The Lead Registration Coordinator is responsible for representing the beginning of the revenue cycle for the medical center outpatient departments assigned in aspects of demographic and financial data gathering, navigation and processing that will result in proper patient billing and reimbursement of services. Additionally, responsible for quality and process improvement, staff workflow management and hospital/department policy enforcement related to outpatient departments assigned. Acts the subject matter expert for assigned department related to insurance, billing, Epic and workflow processes.
Essential Job Outcomes & Functions
Obtains accurate and current patient demographic and financial information to establish a valid medical record and patient billing account, for the purpose of expediting third party billing and collection in accordance with established hospital billing policies and standards. Asks open-ended questions to discover facts and remains calm and polite regardless of circumstance.
Informs patients of and collects insurance co-payments, deductibles, or deposits and follows established cash handling procedures. Financially screens patients to ensure that eligibility, authorization, or other necessary billing information has been obtained on all patient types in order to protect the medical center and patient from unnecessary financial loss.
Assists with quality review, audits, and maintenance of outpatient scheduling templates
Familiarizes self and remains current with all other outpatient registration procedures and stays current of all registration areas in the form of cross-training in order to provide assistance when needed.
Assists in the preparation and distribution of daily workloads, staff schedules, and other tasks as assigned by the supervisor. Provides instruction, direction, and assistance to all registration staff members. Represents the best interests of the department in a leadership capacity in the absence of a supervisor in order to act as a resource for staff in handling and addressing issues from other departments, and exercising sound judgement during problem situations.
Maintains patient confidentiality by adhering to all confidentiality policies established in accordance with HIPAA standards. Directs patients and visitors appropriately giving clear and concise directions and providing escorts when necessary.
Makes suggestions for enhancements throughout the department and continually seeks opportunities to improve current policies, procedures, and practices.
Responsible for managing patient, account and referral work ques as assigned by department. Billing reconciliation and analysis as assigned.
Ensures that clinical record systems are maintained in compliance with state and federal regulations.
Performs other duties as assigned.
5 years experience in admitting registration or patient billing or patient accounting environment or combination thereof, is required.
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