Patient Registration Specialist I - RCO Registration, Angleton (Day/Evening Shift; Rotating Schedule)

Utmb; Galveston (TX); On-site; USD 42,000 - 52,000; Full time

Job summary

UTMB Health is seeking a Patient Access Specialist to facilitate access to services for new and returning patients onsite in Angleton, Texas. You will coordinate financial arrangements, perform financial screening, verify insurance, and communicate with patients, referral sources, and the treatment team to resolve access and financial issues.

The role requires accuracy, knowledge of financial assistance options, and ability to coordinate referrals and authorizations.

Qualifications

• 1 year of experience with billing, financial screening, insurance verification, collections, or customer service.

Responsibilities

• Verify patient demographics, insurance coverage, benefits, and authorization requirements.
• Screen patients for financial responsibility and potential cash collections.
• Determine potential reimbursement sources and direct patients to financial assistance programs.
• Determine and collect appropriate deposits.
• Facilitate referrals and prior authorizations.
• Determine eligibility for third party programs.
• Provide information to patients and healthcare professionals to aid satisfaction and reimbursement.
• Support training of new employees.
• Maintain QA standards and productivity.
• Stay updated with announcements and apply job duties.
• Participate in team meetings and align with department goals.

Skills

Billing

Financial screening

Insurance verification

Collections

Customer service

Job description

Preferred Qualifications

• 1 year of experience with billing, financial screening, insurance verification, collections, and/or customer service required.

JOB SUMMARY

This position facilitates access to UTMB services for new and returning patients, coordinates financial arrangements including financial screening and communicates with patients, referral sources, and the treatment team regarding patient access and financial issues.

ESSENTIAL JOB FUNCTIONS

• Perform and master COR, ED, Admitting Registrations functions as defined in each area’s customized CBO tool.
• Verifies all patient demographic, insurance coverage, benefits, and authorization requirements for all services.
• Screens patient for financial responsibility and possible cash collections.
• Determines potential reimbursement sources available to the patient and directs patient toward financial assistance programs.
• Determines and collects appropriate deposit.
• Facilitation of referrals/prior authorizations.
• Eligibility determination of third party programs.
• Serves as information resources for patients, physicians, nurses, and other health care professionals by providing accurate and currently applicable information to accomplish patient satisfaction and maximum reimbursement.
• Individual department specific knowledge and training of ABN and PPA agreement forms
• Meets minimum job performance standards for successful probationary and annual review, or as needed on an individual basis.
• Demonstrate ability to maintain Registration Quality Assurance (Q/A) expectations as defined by specific departmental area as measured monthly and annually on performance review, scoring includes any errors reported via internal and outside sources not included in random Q/A process.
• Errors are to be corrected (or acknowledged) and returned within designated timeframe and will be monitored for excessive delayed response and compliance as monitored continuously and on annual performance review.
• Demonstrate ability to maintain acceptable Productivity Standard as defined by specific departmental area and measured monthly and annually on performance review.
• Reads and applies all announcements and relevant communications related to job duties as observed and monitored by Q/A process.
• Assists in the training and mentoring of new employees.
• Prioritizes and completes all work in an accurate, effective and efficient manner.
• Participates in team meetings/activities and supports the philosophy and goals of the team, department, and UTMB.

Marginal or Periodic Functions

• Adheres to internal controls and reporting structure.
• Performs related duties as required.

WORKING ENVIRONMENT/EQUIPMENT

• Standard hospital, clinical, laboratory and/or office environments.
• Standard office equipment.

SALARY RANGE

Actual salary commensurate with experience.

WORK SCHEDULE

Onsite, Angleton. Rotating schedule, day/evening shift. Must be available to work every other weekend and holidays, and as needed on occasion.

UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.