other forms and pamphlets.
• Performs other duties as assigned including answering the phones at other facilities.

Education

High school diploma or GED

Job description

Why ThedaCare?

Living A Life Inspired!

Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.

At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.

Benefits, with a whole-person approach to wellness

• Lifestyle Engagement e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support
• Access & Affordability e.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!

Summary

The Patient Access Registrar performs admitting duties for patients admitted for services at ThedaCare. Meets the mission and goals of ThedaCare and regulatory compliance requirements. Works within the policies and processes as they are being performed across ThedaCare.

Job Description:

Key Accountabilities

1. Assigns accurate MRNs, completes medical necessity/compliance checks, provides proper patient instructions, collects insurance information, receives and processes physician orders, and utilizes overlay tools while providing excellent customer service as measured by Press Ganey.

2. Operates the telephone switchboard to relay incoming, outgoing, and interoffice calls as applicable. Adheres to ThedaCare policies and provides excellent customer service in interactions with the appropriate level of compassion. Is accountable for point-of-service goals as assigned.

3. Utilizes quality auditing and reporting systems to ensure accounts are accurate and complete. Conducts audits of accounts and ensures forms are complete, accurate, and timely to meet audit standards.

4. Performs pre-registration of patient accounts prior to patient visits including inbound and outbound calling to obtain demographic, insurance, and other patient information including patient financial liabilities and collecting point-of-service collections, past due balances, and bad debt. Provides information to the patient/representative or may create and process payment plan options.

5. Explains general consent for treatment forms to the patient/guarantor/legal guardian, and obtains necessary signatures. Explains and distributes patient education documents.

6. Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code. Enters benefit data to support point-of service collections and billing processes to assist with a clean claim rate.

7. Screens medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare. Distributes and documents other forms and pamphlets.

8. Performs other duties as assigned including answering the phones at other facilities.

Qualifications

High school diploma or GED

Physical Demands

• Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of fifty (50) pounds without assistance
• Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties

Work Environment

• Climate controlled office setting with daily movement throughout the facility
• Interaction with department members and other healthcare providers

Position requires compliance with department specific competencies.

I understand that this is a summary of job responsibilities and does not create contractual terms and conditions and is subject to change in order to meet organizational needs. My employment with ThedaCare is “at-will”.

I have read and understand the job description for my position. I agree to comply with the corporate policy and all laws, rules, regulations and standards of conduct relating to my position. As team member, I understand my duty to report any suspected violation of law or the standards of conduct to my immediate supervisor or the Corporate Compliance Officer.

____________________________________________ ______________________

Team Member Signature Date

Schedule

Hours will fall between 6:45a - 5:15p, Monday - Friday. There could be occasional weekends at 8a - 5p.

Scheduled Weekly Hours

20

Scheduled FTE

0.5

Location

ThedaCare Behavioral Health - Midway - Menasha,Wisconsin

Overtime Exempt

No

Worker Shift Details

Days