Patient Registration Specialist I - RCO Registration, Angleton (Mid/Night Shift; Rotating Schedule)

UTMB Health; Galveston (TX); Presencial; USD 35.000 - 52.000; Jornada completa

Descripción de la vacante

UTMB Health in Angleton is seeking a patient access specialist to coordinate financial arrangements and communicate with patients, referral sources, and the treatment team to ensure patient access and maximize reimbursement.

This onsite, full-time role requires reviewing patient demographics, insurance coverage, benefits, and authorizations, determining deposits, and guiding patients to financial assistance programs while supporting ABN/PPA forms and service standards.

Formación

• 1 year of experience with billing, financial screening, insurance verification, collections, and/or customer service required.
• Excellent customer service skills.
• Ability to determine deposits and financial arrangements.

Responsabilidades

• Verify patient demographics and insurance coverage.
• Screen for financial responsibility and cash collections.
• Determine potential reimbursement sources and direct patients to financial assistance.
• Facilitate referrals and prior authorizations.
• Provide accurate information to patients and healthcare teams to maximize satisfaction and reimbursement.
• ABN/PPA forms knowledge and application.

Conocimientos

Billing

Insurance verification

Financial screening

Customer service

Front desk

Patient registration

Descripción del empleo

EDUCATION & EXPERIENCE:

Minimum Qualifications:

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

Preferred Qualifications:

• Patient registration and/or medical front desk experience.
• Insurance verification, eligibility, and/or POS collections experience.

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.
• Excellent Customer Service Skills.

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, full-time position in Angleton. Rotating schedule, Mid/Night shift. Must be available to work every other weekend and holidays, and as needed on occasion.

Equal Employment Opportunity

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.