Pre-Registration Representative (MSD) - Pre-Registration MSD - PT - Day

stormontvail; United States; On-site; USD 25,000 - 34,000; Part time

Job summary

Stormont Vail Health is seeking a part-time specialist to manage patient accounts from scheduling through pre-bill editing. The role includes verifying insurance, handling pre-certifications, and providing financial education to patients in a compliant environment.

Responsibilities also cover registration, data collection, and finalizing financial resolution while adhering to Joint Commission and payer contracts. A strong background in medical terminology and billing is essential.

Qualifications

• High School Diploma or GED required; an Associate's Degree is preferred.
• Minimum 2 years' experience in a clinical healthcare setting related to patient financial services.
• Working knowledge of Medicare/third‑party billing and HIPAA compliance.

Responsibilities

• Process patient accounts from scheduling to pre-bill editing and financial resolution.
• Verify insurance eligibility and benefits; handle pre-certifications and financial education.
• Schedule, register and coordinate appointments; document data accurately and timely.
• Identify and communicate issues to management; ensure adherence to policies and regulations.
• Maintain confidentiality and protect patient rights in all communications.

Skills

Medical terminology

Third-party billing

Typing 30 wpm

Communication skills

Data analysis

Problem solving

Independent work

Education

High School Diploma/GED

Associate's Degree

Job description

Position Status:

Part time Shift:

First Shift (Days - Less than 12 hours per shift) (United States of America)

Hours per week: 20

Job Information

Exemption Status: Non-Exempt

A Brief Overview

Under direction, responsible for the processing of patient accounts from the point of scheduling to the completion of pre-bill editing. This responsibility includes: Schedule patients for non-complex services, collect and verify the comprehensive data set, identifying managed care issues and referring as appropriate for resolution; complete required forms including Medicare MSP, if required; verification of insurance eligibility and benefits via electronic transactions, websites or phone calls; insurance pre-certification, liability calculations, financial education and finalization of financial resolution with patients; financial assistance screening; complete additional registration admission, discharge and transfer functions as applicable; resolve edit failures following established policies and procedures. These activities are completed following established policies and procedures, and in compliance with Joint Commission, Medicare, Payer contracts, HIPAA, regulatory agencies and the organization's Code of Conduct.

Education Qualifications

• High School Diploma / GED Required
• Associate's Degree Preferred

Experience Qualifications

2 years Experience in a clinical healthcare setting such as physician's office or hospital relating to patient financial services, patient registration, patient scheduling or related healthcare experience. Required

Skills and Abilities

• Working knowledge of basic medical terminology. Intermediate understanding of medical/clinical treatment processes. (Required proficiency)
• Detailed knowledge of major third-party billing and contract requirements. (Required proficiency)
• Keyboarding skill or typing skill of at least 30 wpm. (Preferred proficiency)
• Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or government regulations. Superior written and oral communication skills. Ability to effectively present information and respond to questions from management, physicians, employees and the general public. (Required proficiency)
• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages. Ability to apply concepts of basic Algebra. (Required proficiency)
• Ability to work independently with strong analytical and problem solving skills utilized to determine work prioritization, coordination, application of departmental procedures and resolve complex customer service issues. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Ability to define problems, collect data, establish facts, and draw valid conclusions. (Required proficiency)

What you will do

• Ensures customer concerns are processed in compliance with organization's policies while maintaining the highest level of patient and employee rights, including confidentiality of patient information and personnel issues.
• Ensures necessary data, identified processing issues and related information is provided to departmental management, appropriate departments and individuals within the organization in a timely manner.
• Identifies and notifies management of customer service issues and potential process/system problems that cause billing and payment errors and assists in improvement implementation as requested. Informs management of any known or suspected violations by other employees or suppliers.
• Accurately schedule office visits based upon the physician preferences and needs of the patient. At time of scheduling, determine the type of financial education and required forms for that patient. (Medicare ABN, or Financial Obligation.) Reschedule and cancel patient appointments as requested by the patient or physician. Accurately selects the correct patient when scheduling services to avoid duplicate medical record numbers and treatment and billing errors.
• Identify insurance sources, collect and document detailed and accurate insurance information in a timely manner. Consistently and accurately documents accounts with activities as needed in a timely manner. Collect and update the comprehensive data set at the time of scheduling, validate patient information and determine in or out of network insurance status.
• Correctly applies a detailed understanding of all technical primary and secondary billing rules and policies and procedures for assigned third party payors and contracts.
• Assists with the revision or development of the department's internal documents, procedural manuals and forms, as requested.
• Answers questions from other staff or clinic offices by phone or e-mail in a timely manner.
• Welcome all customers to the facility in a friendly manner, offering assistance by giving directions or escorting patients to service areas. Consistently use