Patient Access Registrar

ThedaCare; Wisconsin; On-site; USD 19,000 - 28,000; Full time

Job summary

ThedaCare Medical Center – Shawano in Wisconsin is seeking a Patient Access Registrar to support admissions and patient registration workflows in a fast-paced clinical setting. You will collect demographics, verify insurance, and prepare patient accounts while delivering compassionate customer service.

Work 24 hours per week in a 0.6 FTE with a focus on accurate data entry, clear communication, and adherence to regulatory requirements.

Qualifications

• High School diploma or GED preferred.
• Must be 18 years of age.

Responsibilities

• Assigns MRNs, completes medical necessity/compliance checks, collects insurance info and processes physician orders with excellent customer service.
• Operates the telephone switchboard for calls with compassionate service and adherence to policies.
• Uses quality auditing systems to ensure accounts are accurate and complete; meets audit standards.
• Pre-registers patient accounts including calling to obtain demographics, insurance and financial details, including plans and balances.
• Explains consent forms and distributes patient education documents.
• Reviews insurance eligibility in verification system and enters benefit data to support billing processes and clean claim rate.
• Screens Medicare ABN notices to inform patients of possible non-payment and distributes forms and pamphlets.
• Performs other duties including answering phones at other facilities.

Skills

Must be 18 years old

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:

• 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. 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.

• 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 the 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 Advanced Beneficiary Notice (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.

QUALIFICATIONS:

• High School diploma or GED preferred

• Must be 18 years of age

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

• This position involves frequent phone communication with patients and staff. All inbound and outbound calls are recorded and monitored for quality assurance, training, and compliance purposes.

Position requires compliance with department specific competencies.

Scheduled Weekly Hours:

24

Scheduled FTE:

0.6

Location:

ThedaCare Medical Center - Shawano - Shawano,Wisconsin

Overtime Exempt:

No

Worker Shift Details:

PM