DEPARTMENT SPECIFIC DUTIES:
Interviews and Registers Patients.
Explains forms, obtains demographic and insurance information
and inputs into applicable
Patient Accounting systems. Explains hospital deposit policy and
collects appropriate monies from
Patients and/or responsible parties. Promotes positive working
relationships with patients, families, physicians
and other department's within the hospital to ensure a high
level of service is provided.
All patient charts are complete in a timely manner with a
minimum accuracy rate of 95% on all registrations.
Accurately enters required data in the ADT System, with emphasis
on accuracy of demographic data and financial information to ensure
appropriate revenue routing.
Validates existing data related to prior registrations and
updating and updates appropriately in the ADT system.
Obtains all necessary copies of insurance cards and related
documents, identifies the appropriate payor source (plan ID,
financial class, etc.).
Ensures that all pre-certifications are completed within the
specified periods as mandated by the payor's payment authorization
Obtains all appropriate and necessary signatures to meet
Records comments in the ADT System to permit timely and accurate
Accurately and timely scans all necessary/required documents
into VI Web.
Insures Trauma and Ambulance logs are maintained current to
ensure proper identification of emergency room patients.
Financially clears all ER inpatient admissions, direct inpatient
admissions and/or transfers from other facilities in an
Accurate and timely manner.
Follow-up on all accounts is accurately and appropriately
documented in FUSSA notes in a manner, which is clear and
Makes assessments of Private Pay patients and/or problematic
accounts and appropriately initiates referrals to Medi-Cal
Eligibility Pending staff (MEP) for review of possible Medi-Cal or
Charts are audited for completeness/accuracy and all accounts
are ICED within 24-hours of admission or next working day. (i.e.
signatures, insurance verification, demographics).
Requests & collects deposits, deductibles, co-pays and payment
for non-covered services to reduce bad debt expense.
Consistently meets monthly cash collection goals as outlined by
Tenet Corporate Patient Financial Services/Patient Access
Consistently process cashier receipts with a 100% accuracy rate
when accepting cash payments according to established policies and
Maintains current knowledge of financial resources in order to
identify appropriate financial status for private pay.
Patient's (self-pay/Compact for the Uninsured, MIA, Medi-cal,
Medicare only, VOC, etc.).
Maintains current knowledge of Cerner Millennium system to
ensure proper "computer down-time" registration procedures
Maintains current knowledge of Compact for Uninsured Policy &
Procedure and complies with appropriate guidelines.
100% of all admissions have been given a copy of the Patients'
Rights, Advanced Directive and NPP
information and documentation is complete.
Charts are turned in to the audit/QA area within 24 hours after
Collect deductibles, co-payments, Compact for Uninsured Rates
and establish appropriate payment
arrangements prior to completion of treatment/discharge.
Supports and facilitates open communication with patients and
Supports and facilitates open communication with physicians and
other department staff.
Maintains confidentiality of patient information per HIPAA
Continually strives to meet patient/customer needs and
Receives positive comments from patients and families regarding
Receives positive comments and feedback from coworkers and other
Maintains a professional atmosphere in the Registration
Adjusts to changes in department schedule when reasonably
requested based on census and department staffing needs.
Responds to requests in a friendly, cooperative manner, as
determined by feedback from customers, management and PSMS
Reports for scheduled shift on time and prepared to assume
responsibilities. Leaves for breaks and lunch on time and returns
on time. Adheres to hospital attendance/tardiness policies.
High School Diploma or GED
One to three years recent experience in acute care hospital
registration or business office
Knowledge in Medicare, Medi-Cal and third party billing and
Type a minimum of 35 WPM
Experience or knowledge in admissions, registrations and
insurance verification is essential.
Ability to speak Spanish and/or any other additional