Pre Registration Assistant | UF Heart & Vascular; Jax

Overview

The Pre-Registration Assistant obtains complete and accurate patient demographics, insurance plan and benefits information, and ensures treatment authorization is secured in advance while providing excellent customer service to the patient.

Hours: Monday Friday, 8:00 AM – 5:00 PM

• Gathers complete and accurate patient demographic and financial information. Verifies/identifies insurance plans and obtains benefit information. Interacts with patients and insurance companies over the phone and solidifies patient arrival time for the appointment with the patient.
• Reviews insurance eligibility information and notates account accurately with co-pay and deductible information.
• Verifies that the procedure and diagnosis code is the same procedure and diagnosis code as the test ordered.
• Verifies all authorizations by contacting the insurance company or using online tools.
• Responsible for reading and interpreting a completed physician order (written or electronic) for appropriate handling.
• Screens for LMRP’s and identifies when an ABN is required and how to deliver/explain in detail ABN/LMRP process to the patient as well as the need to obtain a signature for service or gather a new order from the physician’s office that will meet medical necessity.
• Completes Medicare Secondary Payer Questionnaire (MSP) on every Medicare patient.
• Operate all essential departmental equipment, maintain adequate supplies at desk and keep work area neat and clean.
• Responsible to maintain a three-day window; having all patients registered, insurance verified, pre-certed, completed etc., for those patients that have scheduled appointments.

• Education / Training:
  High School Diploma or equivalent
• Experience Requirements: 0–1 year of experience in a medical office, insurance, or billing/registration

1 year of Medical Customer Service or Registration experience. Medical Terminology and Medical Insurance terminology with emphasis on referral and pre-certification.