Patient Access Registrar - PM Shift

ThedaCare; Neenah (WI); On-site; USD 25,000 - 29,000; Full time

Job summary

ThedaCare is seeking a Patient Access Registrar to admit patients for services at ThedaCare Regional Medical Center in Neenah, WI. You will verify demographics, insurance information, and collect point-of-service payments while providing compassionate, accurate customer service over the phone and at the front desk.

This PM shift role emphasizes accuracy, regulatory compliance, and efficient workflows to support clean claim rates and timely patient access.

Qualifications

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

Responsibilities

• Assigns accurate MRNs and completes medical necessity checks.
• Provides proper patient instructions and collects insurance information.
• Receives and processes physician orders and uses overlay tools while maintaining excellent customer service.
• Explains general consent for treatment forms and obtains necessary signatures.
• Reviews insurance eligibility responses and supports billing processes to aid clean claim rates.
• Performs pre-registration of patient accounts prior to visits, including inbound/outbound calling to obtain demographics and payment information.

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

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

Schedule: PM's

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: 36

Scheduled FTE: 0.9

Location: ThedaCare Regional Medical Center - Neenah - Neenah,Wisconsin

Overtime Exempt: No

Worker Shift Details: PM

About ThedaCare

ThedaCare is a community health system consisting of seven hospitals, numerous clinics and related services. We are the third largest health care employer in Wisconsin and the largest employer in the state's second largest economic market - Northeast Wisconsin - with approximately 6,800 employees. Through our 100-year history, ThedaCare has woven itself into the very fabric of the communities we serve. For our employees, ThedaCare offers an environment that not only welcomes but also encourages innovative thinking and fresh approaches to today’s health care challenges. We’ve improved the health of thousands of individuals. We know this because we track our quality and constantly seek to improve our care and services for the members of our communities.

This job posting is available in other languages besides English free of charge.

ThedaCare is an Equal Opportunity Employer. ThedaCare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, ancestry, color, religion, sex, gender identity, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.