Patient Registration Specialist I - RCO Registration, Clear Lake (Nights; Rotating Schedule)

Socket.dev; Webster (TX); On-site; USD 42,000 - 56,000; Full time

Job summary

UTMB Health in Clear Lake, Texas, seeks a role that facilitates access to services for new and returning patients, coordinating financial arrangements and communicating with patients, referral sources, and the treatment team regarding patient access and financial issues.

The position requires knowledge of patient demographics, insurance coverage, and eligibility, and involves directing patients toward financial assistance programs and handling deposits and authorizations.

Qualifications

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

Responsibilities

• Perform COR, ED, Admitting Registrations functions as defined in each area’s CBO tool.
• Verify patient demographics, insurance coverage, benefits, and authorization requirements for all services.
• Screen patients for financial responsibility and possible cash collections.
• Determine potential reimbursement sources and direct patients toward financial assistance programs.
• Determine and collect appropriate deposits.
• Facilitate referrals and prior authorizations.
• Determine eligibility of third party programs.
• Provide accurate information to patients, physicians, nurses and others to maximize satisfaction and reimbursement.
• Maintain knowledge of ABN and PPA forms.
• Meet performance standards and participate in QA and productivity monitoring.
• Support training and mentoring of new employees.
• Prioritize and complete work accurately and efficiently.
• Participate in team meetings and uphold department goals and UTMB values.
• Demonstrate excellent customer service skills.

Skills

Billing & CS experience

Job description

EDUCATION & EXPERIENCE:

Minimum 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.
• 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 in Clear Lake, Texas. Night shift, 5:00 PM - 5:00 AM, with rotating weekends and holidays required..

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.