Registration Specialist (Full Time Evenings)

Overview
Under guidance and supervision, the associate performs reception, billing, scheduling, insurance verification and benefit coordination, filing, record keeping and other duties throughout the hospital. This position is fluid throughout the day and will be in outpatient registration areas, in the Emergency Room, and registering patients in Inpatient Units. The Registration Specialist is expected to acquire an understanding of and proficiency in all functions of their assigned area. Demonstrates initiative and sound judgment in the application of policies and procedures.
Responsibilities
Essential Functions/Responsibilities:
Essential functions are the duties and responsibilities that are essential to the position (not a task list). Do not include if less than 5% of work time is spent on this duty. Be specific without giving explicit instructions on how to perform the task. Do not include duties that are to be performed in the future. Duties should be action oriented and avoid vague or general statements.
% of Time
(annually)
Customer Service

• Schedules walk in patient appointments
• Creates a welcoming environment for all. Effectively managing positive relationships with other team members and other departments.
• Receives patients, visitors and answers telephone calls

15%
Billing/Insurance/Collections/Denials

• Problem solves, analyzes and collaborates with patient, Insurance Companies, Hospital Departments, Revenue Integrity, and Central Billing Office to resolve billing and denial issues, including correcting claim or account errors.
• Counsel patients on coverage, cost estimates, patient financial responsibility, and financial assistance applications.
• Documents denials and billing issues to identify process improvements in order to maximize efficiency and ensure proper payment for the hospital.
• Verifies insurance eligibility and insurance coverage for patients via phone or internet.
• Demonstrates ability to effectively manage details by accurately completing patient registration and maintaining medical records in all areas of the hospital.
• Responds to patient questions regarding their account and ensures solutions to patient billing, complaints or concerns.
• Collects point of service payments, issues receipts and reconciles daily receivable activity to prepare for the daily deposits.
• Gather, verify and enter demographic and billing information for new and established patients to complete the electronic health record and insurance claim for each patient visit.
• Performs other duties as assigned.
• Monitors and completes account on multiple work queues in EPIC for billing accuracy for providers and patients.

75%
Basic UPH Performance Criteria

• Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.
• Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance.
• Demonstrates ability to meet business needs of department with regular, reliable attendance.
• Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.
• Completes all annual education and competency requirements within the calendar year.
• Employee maintains current licenses and/or certifications required for the position.

10%
Disclaimer: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.
Demonstration of UPH Values and Standards of Behaviors
Consistently demonstrates UnityPoint Health’s values in the performance of job duties and responsibilities
Foster Unity:

• Collaborate across departments, facilities, business units and regions.
• Leverage the skills and abilities of each person to enable great teams.
• Seek to understand and are open to diverse thoughts and perspectives.

Own The Moment:

• Accountable for our individual actions and our team performance.
• Connect with each person treating them with courtesy, compassion, empathy and respect
• Enthusiastically engage in our work.
• Responsible for solving problems regardless of the origin.

Champion Excellence:

• Believe in sharing our results, learning from our mistakes and celebrating our successes.
• Commit to the best outcomes and highest quality.
• Have a relentless focus on exceeding expectations.

Seize Opportunities:

• Have the courage to challenge the status quo.
• Create partnerships that improve care delivery in our communities.
• Embrace and promote innovation and transformation.

Qualifications
QUALIFICATIONS:
Minimum Requirements
Identify items that are minimally required to perform the essential functions of this position.
Preferred Or Specialized
Not required to perform the essential functions of the position.
Education:
High School Diploma
Associate’s Degree
Experience:

• Prior insurance knowledge
• Prior experience in a medical office

License(s)/Certification(s):
Valid driver’s license when driving any vehicle for work-related reasons.

• Medical Terminology
• Experience with Medical Insurance processing

Knowledge/Skills/Abilities:

• Multicultural sensitivity
• Customer/Patient focused
• High organizational skills
• Microsoft Office – Basic computer skills
• Writes, reads, comprehends and speaks fluent English.
• Critical thinking skills using independent judgment in making decisions
• Ability to interact effectively with physicians, health care team members, patients and members of their support systems.
• Ability to multi-task
• High attention to detail

Other:
Use of usual and customary equipment used to perform essential functions of the position.

• Area of Interest: Patient Services;
• Job ID: 133442;
• Shift: 1500-2330;
• Department: Patient Access;
• FTE/Hours per pay period: 1.0;