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Registration Improvement Spec - Obgyn

Company

Nebraska Methodist Health System
Address , Edmundson, Mo
Employment type FULL_TIME
Salary
Expires 2023-07-17
Posted at 11 months ago
Job Description
Why work for Nebraska Methodist Health System?
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.
Job Summary:
Responsible for improvement of registration errors in the clinics.
Responsibilities:
Essential Functions
Identifies, analyzes, and researches eligibility errors, to track root cause and assist in development or edits, process change or retraining.
  • Make recommendations to management on corrections and process improvements.
  • Uses reports and various internal software to monitor error patterns.
  • Identify and report trends related to registration errors within the department and work to resolve with leadership.
  • Proactively works with team members, clinics, coding and revenue cycle training to educate and reduce future errors.
Participate in developing plans to improve registration processes aimed at reducing errors in billing and enhancing patient experience.
  • Develop metrics and clear responsibilities to measure performance improvement.
  • Illicit feedback from staff on process improvement to improve adoption of changes.
Functions as the primary trainer for onboarding new employees, services and/or work tools.
  • Collaborates with leadership to develop training materials and reference guides for new tools, functions, directions, print screens, etc.
  • Collaborates with leadership to evaluate system resources required for onboarding new services.
  • Trains registration team members on new workflow process or tools; i.e. use of new tools, new scripting or scripting changes, methods of denial prevention, etc.
Reviews Experian worklist daily for any errors regarding patient check-in information, insurance messages and fixes then in a timely manner.
  • Monitor, identify and report trends related to registration errors within the department.
Analyzes denial data in order to develop plans for process standardization, quality outcomes, and a positive work environment.
  • Complies with state and federal regulations, accreditation/compliance requirements, and Methodist's policies, including those regarding fraud and abuse, confidentiality, and HIPAA.
  • Determines which rejections are avoidable and assists in creating a plan for intervention.
  • Serves as a resource for revenue cycle personnel to expediently address and resolve questions and/or concerns.
Performs the duties of a registration staff member.
  • Completes Medicare Secondary Payer questionnaire and other payer specific documents (including ABN) as required.
  • Reviews and explains all registration forms prior to obtaining signatures from the patient or patient representative. Scans patient identification documents into the registration encounter.
  • Verifies eligibility of coverage with Experian or payer websites or via telephone.
  • Makes sure all patent information (insurance, PCP, phone numbers) payer information and scans identification and payer documents and enters the information into computer accurately (ID, Health Insurance card, etc.)
  • Registers patients in the electronic registration system in a courteous and timely manner.
Maintains teamwork spirit, positive mentoring.
  • Positively and actively assists with the implementation of new procedures, schedules, and job tasks necessary to ensure success.
  • Contributes to department training and orientation.
  • Escalates ideas instead of complaints.
  • Assists co-workers as needed.
Performs periodic, situational, and other duties as required.
  • Operates and assists in the maintenance of all office equipment.
  • Reviews daily returned mail.
  • Processes and distributes written communication and documents (forms, letters, mail) accurately.
  • Performs a wide variety of clerical functions.
Schedule:
M-F 8:00am-4:30pm
:
Job Requirements
Education
  • Associate's or Bachelor's Degree in Business or related field preferred.
  • High School Diploma or General Education Development (G.E.D.) required.

Experience
  • 2-3 years’ experience health care insurance, billing or operations required.
  • 1 year experience with medical terminology, ICD, and CPT coding required.
  • Experience working in a medical clinic setting preferred.

License/Certifications
  • N/A

Skills/Knowledge/Abilities
  • Ability to read, write, and comprehend various written reports and documents.
  • Knowledge of patient patient insurance.
  • Skilled in operating a computer, including a computer mouse/keyboard and navigating scheduling, registration and patient care applications.
  • Knowledge of insurance and 3rd party billing rules coverage, payment policies.
  • Skilled in prioritizing, organizing, and performing assigned work tasks.
  • Ability to work as a team.
  • Ability to keep patient information confidential.
  • Ability to work in a diverse healthcare environment with diverse customer expectations.
  • Ability to manage multiple tasks simultaneously and efficiently.
  • Ability to follow written and verbal instructions.
Physical Requirements
Weight Demands
  • Medium Light Work - Exerting up to 35 pounds of force.

Physical Activity
  • Grasping
  • Speaking/talking
  • Crouching
  • Frequently Performed (34%-66%):
    • Carrying
    • Fingering/Touching
    • Grasping
    • Keyboarding/typing
    • Reaching
    • Repetitive Motions
    • Sitting
    • Speaking/talking
  • Balancing
  • Twisting
  • Walking
  • Hearing
  • Reaching
  • Occasionally Performed (1%-33%):
    • Balancing
    • Crouching
    • Distinguish colors
    • Lifting
    • Pulling/Pushing
    • Standing
    • Stooping/bending
    • Twisting
    • Walking
  • Constantly Performed (67%-100%):
    • Hearing
    • Seeing/Visual
  • Sitting
  • Kneeling
  • Pulling/Pushing
  • Fingering/Touching
  • Climbing
  • Lifting
  • Not necessary for the position (0%):
    • Climbing
    • Crawling
    • Kneeling
  • Keyboarding/typing
  • Crawling
  • Carrying
  • Standing
  • Seeing/Visual
  • Repetitive Motions
  • Distinguish colors
  • Stooping/bending

Job Hazards
  • Not Related:
    • Chemical agents (Toxic, Corrosive, Flammable, Latex)
    • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
    • Equipment/Machinery/Tools
    • Explosives (pressurized gas)
    • Electrical Shock/Static
    • Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
    • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
    • Mechanical moving parts/vibrations
  • Electrical Shock/Static
  • Chemical agents (Toxic, Corrosive, Flammable, Latex)
  • Mechanical moving parts/vibrations
  • Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
  • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
  • Equipment/Machinery/Tools
  • Explosives (pressurized gas)
  • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
  • Rare (1-33%): - Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
About Methodist:
Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.