Registration Representative, ER

Description

Title: Registration Representative

Location: Fountain Valley, CA

Department: Admitting

Status: Per Diem

Shift: Night (8hr shifts)

Pay Range: $22/hour

At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork.

Purpose Statement / Position Summary

This position requires the full understanding and active participation in fulfilling the mission of Orange Coast Medical Center. It is expected that the employee demonstrate behavior consistent with our core values: Integrity, Accountability, Best Practices, Compassion and Synergy. The employee shall support Orange Coast Medical Center's strategic plan and participate in and advocate performance improvement/patient safety activities.

The Registration Representative (PD) is under the direction of the Supervisor/ Manager and is responsible for completing all registrations of patients presenting for procedures, admissions, outpatient and ER visits. The Representative must obtain and verify demographic and insurance information so that the patient can be accurately identified and billed for their services. The registration representative is responsible for collecting and posting the patients financial responsibility in Epic and immediately dropping the payment in the safe or locked cash drawer. Excellent customer service must be maintained with all patients, visitors, clinicians, and co-workers.

Essential Job Outcome

Section II of the CAT. Specific job-related responsibilities and duties.

1. Adheres to department policy of using two patient identifiers ensuring correct information appears on all documents, armbands, and labels. Adheres to a verbal verification of armband placement.

2. Avoid HIPAA violations by accurately entering information into the Epic system to avoid passing on defects such as incorrect PCP, guarantor and insurance information.

3. Interviews, pre-registers and registers patients timely and accurately. Appropriate level of expertise in Epic, OnBase, RTE, insurance websites to ensure accurate and efficient registrations.

4. Ensures that all registration forms are complete, signed, scanned and indexed in Epic timely. Enters notes in referral or auth/cert and uses billing indicator as needed.

5. Delivers excellent customer service using "Simply Better" and AIDET principles with patients, staff, and visitors. Maintains effective working relationships with co-workers and others. Utilizes Simply Better recognition cards or any other communication regarding customer service.

6. Collects and posts patient financial responsibility including deposits, copays, deductibles, estimates, and/or coinsurance timely and accurately. Drops payment in the safe or cash drawer timely. Based on a monthly department cash collection goal.

7. Participates in and supports department specific performance improvement education, training, staff meetings, and projects. (Employee Engagement survey, service excellence, etc.) Promotes and participates in the employee engagement action plan). Assists with improving the score.

8. Maintains an accuracy of 95% or better by selecting the correct insurance plan and IPA code. Monitors and manages assigned work queues to maximize productivity by meeting department standards.

9. ER and L&D Registration: abides by the Emergency Medical Treatment and Labor Act (EMTALA) and with the Medical Screening Exam (MSE) process. PBX: Answers incoming calls timely using Simply Better scripting and routes calls professionally and appropriately. Follows paging protocols and trains new hires as needed.

10. Adheres to MHS time and attendance policy #357. Clocks "in and out" of MTM accurately with minimal clocking errors for each scheduled shift. Signs off by the end of the pay period.

11. Other duties as assigned.

Qualifications

Experience

List the minimum experience, skills, knowledge and abilities required to do the job.

• 5-years or more of experience in hospital admitting, physician office, or equivalent healthcare

• Must communicate effectively and clearly both verbally and in writing

• Strong customer service skills

• General knowledge of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima

• Bi-lingual (English/Spanish, or English/Vietnamese) preferred

• Positive work ethic

• General computer skills required including: electronic medical record and Microsoft Office

• Knowledge of medical terminology

Education

List the education licensures or certifications preferred or required to do the job.

• High school graduate preferred

• Medical Terminology related course or certificate preferred