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Company: MedStar Medical Group
Location: Leonardtown, MD
Career Level: Associate
Industries: Not specified
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Description

Verifies patient's benefits and coverage for commercial insurance, Medicare, Workman's compensation, and Medicaid. Obtains authorization for hospital admission. Supports registration and scheduling staff, has good communication skills between physicians, office staff, co-workers and patients when discussing insurance benefits and authorization for a medical procedure and or admission.
Education

  • High School Diploma or GED required and
  • Minimum score of 80% on Customer Service, Data Entry and Medical Abbreviations tests. required and
  • Associate's degree in Humanities preferred or Business preferred
Experience
  • 1-2 years Experience in hospital registration required and
  • Experience in hospital, and or medical office setting insurance verification and authorization process required and
Licenses and Certifications
  • CHAA - Certified Healthcare Access Associate CHAA certification, within 1 Year required
  • Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations.
  • Provide excellent customer service in all patient communication with the goal of providing accurate and timely registration and scheduling, educating and providing service and support as the first point of contact for MedStar St. Mary's Hospital.
  • Timely and accurately verify and schedule patients following all policy and procedures including patient identifiers and patient confidentiality.
  • Verifies eligibility and benefits and obtains authorizations when needed for all services specific to the clinical department and location.
  • Performs duties of a registrar, as needed and maintain error rate <2%. Review registrations for accuracy, completeness, and perform any necessary corrections timely.
  • Maintains a professional relation with other departments within the facility, including assisting and working with and as part of the Revenue Cycle Team.
  • Obtains authorizations to ensure maximum reimbursement, to meet patient satisfaction, and maintain all payer rules and regulations, and corporate compliance.
  • Timely and accurate completion of worklist and work queues and maintain records to insure that all required data elements and information is validated.
  • Demonstrate ongoing knowledge and competency of the scheduling and registration systems, including applications and other assigned system tools.


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