Per Diem Registration Scheduling Specialist—shifts are picked up as needed earliest shift is 645a-315p and latest shift is 10a-630p; PRN staff are cross trained to cover all areas of our department: call center, financial counseling and registration/admissions
Occasional Weekend Requirements
JOB SUMMARY:
Is the initial point of contact for patients entering Main Line Health System. Acts as ambassador for customer service, service recovery and follow through ensuring at every visit MLH exceptional customer service is met. Is responsible for the data entry and the verification of all patient demographic and financial information ensuring it is correct and current for each visit. Financially clears each patient, educating them on their financial responsibility. Responsible for the scheduling of add-on appointments as appropriate to area of service Ensures all regulatory requirements are met. Meets or exceeds Patient Access Benchmarks as set by MLH leadership
Essential Accountabilities:
Interviews patients and or patient representative verify and gather complete, accurate and current demographic and financial data. Secures, reviews and scans insurance and identification cards.
Schedules patients for add-on appointments in multiple departments at site of service. Ensures the appointments are scheduled accurately and conveniently for the patient.
Some tasks/knowledge needed to perform the add-on appointments may be the following but not limited to;
Demonstrate working knowledge of the various tests, preps, protocols, procedures and providers schedules to efficiently process the add-on appointment.
Ensures all orders for treatment/testing are complete, accurate and meet regulatory requirements.
Transcribes orders in to the Electronic Health Record ensuring they are linked correctly to the Patient Account.
Continually monitors dashboard identifying and correcting issues including patient volume, data entry and Point of Service collections.
Ensures third party pre-certification, insurance verification and other billing requirements are met. Reviews and accepts Real Time Eligibility data into patient encounter ensuring the accurate billing of the account.
Maintains a working knowledge of inpatient and outpatient government and third party payer billing requirements
Determines patient out of pocket amount, educates patient on their financial responsibility and when needed assist the patient or guarantor with financial assistance. Collects deposits/payments from patient or guarantors, issues receipts and explains patient charges. Obtains credit card approvals and accurately documents information related to payment collected.
Contacts other resources when necessary such as physician’s office and or other medical facilities to obtain the required admission/registration information.
Performs Medical Necessity checking when applicable, obtains signatures, educates patient on the Medical Necessity process of appeal and witnesses Advance Beneficiary Notice when applicable.
Obtains signatures and authorization for treatment, consent for release of medical information and assignment of benefits. Provides documentation and informs patients of their rights and responsibilities as a patient. .
Uses Smart Chart’s Service Provider to verify admit order, admit type and enter in system accordingly when required.
When required reconciles census at midnight.
Protects patient/customer confidentiality.
Complies with HIPAA regulations as they apply to job.
Provides and promotes professional, efficient and congenial customer service through all communication and interaction with patients, patient’s family physicians, visitors, and co-workers.
Completes departmental administrative functions as needed.
Maintains current knowledge of compliance requirements related to order entry processes.
Responds to inquiries from patients, employees and the general public regarding directions/locations, foreign language interpreters, advance directives, and services available at the facility.
Scans all required information timely.
Other Accountabilities:
When required transportation of patients to testing areas.
Cross train in all areas of site Patient Access, ability to perform all Patient Access functions. Completes any required clerical work for assigned area.
Behavorial Health Specific Accountabilities
(applies to those staff working in MLH Behavorial Health sites)
Maintains a working knowledge of outpatient government and third party payer billing requirements as they relate to Behavioral Health programs and treatment plans.
Schedules extensive recurring visits for Partial Hospitalization, Intensive Outpatient, and Outpatient Therapy; both individual and group sessions.
Prepared to travel among any/all of the Behavioral Health sites for cross-coverage and support.
QUALIFICATIONS:
Education: High School diploma preferred.
Experience: Minimum of two year’s registration experience in a medical setting is preferred. For Behavorial Health sites, assessment skills and an awareness of drug and alcohol addiction and mental illness are required. Knowledge of personal computer and relevant software applications is required. Two years working in customer service is required. Knowledge of medical terminology preferred. Knowledge of insurance and third party reimbursement preferred. Excellent customer service skills and computer skills required.. Must be able to prioritize daily tasks and to work independently. Good conflict management and time management skills required. Ability to understand, interpret, evaluate and resolve basic customer service issues. Knows when to ask for assistance from management.
Additional Information
If this position offers an Employee Referral Bonus (listed below), please note that all Referral Bonus dollars are pro-rated for positions hired less than 80 hours per pay period. For further details, visit the Employee Referral Program located on Wellspring.
Main Line Health (MLH) with over 10,000 employees, is suburban Philadelphia's most comprehensive health care resource, offering a full range of healthcare services. Learn more about us.
Main Line Health is committed to the health and wellness of our employees. We offer competitive salaries, comprehensive benefits, generous paid time off, 403b savings plan, lucrative pension plan, tuition reimbursement, and more! Learn more about our benefits.