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3M HEALTHCARE is seeking a patient registration specialist to accurately register patients, verify insurance benefits, and support claims processing. The role emphasizes precise data entry, adherence to guidelines, and professional interaction with patients and staff.
The ideal candidate will have at least one year in a healthcare or customer service setting, strong communication skills, and the ability to work both independently and as part of a team in a fast-paced environment.
Registers patients accurately, efficiently and professionally to ensure database integrity and facilitate claims processing. Applies financial screening guidelines to ensure collectable accounts. Utilizes standards, guidelines, and written procedures for performing registration functions.
8 Hours
Does this position formally supervise employees? No
Follows all payor requirements for both in/out of network insurance plans and identifies needs for referrals and precertification either electronically or by telephone according to department procedures and guidelines. Performs verification of benefits on all patient encounters. Audits chart for accuracy. Follows computer system, internet-based third‑party insurance applications, department operational procedures and training guidelines to obtain accurate demographic, diagnosis, authorizations/referrals and insurance information on each registration. Demonstrates service excellence by professionally assisting patients and customers with the utmost respect in a friendly caring manner. Works collaboratively with other departments, physicians and office staff to obtain essential registration information such as insurance authorization, referrals, diagnosis, and scripts, to secure financial reimbursement and customer/patient satisfaction. Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Medicare Medical Necessity Regulations, Collection of co‑pay, Advance Beneficiary Notice, Advance Directives, and Patients’ Rights. Registers established goal of minimum required patients per employee shift as measured by productivity reports. Correctly identifies a patient according to policy, completes all patient registration types by collecting and entering accurate patient demographics, physician information, insurance information and valid registration specific codes. Obtains all necessary signatures. Assures insurance information is verified, and authorization is obtained if not done prior to service, essential registration forms are scanned into Electronic Medical Record, and chart follow‑up is performed as needed. Ascertain and record appropriately the difference between primary care physician, referring physician and attending physician. Displays comprehension of identifying participating CH insurance plans and ability to identify non‑participating plans. Utilizes Insurance Card Database and/or Insurance Verification guidelines. Follows Financial Screening and Self Pay Procedure with regards to referrals for Medicaid and Charity Care. Attends all mandatory department meetings. Supports and participates in department performance improvement initiatives. Performs other duties as needed.
Pay Range: $18.21 - $22.74
Scheduled Weekly Hours: 40
The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level. The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.