Job Details

Patient Registration Specialist

At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. We are looking to hire a motivated and dynamic Patient Registration Specialist to support our team at our Eagle Emergency Department! As a Patient Registration Specialist, you will play a significant part in creating a great experience for patients and their families! You will verify patient identification, demographic information and insurance information. You'll also enter patient information in the hospital information system(EPIC), refer patients with questions regarding financial liability to the available resources, and provide estimates for out-of-pocket costs.

Our ideal candidate has the ability to multitask in a busy environment while making quick decisions independently. He or she will need to utilize excellent communication skills while communicating with patients and families and other colleagues. You will also need to be able to set and organize your own work priorities. The ability to provide superior customer service will be essential in this position.

Position Details

This Full-Time position will work a schedule of Monday - Wednesday from 6:00AM - 6:30PM. This position will support registration efforts in the Eagle ED located at 323 E Riverside Dr STE 112, Eagle, ID 83616.

Minimum Qualifications

• Associate degree in Accounting or Business Administration preferred.
• Prior work experience performing customer service activities within a hospital or clinic environment, an insurance company, managed care organization or other health care financial setting preferred.
• Knowledge of insurance and governmental programs, regulations, and billing processes and/or managed care contracts and coordination of benefits preferred.

Essential Functions

• Knows, understands, incorporates, and demonstrates the Organization's Mission, Vision, and Values in behaviors, practices, and decisions.
• Verifies patient identification, demographic information, and insurance coverage.
• Accepts point of service payments.
• Enters patient information accurately into appropriate hospital information system(s).
• Refers patients with questions regarding financial liability to appropriate resource(s).
• Accepts medical authorization or referral forms, if appropriate.
• Processes key documents to facilitate obtaining insurance information.
• Provides payment estimates for out-of-pocket costs.
• Educates patients/families on the use of registration kiosks or online systems.
• Identifies routine issues and escalates to Supervisor, Patient Access.
• Processes insurance claim forms.
• Reviews claims/accounts for complete information, corrects and completes forms to ensure accuracy.
• Accesses information and translates data into information acceptable to the claims processing system.
• Prepares claims for return to provider/subscriber if additional information is needed.
• Maintains all appropriate claim files and follows up on suspended or outstanding claims.
• Identifies, researches, and resolves issues related to coordination of benefits, subrogation, and general inquiry issues, then communicates the results.
• Identifies routine payer or provider issues and escalates to Lead Patient Financial Services Representative.
• Acts as a point of contact for assigned payers.
• Maintains compliance with HIPAA and other regulatory requirements throughout all activities.
• Protects the safety of patient information by verifying patient identity to preserve the integrity of the patient record and ensures all records are complete, accurate, and unique to one patient.