Team Lead PAS WMCG

WellStar Health System

United States

On-site

USD 38,000 - 52,000

Full time

6 days ago
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Job summary

Wellstar Health System is seeking a Registration Specialist to support management in daily operations, mentoring staff, and ensuring accurate patient demographics and insurance data. You will process settlements, verify eligibility, and coordinate with providers to optimize scheduling and reimbursements.

The role emphasizes accuracy in patient information, adherence to EMTALA/HIPAA, and effective communication with patients regarding insurance and financial responsibilities.

Qualifications

  • Customer service experience in healthcare settings.
  • Basic computer skills and MS Office proficiency.
  • Medical terminology familiarity.

Responsibilities

  • Utilizes proper patient identification and armbands.
  • Obtains demographic and insurance information; scans IDs/cards.
  • Queries insurance eligibility and documents benefits.
  • Informs patients about in/out of network status.
  • Completes MSPQ and adheres to EMTALA/HIPAA requirements.
  • Collects payments including ABN related amounts.
  • Schedules follow-up appointments at checkout.
  • Supports reimbursement through required precertifications and authorizations.
  • Assists management with training and data for evaluations.
  • Reviews daily audits and productivity metrics; answers workflow questions.
  • Trains new staff and cross-trains current staff.
  • Resolves registration issues and patient dissatisfaction.
  • Reconciles liability collections and balances deposits.
  • Maintains patient confidentiality and secure documents.

Skills

Customer Service
Basic Computer
MS Office
Medical Terminology

Education

High School Diploma or GED or Associates General-Preferred
CHAA - Cert Healthcare Access Associate or CPAR - Certified Patient Account Rep or CRCR - Certified Revenue Cycle Rep or CRCR-P - Provisional
HFMA, NAHAM, AAHAM, CPC or equivalent (Upon Hire Preferred)

Job description

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift

Day (United States of America)

Job Summary:

To assist management with daily operations, in addition to Registration Specialist duties. Duties will include guidanceand mentoring of new/existing staff with daily work, monitoring of quality assurance and productivity reports, dailydeposits and orientation of new employees. Must adhere to all functions of Registration Specialist job description. Anexpectation of this individual is ensuring all financial requirements are met including the collection of patient liabilitiesand all ABN related payment expectations, and route uninsured patients appropriately through financial counseling.

Core Responsibilities and Essential Functions:

Utilizes proper patient identification; properly armband patients. Ensures all demographic and insuranceinformation is obtained and correct; scans IDs and insurance cards. Sends query for insurance eligibility tovalidate and accurately document eligibility and benefits. Informs patients of in/out of network status, asappropriate. Accurately completes the Medicare Secondary Payer Questionnaire on all eligible patients.Demonstrates working knowledge of EMTALA, HIPAA, and financial assistance.Collects all payments due, including current liabilities, outstanding balances and ABN related amounts.Accurately schedules patient follow-up appointments at checkout that best fit the patients schedule incoordination of availability of provider and other resources. Performs other duties to ensurereimbursement is received for appointments/services including, but not limited to, obtaining required precertifications,referrals or authorizations and completing medical necessity checks.Assists Management in training, ongoing development, and compiling data for evaluations. Reviews dailyaudit, performance statistics and productivity reports. Assists staff with work flow questions. Assists withtraining and job shadowing for new staff and cross training of current staff. Researches issues such asregistration errors and patient dissatisfaction. Reconciles liability collections, conducts quality checks onindividual deposits. Balances log sheets.Obtains all necessary patient demographics, insurance, and financial information for provider servicesrendered at off-site non-affiliated locations (including all referral and authorizations related to encounters).Reconciles all encounter forms daily. Discusses problems/confidential information appropriately; keeps anyconfidential documents secure and out of public view.Must follow department and System policies and procedures, in addition to all applicable state and federalregulations, including EMTALA. Must adhere to physician/departmental scheduling protocols to accuratelyschedule patients for appointments. Strives to achieve point of service collection goals, as establishedannually. Achievement of benchmarks including, but not limited to: greater than registration accuracyrate; insurance verification rate; MSPQ obtained; ABNs obtained.Performs other duties as assignedComplies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education:

  • High School Diploma General or GED General or Associates General-Preferred

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated.
  • CHAA - Cert Healthcare Access Assoc or CPAR - Certified Patient Account Rep or CRCR - Certified Revenue Cycle Rep or CRCR-P - Certified Revenue Cycle Rep - Provisional (90 Days) within 120 Days

Additional License(s) and Certification(s):

HFMA, NAHAM, AAHAM, CPC or equivalent Upon Hire Preferred

Required Minimum Experience:

Minimum 2 years registration or face-to-face customer service healthcare setting. Required orMinimum 3 years registration or face-to-face customer service healthcare setting. Preferred and

Required Minimum Skills:

Customer ServiceBasic ComputerMS OfficeMedical Terminology- preferred

Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.

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