Registration Specialist - Ortho

WVU Medicine; United States; On-site; USD 36,000 - 48,000; Full time

Job summary

BMC Berkeley Medical Center in Martinsburg, WV is seeking a Registration Clerk to collect demographic, billing, and insurance data and enter it into registration and billing systems. You will also verify coverage, prepare consent forms, and handle patient payments in a fast-paced hospital setting.

The role requires attention to detail, accuracy in documentation, and the ability to navigate complex billing processes to support smooth patient care and hospital workflows.

Qualifications

• Excellent written and verbal communication skills.

Responsibilities

• Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
• May complete managed care responsibilities in regard to obtaining pre-certification and authorizations.
• Prepares approval/consent paperwork related to registration and presents to patient/family for signatures.
• Collects deposits/co-payments/deductibles/patient liability payments and documents payments.
• Prepares armband for patient identification.
• Balances daily receipts and cash drawer for patient payments as needed.
• May initiate various screenings and obtains all pertinent information for coverage and completes appropriate paperwork.
• Performs medical necessity checks and completes Advanced Beneficiary Notice as needed.
• Schedules, reschedules, or cancels patients in accordance with hospital workflows.
• Checks for order completeness and validate order against scheduled service.

Skills

Communication skills

Education

High school diploma or equivalent

Job description

Minimum Qualifications

1. High school graduate or equivalent.
2. State criminal background check and Federal (if applicable), as required for regulated areas.

Education, Certification, and/or Licensure

1. High school graduate or equivalent.
2. State criminal background check and Federal (if applicable), as required for regulated areas.

Core Job Duties and Responsibilities

The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification. Provides to the patient, information concerning insurance, payment of bills and hospital procedures.
2. May complete managed care responsibilities in regard to obtaining pre-certification and authorizations.
3. Prepares WVU Medicine standard consent form, notice of privacy practice and/or other necessary paperwork related to registration and presents to patient/family/legal guardian for signatures. Obtains electronic signature for consent to treat and patient financial obligations.
4. Collects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems.
5. Prepares armband for patient identification.
6. Balances daily receipts and cash drawer for patient payments as needed. Follows up on accounts as indicated by system flags (courtesy dismissal/comments/red stickers).
7. May initiate various screenings and obtains all pertinent information for coverage and completes appropriate paperwork.
8. Performs medical necessity checks and completes Advanced Beneficiary Notice as needed.
9. Schedules, reschedules, or cancels patients in accordance with hospital workflows.
10. Checks for order completeness and validate order against scheduled service.

Physical Requirements

1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, and grasping.
2. Visual acuity must be within normal range.
3. Manual dexterity to operate keyboards, fax machines, telephones, and other business equipment.
4. Sitting and/or standing for extended periods of time.
5. Reading and comprehension ability.

Working Environment

1. High volume, fast paced environment.
2. Exposure to communicable disease.
3. Frequent interactions with patients, medical staff, and support staff daily on a continual basis.

Skills and Abilities

1. Ability to accurately utilize applicable computer software and equipment for access processing & demonstrates ability to follow down time procedures.
2. Demonstrate knowledge of procedure to report and/or document unsafe/hazardous conditions, incidents and defective equipment in compliance with hospital policy.
3. Requires considerable attention to detail, the ability to be organized and to be able to perform multiple tasks simultaneously.
4. Requires the ability to memorize a considerable amount of information, and to be able to reference information not retained from written sources or from appropriate personnel.
5. Requires the ability to understand medical insurance requirements for payment and basic knowledge of covered services.
6. 6.Excellent written and verbal communication skills and the ability to understand written and verbal communication.
7. Basic knowledge of medical terminology.

Additional Job Description

Scheduled Weekly Hours

40

Shift

Exempt/Non-Exempt

United States of America (Non-Exempt)

Company

BMC Berkeley Medical Center

Cost Center

8490 BMC Orthopaedics Jefferson

Address

2500 Foundation Way

Martinsburg

West Virginia

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively “WVUHS”) is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.