Responsible for accurate entry of all patient registration data, and performing on-line insurance verification in accordance with HIPAA and compliance regulations. Responsible for maintaining, promoting and exhibiting excellent customer service for McLaren Greater Lansing.Responsibilities:
Receives complete bed requests and communicates with Administrative Nursing Supervisor in a timely fashion to plan, prioritize and coordinate the admission and transfer of patients.
Contacts physicians, physician offices, other healthcare agencies and other departments to obtain orders that meet medical necessity and/or are complete (includes patient name, test(s) ordered, reason for test or diagnosis, patient name and birth date, physician signature; and meets medical necessity per CMS guidelines using on-line medical necessity tool). Completes medical necessity ABN forms and issues notification when necessary.
Collects, verifies and records patient demographic and insurance data prior to service if services are pre-scheduled. If services are not pre-scheduled, may obtain information at time of service. Obtains necessary signatures on all registration and insurance forms.
Prepares and audits patient records to ensure that registration data is complete and accurate. Copies and distributes patient records as necessary.
May collect patient co-pays, deductibles and deposits prior to or at time of service as appropriate. Assures that all self pay patients are directed to the Pre-Admission Review staff or the Financial Counselor.
High school diploma or equivalent.
Minimum of six months patient registration or billing experience in acute care setting or physician office; or two years clerical experience that includes data entry, customer service, and recordkeeping; or Associates Degree in Medical Insurance Billing and Coding or related field that includes courses in medical insurance billing and/or coding.
Experience or coursework in medical terminology.
Experience with Microsoft office and windows application.
Two years experience in patient registration.