Registration Specialist-P

BMC Berkeley Medical Center; United States; On-site; USD 32,000 - 42,000; Full time

Job summary

WVU Medicine is seeking an administrative registration associate to manage patient information and billing for services. Responsibilities include collecting demographics, insurance data, and payments, while ensuring compliance with privacy practices.

The role entails pre-certifications, consent handling, and accurate data entry within registration and billing systems. A high school diploma and background check are required.

Qualifications

• High school graduate or equivalent.
• Background check clearance as required.
• Understanding of registration and billing processes is beneficial.

Responsibilities

• Obtains demographic/billing/insurance information and enters into the registration/billing systems for service and claim processing.
• May complete pre-certification and authorizations for managed care.
• Prepares consent forms and privacy notices and obtains signatures.
• Collects deposits/copayments/deductibles and documents payments.
• Prepares patient armbands and balances daily receipts.
• Follows up on accounts as indicated by system flags.
• Initiates screenings and collects information for coverage.
• Performs medical necessity checks and Advanced Beneficiary Notice as needed.
• Schedules, reschedules, or cancels patients per hospital workflows.
• Checks order completeness and validates against scheduled service.

Skills

Computer skills

Attention to detail

Organizational skills

Multitasking

Medical terminology

Communication skills

Policy compliance

Education

High school graduate

Background check required

Job description

Performs a variety of administrative and clerical duties to manage patient registration and patient financial obligation.

MINIMUM QUALIFICATIONS

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

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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. 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: Day (United States of America) Exempt/Non-Exempt: United States of America (Non-Exempt) Company: BMC Berkeley Medical Center Cost Center: 8425 JMC Womens Health and Family Medicine Address: 2500 Hospital Drive 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.

The West Virginia University Health System is a West Virginia-based academic health system that provides the full continuum of healthcare services at 30 hospitals in West Virginia, Pennsylvania, Ohio, and Maryland. With more than 47,000 employees, of which 7,200 are providers, and $10 billion in total operating revenues, the WVU Health System is anchored by an 890-bed academic medical center and the 150-bed WVU Medicine Golisano Children’s Hospital in Morgantown, West Virginia. Together, the Health System’s hospitals, clinics, and specialty programs provide a comprehensive continuum of care, ranging from community-based primary and specialty services to highly complex, quaternary care and post-acute care.