Pre-Registration Specialist I

Oklahoma Heart Hospital, LLC; Oklahoma City (OK); Presencial; USD 32.000 - 42.000; Jornada completa

Descripción de la vacante

Oklahoma Heart Hospital, LLC is seeking a Pre-Registration Specialist to join our frontline patient access team. You will handle registration, insurance verification, and financial clearance, including arranging payments and offering information on financial assistance.

Accuracy and HIPAA-compliant practices are essential as you collect data and prepare the patient record for care at OHH facilities. You will verify benefits within 24 hours, collaborate with physicians to resolve prior

Formación

• High school graduate or equivalent required.
• One to three years of clerical experience, preferably in a medical setting.
• Experience with medical terminology and insurance plans preferred.
• Windows-based operating systems preferred.
• Professional verbal and written communication skills.
• CRT, typing 45 wpm and 10 key required.

Responsabilidades

• Performs pre-registration and insurance verification within 24 hours of receipt of notification for both inpatient and outpatient services.
• Follow scripted benefits verification.
• Contact physician to resolve issues regarding prior authorization or referral forms.
• Assign plans accurately.
• Performs electronic eligibility confirmation, when applicable and document results.
• Researches patient visit history to ensure compliance with payor specific payment window rules.
• Completes Medicare secondary payor questionnaire, as applicable.
• Calculates patient cost share and be prepared to collect via phone or make payment arrangement.

Conocimientos

Customer service

Attention to detail

Verbal communication

Educación

High School Diploma or Equivalent

Descripción del empleo

Overview

Join Our Team at Oklahoma Heart Hospital (OHH)

ONE TEAM. ALL HEART. At OHH, we believe that patient care is truly at the heart of everything we do. Our dedicated team members are involved in every step of our patients' journeys, bringing hope, compassion, and healing to both patients and their families. Together with our physicians and caregivers, we're shaping the future of heart care in Oklahoma by serving the state and leading the nation.

Why You'll Love Working Here

• Medical, Dental, and Vision coverage
• 401(k) plan with employer match
• Long-term and short-term disability
• Employee Assistance Programs (EAP)
• Paid Time Off (PTO)
• Extended Medical Benefits (EMB)
• Opportunities for continuing education and professional growth

Please note that benefits may vary by position, and some roles (like PRN, Flex, Float, etc.) may have exclusions. For eligible positions, benefits start on your first day!

We can't wait for you to join our heart-centered team!

Responsibilities

The Pre-Registration Specialist is often the first point of contact for our patients and therefore must represent Oklahoma Heart Hospital ("OHH") with highest standard of customer service, compassion and perform all duties in a manner consistent with OHH mission and values. The Pre-Registration Specialist will facilitate all components of the patients' entrance into any OHH facility. This will include registration and financial clearance, including taking payments over the phone, helping set up payment plans and giving financial assistance information. This position will also be responsible for ensuring that the most accurate patient data is obtained and populated into the patient record. This team member must have an exceptional attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal, state and accreditation guidelines.

• Performs pre-registration and insurance verification within 24 hours of receipt of notification for both inpatient and outpatient services.
• Follow scripted benefits verification.
• Contact physician to resolve issues regarding prior authorization or referral forms.
• Assign plans accurately.
• Performs electronic eligibility confirmation, when applicable and document results
• Researches patient visit history to ensure compliance with payor specific payment window rules.
• Completes Medicare secondary payor questionnaire, as applicable.
• Calculates patient cost share and be prepared to collect via phone or make payment arrangement.

Qualifications

Education: High school graduate or equivalent required.

Experience: One (1) to three (3) years of clerical experience required, preferably in a medical setting. Experience with medical terminology and insurance plans preferred.

Working Knowledge: Windows based operating systems preferred. Professional verbal and written communication skills.

Essential Technical/Motor Skills: CRT, typing 45 wpm and 10 key required.

As part of our team, you are empowered to work collaboratively with our physicians and other caregivers, and play an integral role in setting the standard for excellence in patient care. Every team member at OHH plays an integral role in our patients' experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care.