Job Description

The Registrar is under the direct supervision of the Patient Access/Admitting Supervisor for AHMC Seton Medical Center and Seton Coastside. The registrar is responsible for coordinating and completing every phase of the Admitting Registration functions: Emergency and ED admissions, Outpatient registrations that includes collecting accurate demographic information, obtaining and verifying insurance information to ensure a clean claim, which in turn will decrease DNFB or Bill Hold report. Collection of copays and deductibles. Acts as a liaison between Clinical staff and Admitting department concerning admitting procedures, authorization process, and patient orders to comply with all state and federal regulatory agencies that govern the healthcare industry. Keeps abreast of federal and state regulations concerning admission criteria in order to implement these regulations in the Admitting department. Responsible for the accuracy of data collection to meet Office of Statewide Healthcare Planning Department (OSHPD) reporting requirements. These registration functions are for both AHMC Seton Medical Center and Coastside.

Responsibilities

POSITION SPECIFIC DUTIES (other duties may be assigned)

Collects accurate, complete demographic and billing data at the time of registration. The current department standard is 98% or greater accuracy. Completes registrations in a timely manner. Understands forms used on a daily basis during the registration process. This includes and is not limited to the following: Condition of Admission (COA), Advanced directives, Patient rights, HIPPA and Notice of Privacy Practices. Medicare Important Message (IM), Medicare Outpatient Observation Notice (MOON) and for non-Medicare Outpatient Observation Notice (OON). All forms are completed accurately and in its entirety, getting second attempts for patients who are unable to sign at the time of registrations or admissions. Checking the appropriate boxes for Advance Directives and Notice of Privacy Practice (NPP).

Demonstrates effective communication skills, both verbal or in written form. It must be legible, concise and easy for patients and staff to read and/or understand.

Understands the EMTALA law, including the rules and regulations and insurance plans such as HMO’s, PPO’s, Commercials, Managed Care/Standard Medi-Cal/Medicare, and Workman’s Compensation. Obtains the needed authorizations from these plans.

Determines insurance requirements for outpatient services. Answers basic billing questions or refers to a financial advisor if it is out of scope of knowledge. Trouble shoots insurance issues for patients if they arise. Contact insurance providers for all patients and obtain benefit information and eligibility for services. Document the benefit information on the patient accounts and communicate with clinical staff.

Demonstrates consistent ability to follow written and verbal instructions.

Works together with staff in a team effort. Answer phones professionally promote excellent customer relations when providing information/directions to physicians, staff, and public; also transfer calls to appropriate departments. Participate in problem solving to assure revenue targets and customer satisfaction.

Perform other related duties as required.

Keeps forms & supplies stocked. Re-order when necessary.

Qualifications

QUALIFICATIONS/JOB REQUIREMENTS:

EDUCATION:

• High school diploma or GED required.

EXPERIENCE:

• Minimum of one-year experience working in a hospital Admitting/Patient Registration department or Physician’s office setting.

OTHER SKILLS, ABILITIES & KNOWLEDGE:

• Knowledgeable and understanding of healthcare insurances; private, government, worker’s compensation and third party. Proficiency in health insurance eligibility.
• Knowledgeable of medical terminology.
• Excellent communication skills. Provides excellent customer service.