Representative, Registration

Job Summary

Registers patients to receive medical services in clinic, hospital inpatient, ambulatory, or emergency services. Obtains demographic information, validates and verifies insurance, and receives payments based on established manual or technological protocols. Refers patients to financial advocates. Answers and/or refers questions received from patients, visitors, and staff as appropriate. Performs related cash handling procedures per SOX control regulations. Staff members in this position may perform all, or a combination of the duties described depending upon their assigned work area and the specific needs of the department.

• Registration:
  Greets and registers patients for various medical care in clinic and emergency settings. Verifies patient demographic and insurance information with national registration standards and regional policies. Confirms insurance eligibility and benefits for all payers. Uses problem‑solving skills to verify patient identification to minimize duplicate medical records. Interviews patients to determine payer source, financial, and demographic information and obtains appropriate signatures.
  
  Identifies and inputs other coverage information (primary, secondary, tertiary payers) for services provided.
• Revenue Collection:
  Determines and collects cost‑shares and partial payments for services to be received. Enters and verifies payments, closes cash drawers, counts currency, checks, and credit card payments at the end of each shift, and creates deposits per cash handling policies. Maintains billing accuracy and compliance per KPNW and national revenue cycle policies. Communicates to the patient the Northwests policy on payment of services or prepayment when significant patient liabilities are identified.
  
  Collects past‑due balances and refers, as appropriate, to financial counselors.
• Appointing & Messaging:
  Takes messages as required according to scripts and guidelines. May schedule and/or cancel appointments based on members needs and regional policies and procedures. Makes return appointments and referrals.
• Regulatory/Organizational Compliance:
  Explains and requests patients to sign regulatory forms such as consent and release forms as required. Makes copies or scans of patient identification, insurance information, and other related forms and documents. Adheres to Medicare, Medicaid, managed care, and commercial payer regulations regarding referrals, preauthorization, and pre‑certification. Accurately completes Medicare secondary payer screening information. Explains basic KPNW medical center and/or clinic policies and procedures to patients.
• General Services:
  Stocks appropriate forms and supplies. Handles supplies and equipment cost‑effectively and in accordance with policies, procedures, and infection control guidelines. Assists patients by providing phone numbers, facility directions, and office layouts; directs to other departments and administrative services for further information (e.g., membership services, dental, and pharmacy). May assist with orientation of new personnel. Performs all other duties as assigned consistent with the job description.

• Six (6) months of health care financial or six (6) months of cash handling or six (6) months of customer service experience in a high volume customer service environment.
• Two (2) years of experience keyboarding/typing and navigating multiple computer applications in a Windows environment including data input.
• Per the National Agreement, current KP Coalition employees have this experience requirement waived.

• High School Diploma or General Education Development (GED) required.

• Excellent verbal and written English communication skills.
• Excellent organizational skills, flexibility and ability to switch tasks frequently.
• Final candidates will complete approved medical terminology course within six months of date of hire.
• Strong complex problem‑solving skills and the ability to make decisions independently.
• Excellent organizational skills, flexibility and ability to switch tasks frequently.

• Previous hospital or ambulatory clinic registration experience.
• Previous experience with EPIC applications.
• Certification by HFMA or NAHAM preferred.

• Beaverton Medical, Tanasbourne Medical, Sunset Medical, Hillsboro Neighborhood