St. Joseph Medical Center

Admitting Registrar - Nights ER

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Houston, Texas, United States

Job description
Location: St. Joseph Medical Center
Posted Date: 9/20/2021

ADMITTING REGISTRAR - NIGHTS

Wednesday, 1am-7am; Thursday-Saturday 7p-7a - Admitting Registrar ER

JOB RESPONSIBILITIES:

  • The Admitting Registrar is responsible for:
  • Timely and accurate patient registration resulting in seamless hand-off to clinical/non-clinical departments
  • Interviewing the patient, obtaining and recording applicable demographic and financial information
  • Ensures insurance eligibility, performs pre-cert/authorization
  • Calculates and collects patient portion of fees at time of service
  • Other duties as assigned
  • Consistently follows facility guidelines and procedures in performance
  • Greets patient immediately upon his/her arrival in the registration area, utilizing the appropriate Registration Tracker (ED and non- ED) to date/time stamp patient arrival in the registration begin and end times, delay reasons, and other pertinent registration throughput date elements
  • Notifies the appropriate clinical department if the patient has arrived too early or late for their appointment; coordinates the registrations process convenient to the physician and/or clinical care area but in compliance with payer authorization and point of service collection requirements (completing the registration process bedside or exam-side if necessary)
  • Provides bedside registration in the ED; in full compliance with EMTALA rules and regulations
  • Utilizes Quick Registration routine as instructed to ensure timely and appropriate delivery of clinical care (ED services and Direct/Urgent/Stat orders). Performs and documents pre-certification/authorization at time of service for all registrations and account status changes (unit to unit and/or level of care)
  • Coordinates activities with physician offices to secure a fully compliant and authenticated written physician order for service; ensures physician compliance with pre-certification/authorization and or referral form requirements so that facility authorization can be obtained without delay
  • Utilizes payer websites and/or eligibility vendor to obtain real time eligibility and benefits detail; printing and/or cut-n-pasting detail to ensure availability for revenue cycle reference
  • Completes Medicare Secondary Payer Questionnaire to determine primary payer
  • Explains registration forms to the expressed understanding of the patient and obtains the signature of the patient or authorized. individual in compliance with state and federal guidelines
  • Communicates with hospital case management as needed to ensure clinical detail is provided to the payer in a timely manner
  • Utilizes registration system notes to document important information related to the registration process, insurance verification, pre-certification and upfront collection activities. Follows system downtime procedures when necessary
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