Registration Specialist-Patient Access

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Performs a variety of administrative and clerical duties to manage patient registration and patient financial obligation.

• Education:
  
  High school graduate or equivalent.
• Certification/License:
  State criminal background check and Federal (if applicable), as required for regulated areas.

• Obtain demographic/billing/insurance information from patient/family/legal guardian and enter into the registration/billing systems for service and claim processing and scans insurance cards & photo identification. Provide information concerning insurance, payment of bills and hospital procedures.
• Complete managed care responsibilities in regard to obtaining pre-certification and authorizations.
• Prepare WVU Medicine standard consent form, notice of privacy practice and/or other necessary paperwork related to registration and present to patient/family/legal guardian for signatures. Obtain electronic signature for consent to treat and patient financial obligations.
• Collect deposits/co-payments/deductibles/patient liability payments when applicable, provide patient receipt and document payment in the registration/billing systems.
• Prepare armband for patient identification.
• Balance daily receipts and cash drawer for patient payments as needed. Follow up on accounts as indicated by system flags (courtesy dismissal/comments/red stickers).
• Initiate various screenings and obtain all pertinent information for coverage and complete appropriate paperwork.
• Perform medical necessity checks and complete Advanced Beneficiary Notice as needed.
• Schedule, reschedule, or cancel patients in accordance with hospital workflows.
• Check for order completeness and validate order against scheduled service.

• Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, and grasping.
• Visual acuity within normal range.
• Manual dexterity to operate keyboards, fax machines, telephones, and other business equipment.
• Sitting and/or standing for extended periods of time.
• Reading and comprehension ability.

• High volume, fast paced environment.
• Exposure to communicable disease.
• Frequent interactions with patients, medical staff, and support staff daily on a continual basis.

• Accurately utilize applicable computer software and equipment for access processing & demonstrate ability to follow downtime procedures.
• Knowledge of procedure to report and/or document unsafe/hazardous conditions, incidents and defective equipment in compliance with hospital policy.
• Attention to detail, organizational ability, and ability to perform multiple tasks simultaneously.
• Ability to memorize a considerable amount of information, and to reference information not retained from written sources or from appropriate personnel.
• Understanding of medical insurance requirements for payment and basic knowledge of covered services.
• Excellent written and verbal communication skills and ability to understand written and verbal communication.
• Basic knowledge of medical terminology.

Scheduled Weekly

Hours:

0

Shift:

Exempt/Non-Exempt:
United States of America (Non-Exempt)

Company: PVH Potomac Valley Hospital

Cost Center: 545 PVH Patient Access

Address: 100 Pin Oak Lane, Keyser, West Virginia

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law.

All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

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