Patient Registration Spec

Covenant Health; Harriman (TN); On-site; USD 32,000 - 52,000; Full time

Job summary

Covenant Health Roane Medical Center in Harriman, TN seeks a Patient Registration Specialist in Admitting and Registration. This role supports centralized scheduling of outpatient procedures, collects and verifies demographic and financial information, and ensures benefits verification and pre-certifications are completed before appointments.

You will enter data into HBOC and SMS systems, handle co-pays, protect patient confidentiality, and guide patients through registration steps with clear

Qualifications

• Experience in hospital patient registration or a related setting.
• Strong data entry and confidentiality skills.
• Ability to explain payment policies to patients.

Responsibilities

• Collects co-payments/deposits and provides receipts.
• Maintains confidentiality of patient information.
• Does not promote solicitation during work hours.
• Recommends updates to policies to improve efficiency and data integrity.
• Verifies insurance benefits and pre-certifications for scheduled procedures.
• Gathers demographic, medical, and financial information for scheduling and registration.
• Schedules procedures using HBOC and documents details for each procedure.
• Communicates necessary information to patients and families about billing and requirements.

Skills

Patient registration

Insurance verification

Data entry

Cash handling

Tools

HBOC scheduling system

SMS financial system

Job description

Overview

Patient Registration Specialist, Admitting and Registration

Full Time, 80 Hours Per Pay Period, Day Shift

Roane Medical Center Overview:

Proudly serving our community, Roane Medical Center is committed to your healthy future! Our state-of-the-art facility is equipped with modern technologies and expert staff to provide you the best possible patient care. From our quality medical, surgical, emergency and critical care services to our diagnostic imaging and rehabilitation support, you will find the right blends of technical expertise, medical professionalism, and patient quality and satisfaction at Roane Medical Center.

Position Summary

Coordinates the centralized scheduling of all outpatient diagnostic and surgical procedures. Accurate collection and data entry of the required financial and demographic information for all patients registered to our facility. Ensures verification of benefits and pre-certification requirements are met prior to scheduled appointment/admission. Follows up as necessary on all urgent or unscheduled registrations for consistency in the process. Establishes controls so unscheduled patients understand and receive accurate information on their patient liability.

Responsibilities

• Collects co-payments/deposits based on verification information obtained, generates receipts to the payer, and delivers all cash transactions to the cashier for proper posting to the patient account.
• Maintains strict confidentially of patient information.
• Does not promote or participate in solicitation during working hours within the department.
• Recommends to the Coordinator updates to existing policies and procedures that support our values and are intended to increase efficiency and promote data integrity.
• Notifies the Financial Counselor immediately upon scheduling or registering any potential self pay, worker's compensation patient, or any non-covered procedures.
• Makes patient type changes based on information given from Medical Records Staff and/or Care Coordinators, ensuring documentation is present in the medical record to support the change.
• Ensures all reservations are properly documented to support departmental statistics. Enters faxed reservations into the HBOC scheduling system.
• Schedules operative and diagnostic procedures utilizing the HBOC scheduling system. Documents each scheduled procedure/event with detailed information. Notifies departments of any special resources required for procedure/event.
• Verifies insurance benefits and obtains pre-certification from various third-party payers. Has extensive knowledge of insurance plan requirements. Provides necessary documentation to DHS and Med Assist staff for patients potentially in need of financial assistance or TennCare enrollment.
• Efficiently gathers all demographic, medical, and financial information for scheduling, registration, and verification of patient accounts utilizing the HBOC computer system to record data. Enters verification and pre-certification notes into SMS financial system as cross-reference.
• Participates with clinical and care management areas to address opportunities to improve overall collections and cash flow.
• Analyzes claims denial data for opportunities to achieve improved collections, enhance relations with insurance companies and physician practices, and improve workflow process.
• Reports pertinent procedural changes/updates to appropriate leadership.
• Demonstrates continued education and skills necessary to support job duties.
• Professionally deals with patients, physicians, visitors, and other hospital staff members.
• Demonstrates ability to keep abreast of regulatory and insurance requirements ensuring that changes are incorporated in daily job functions.
• Assures the registration process is handled in a professional manner, maintaining registration accuracy rate of 95 to 100 percent.
• Explains a variety of necessary information to the patient/family member, such as: consent for treatment, advance directives, medical/financial release, deposit requirements, billing and payment policies, and advanced beneficiary notices.
• Recognizes situations that necessitate supervision, seeking appropriate resources.
• Directs, escorts, and/or provides wheelchair assistance to the patient upon completion of the registration process to the appropriate nursing unit or diagnostic testing area.
• Demonstrates motivation necessary for acceptable productivity.
• Understands goals and objectives for the department that take into consideration the mission and values of Covenant Health.
• Performs pre-registration process by utilization of phone and mail techniques, advising the patient during the conversation of any co-pay or deductible amounts due upon admission.
• Maintains an accurate bed board, utilizing the computerized bed tracking system so wait times for admitted patients are kept to a minimum.
• Coordinates with Nursing Services the flow of inpatient and observation patient admissions.
• Promotes good public