Patient Access & Registration Specialist

loganhealth; Kalispell (MT); On-site; USD 34,000 - 45,000; Full time

Job summary

Logan Health is seeking a Patient Access/Registration Clerk to complete patient registrations and provide administrative support for the assigned area. You will collect and validate patient demographic and insurance information, verify authorizations where required, and enter data into the registration system.

You inform patients of estimated liability at the time of service, collect balances, identify those needing financial assistance, and refer to financial counseling as necessary.

Qualifications

• Experience in registration, financial clearance or patient financial services preferred.
• Minimum of one year experience in a customer service focus position required.
• Knowledge of medical terminology and medical coding preferred.
• Patient Access (scheduling, registration, financial clearance), insurance verification, billing or certified medical assistant experience preferred.
• Promotes excellence through setting high standards and providing high quality outcomes.
• Ability to act with integrity, kindness, and exhibit empathy.
• Excellent organizational skills, detail-oriented, a self-starter, possess critical thinking skills and be able to set priorities and function as part of a team as well as independently.
• Commitment to working in a team environment and maintaining confidentiality as needed.
• Excellent verbal and written communication skills including the ability to communicate effectively with various audiences.
• Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy.
• Possess and maintain computer skills to include working knowledge of Microsoft Office Suite and ability to learn other software as needed.

Responsibilities

• Prioritizes and completes registrations in the order of the patients' acuity level as determined by the clinical staff and department protocol.
• Interviews patient or family member to gather demographic, insurance and/or visit specific information, and verifies data received from previous visits or pre-registration. Ensures accurate collection and inputs critical data elements.
• Launches insurance verification software to verify insurance eligibility and benefits. Calculates and communicates out of pocket liability as appropriate.
• Collects and processes payment for current service and any previous balances consistent with the cash management and posting policies.
• Identifies and refers self-pay patients to financial counseling per department procedure.
• Maintains knowledge of: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral, and a list of current accepted insurance plans.
• Proactively communicates issues involving customer service and process improvement opportunities to leadership.
• Meets productivity, quality requirements, and takes ownership of work to ensure excellent service is provided.
• Develops and maintains knowledge and skills to identify insurance plans correctly in systems and understands contract requirements to ensure accurate insurance information.
• Provides administrative services to support effective and efficient operations to assigned area(s).

Skills

Customer service

Communication

Teamwork

Organizational skills

Critical thinking

Confidentiality

Attention to detail

Education

Associate's or Bachelor's degree preferred

Related coursework beyond high school

Tools

Microsoft Office Suite

Healthcare software

Job description

Logan Health is seeking a Patient Access/Registration Clerk to complete patient registrations and provide administrative support for the assigned area. You will collect and validate patient demographic and insurance information, verify authorizations where required, and enter data into the registration system.

You inform patients of estimated liability at the time of service, collect balances, identify those needing financial assistance, and refer to financial counseling as necessary.