Registration Specialist-P

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1.High school diploma or equivalent.

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1.College course work in accounting or business-related fields.

EXPERIENCE:

1.Experience and knowledge in admissions, registration, and insurance verification.

CORE DUTIES AND RESPONSIBILITIES:The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an exhaustive list of all responsibilities and duties. Other duties may be assigned.

1. Obtains demographic/billing/insurance information from patient/family/legal guardian and correctly enters into the scheduling and registration/billing systems for service and claim processing.

2. Communicates and interacts with clients, families, visitors, physicians, departmental and hospital staff and the public in general in a manner that demonstrates professionalism and concern for the individuals' need(s).

3. Understanding of applicable computer systems, i.e., Scheduling, Medical Necessity and Insurance Verification.

4. Coordinate and assist in the completion of all activities relating to the patient's finances, to facilitate the collection and distribution of information and to expedite a smooth and timely billing and collection process,

5. Verify insurance. Validate pre-cert/pre-auth information after completion of insurance verification and record results in system. Performs other insurance related functions as required or necessary.

6. Cancel or reschedule patients in accordance with hospital workflows.

7. Generate and use scheduling system reports on a daily basis.

8. Ability to accurately utilize applicable computer software and equipment for access processing.

9. Answers phone calls in professional and courteous manner.

10. Communicate with and support hospital departments using Scheduling system.

11. Correctly process non-staff physician order and scheduling requests.

12. Follows up on accounts as indicated by system flags.

13. Ability to accurately utilize applicable computer software and equipment for access processing.

14. Initiates Black Lung SSI screening. Identifies all patients covered under Black Lung and documents in the registration/billing systems.

15. Maintains scheduling and registration accuracy threshold of 95% as identified in audit processing.

16. Understand and use applicable CPT and ICD-9 codes.

17. Completes Medicare Secondary Payer forms, where applicable. Completes medical necessity screening. Verify medical necessity for applicable payer and service.

18. Prepares Advance Beneficiary Notices.

19. Remains current and responsive to changes in healthcare delivery, standards established by professional organizations, regulatory and accrediting bodies and the needs of the organization.

PHYSICAL REQUIREMENTS:The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Must meet Department of Labor'sMEDIUMduty standard (MEDIUM WORK-exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly).

WORKING ENVIRONMENT:The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Use a computer keyboard, monitor and mouse.

2. Answer telephones and transcribe messages.

SKILLS AND ABILITIES:

1. Excellent oral and written communication skills.

2. Basic knowledge of medical terminology.

3. Excellent customer service and telephone etiquette.

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

Company:

Cost Center:

Address:

WVU Medicine is proud to be an Equal Opportunity employer. We value diversity among our workforce and invite applications from all qualified applicants regardless of race, ethnicity, culture, gender, sexual orientation, sexual identity, gender identity and expression, socioeconomic status, language, national origin, religious affiliation, spiritual practice, age, mental and physical ability/disability or Veteran status.