Registration Services Representative - Clinical Practice Services

Medical College of Wisconsin; Wauwatosa (WI); Hybrid; USD 25,000 - 30,000; Full time

Benefits offered by this job

Health coverage

403B retirement

Vacation and paid holidays

Tuition reimbursement

Paid parental leave

EFAP

Pet insurance

Onsite fitness facility

Discounted rates

Job summary

Medical College of Wisconsin is seeking a Registration Services Representative to manage complete registration and eligibility for non-central scheduled, inpatients, and research patients. You will input insurance data into Epic with careful attention to accuracy to support billing and patient service.

The role is hybrid, 95% remote and 5% onsite, requiring residence in the Metro Milwaukee area. Strong communication, attention to detail, and knowledge of insurance policies are essential for

Qualifications

• High School Diploma required.
• Minimum 2 years of experience in registration, call center, or customer service.
• Familiarity with EPIC or similar medical record systems preferred.
• Ability to work in a hybrid remote/on-site environment.

Responsibilities

• Register patients by phone and reports to ensure complete data in Epic before visits.
• Enter demographics and insurance data into systems.
• Follow compliance policies to prevent fraudulent billing and manage Medicare questionnaires.
• Verify Medicare/Medicaid eligibility using online systems.
• Apply knowledge of various insurance contracts.
• Contact patients or insurers to verify coverage when needed.
• Update registrations from clinic check-in and billing edits via queues.
• Monitor emails, Epic work lists, and Inbasket for updates.
• Support quality control and special projects as needed.
• Review own work and correct registration issues.
• Perform other duties as assigned.

Skills

Professional communication

Phone etiquette

Prioritization

Customer service

Flexibility

Education

High School Diploma

Tools

EPIC

Job description

Summary

The Registration Services Representative (RSR) is responsible for complete registration & eligibility on non-central scheduled patients, scheduled inpatients, and research patients. This includes answering incoming calls for registration and using work lists to ensure all registrations are complete before the patient arrives in the clinic. The RSR enters insurance information obtained from the clinic check-in process, and corrects registrations forwarded via work queues from billing system edits. The RSR is responsible for running electronic eligibility checks and completing MSP questionnaires for Medicare patients. Information is documented in the Epic system with extreme accuracy to ensure proper billing and collections and customer service.

Hybrid position: 95% Remote, 5% Onsite, must live in Metro Milwaukee, WI area.

Primary Responsibilities

• Registers patients via phone and work lists/reports to ensure complete and accurate registration data is in the Epic system before the patient's clinic visit.
• Enter of all patient demographics and insurance and coverage information in software or databases.
• Ensures compliance policies are followed to avoid fraudulent billing, consent forms, and Medicare questionnaires.
• Verifies Medicare and Medicaid eligibility. Requires full knowledge of on-line eligibility systems.
• Apply extensive knowledge of miscellaneous and managed care insurance contracts.
• RSR may need to call the patient and/or insurance carrier to verify coverage and eligibility as needed.
• Enters insurance information obtained from the clinic check-in process. This will come via work queues containing insurance card copies, which are scanned or faxed by the clinic. Registration updates will also be made from billing edits, which will also come via work queues.
• Checks e-mails, Epic work lists and Epic Inbasket regularly throughout the day to keep up to date with any changes and receive information on patients who need registration services.
• Assists with quality control measures and special projects as situations demand.
• Reviews own work and works reports to verify accurate information and corrects any registration issues.
• Other duties as assigned.

Knowledge - Skills - Abilities

• Ability to present oneself over the phone in a professional manner.
• Ability to prioritize.
• Ability to remain flexible, to adapt to changing work conditions.
• Excellent customer service skills.
• Knowledge of medical terminology, hospital admitting/registration practices and insurance plans preferred.

Qualifications

Minimum Required Education:High School Diploma

Minimum Required Experience: 2 years

Preferred Experience: EPIC, call center, and/or customer service experience preferred.

Physical Requirements

Work requires handling light weight materials or equipment with no special speed or exertion. Requires the ability to sit for extended periods of time.

Work Environment

Ordinary office working conditions with some slightly disagreeable features.

Sensory Acuity

Ability to detect and translate speech or other communication required. May occasionally require the ability to distinguish colors and perceive relative distances between objects.

Why MCW?

• Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options
• 403B Retirement Package
• Competitive Vacation and Paid Holidays offered
• Tuition Reimbursement
• Paid Parental Leave
• Employee & Family Assistance Program (EFAP)
• Pet Insurance
• On campus Fitness Facility, offering onsite classes
• Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.

For a brief overview of our benefits see: Benefits Overview

For a full list of positions see: MCW Careers

At MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring - Collaborative - Curiosity - Inclusive - Integrity - Respect. We are committed to fostering an inclusive environment that values diversity in backgrounds, experiences, and perspectives through merit-based processes and in alignment with all applicable laws. We believe that embracing human differences is critical to realize our vision of a healthier world, and we recognize that a healthy and thriving community starts from within. Our values define who we are, what we stand for and how we conduct ourselves at MCW. If you believe in embracing individuality and working together according to these principles to improve health for all, then MCW is the place for you. For more information, please visit our institutional website.

MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination:

The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering an inclusive community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.