Registration Representative Job Description
Registration representative
provides limited technical information and offers alternative buying solutions to online buyers utilizing all the tools available.
Registration Representative Duties & Responsibilities
To write an effective registration representative job description, begin by listing detailed duties, responsibilities and expectations. We have included registration representative job description templates that you can modify and use.
Sample responsibilities for this position include:
Demonstrates knowledge of HCFA 1500 billing forms and filling requirements.Exhibits an understanding of electronic claims editing and submission capabilities including Medicare and NEIC on-line claims processing and query system
Greeting customers following Conifer Standards of Care, provides world-class customer service, completes full patient registration on date of service, adheres to financial & cash control policies & procedures, thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA)
Perform pre-registration and insurance verification within 24 hours of receipt of reservation or notification for both inpatient and outpatient services
Follow scripted benefits verification and pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information
Research Patient Visit History to ensure compliance with payor specific payment window rules
Calculate patient cost share and be prepared to collect via phone or make payment arrangement
Contact patient via phone (with as much advance notice as possible, preferably 48 hours prior to date of service) to confirm or obtain missing demographic information, quote/collect patient cost share, and instruct patient on where to present at time of appointment
Receive and record payments from patient for services scheduled
Utilize appropriate communication system to facilitate communication with hospital gatekeeper
Perform insurance verification and pre-certification follow up for prior day’s walk in admissions/registrations and account status changes by assigned facility
Registration Representative Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Registration Representative
List any licenses or certifications required by the position: CHAA, CHAM
Education for Registration Representative
Typically a job would require a certain level of education.
Employers hiring for the registration representative job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Business, Healthcare, Associates, Education, Computer, Medical, Communication, Technical, Medical Terminology, Directing
Skills for Registration Representative
Desired skills for registration representative include:
Medical terminology
Charity care programs the various government and non-government programs
Excel
Word
Utilizing online eligibility and pre-certification tools made available
Microsoft Office products
EPO
HMO
Medicare
POS
Desired experience for registration representative includes:
Communicate with hospital based Case Manager as necessary to ensure prompt resolution of pre-existing, non-covered, and re-certification issues
Utilize Meditech account notes and Collections System account notes as appropriate to cut and paste benefit and pre-authorization information and to document key information
Meet/exceed performance expectations and complete work within the required time frames
Implement and follow system downtime procedures when necessary
Bi-lingual (English, Spanish, or Vietnamese) preferred
Communicates with hospital based Case Manager as necessary to ensure prompt resolution of pre-existing, non-covered, and re-certification issues
Registration Representative Examples
1
Registration Representative Job Description
Job Description Example
Our company is looking to fill the role of registration representative. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for registration representative
- Updates medical record numbers when appropriate and coordinates the resolution of duplicate medical record numbers
- Accurately and comprehensively collects and verifies demographic and financial information from patients and/or their representatives in a sensitive and timely manner
- Verifies patient insurance coverage with Third Party Payers and determines eligibility by utilizing appropriate resources
- Provides process improvement ideas, suggestions and feedback in a positive manner
- Adheres to Patient Service Center productivity and quality standards
- Enter Lab, Radiology and basic ancillary service appointments to schedules
- Prioritizes visits and services in a manner that will foster more efficient utilization of physician’s clinical staff, and patient’s time, equipment and facilities
- Obtains and verifies patient insurance coverage and follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits
- Provides a variety of related clerical duties, such as retrieving medical and other records, faxing, collating, typing, transcribing, taking and relaying messages
- Attends staff meetings and in-service programs as required or directed
Qualifications for registration representative
- At least 3 years of insurance verification experience preferred
- At least 3 years of insurance verification experience preferred in a hospital, outpatient facility, or doctor's office helpful
- At least 3 years of insurance verification experience preferred, especially in a hospital or outpatient medical facility
- Error-free spelling/grammar
- Two (2) years of experience preferred working ina a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle related roles
- Must type at minimum 35wpm
2
Registration Representative Job Description
Job Description Example
Our innovative and growing company is looking for a registration representative. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for registration representative
- Issues a new medical record number when appropriate and coordinates the resolution of duplicate medical record numbers
- Verifies patient insurance coverage with Third Party Payers and determines eligibility by utilizing appropriate technology
- Provides constructive ideas, suggestions and feedback in a positive manner
- Checking for physician orders and attaching them to patient medical records to ensure that patients are receiving appropriate tests
- Choosing correct health plans and accurately researching to ensure accuracy when verifying insurance
- Acts as first interaction for LifeWay customers
- Answers customer inquiries via phone, chat, email, fax and postal mail
- Assists with refunds, cancellations, customer inquiries, and transfers for camps, events, and subscriptions
- Prepares and sends letters for event related matters
- Applies payments to bill-me-later orders
Qualifications for registration representative
- Detail-oriented with the ability to enter information accurately on paper and into the system
- Minimum of two years of patient registration is required
- Ensures that all orders processed and payments are accounted for daily
- Minimum one (1) year customer service and/or hospitality industry experience - Required
- Written and verbal communication (articulate and effective communication, including pleasant voice tone)
- Knowledge of admissions procedures, government bylaws, managed care and associates insurance preferred
3
Registration Representative Job Description
Job Description Example
Our company is looking for a registration representative. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for registration representative
- Identifies appropriate FSC and insurance company
- Analyzes error/edit messages, identifies probable cause, and makes necessary corrections when required
- Notifies seniors and/or supervisor of system malfunctions
- Notifies senior and/or supervisor of problems arising from erroneous items, codes, or missing information
- Performs billing functions relevant to the Business Services area in a manner that meets or exceeds key performance criteria
- Responsible for having working knowledge of all billing edits
- Maintains thorough and detailed knowledge of insurance and follow up guidelines and regulations of third party payers
- Exhibits an understanding of CPT, HCPCS and ICD-9/ICD-10 coding regulations and guidelines
- Works with manager, to receive feedback on performance and create a personal developmental plan
- May perform special assignments and other related tasks as assigned
Qualifications for registration representative
- Must be willing and able to instruct others
- You will greet patients and visitors, respond to questions/concerns and direct them to the appropriate location
- Collecting and entering all necessary demographic, clinical, billing and insurance information from patients or responsible parties
- You will explain processes and forms to patients prior to securing signatures and ensures that all documents are properly signed and witnessed as required
- You will determine and accept required payments, including co-pays and deductibles
- Primary Care office experience preferred
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Registration Representative Job Description
Job Description Example
Our company is hiring for a registration representative. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for registration representative
- Pre-register patients for upcoming appointments & services
- Assists patients with other requests including, but not limited to, prescription renewals, test results and medical complaints by forwarding messages to clinical staff
- Performs general registration and clerical responsibilities
- Performs other duties as required or directed, including monitoring access control of visitors within the OB Department
- Greet patients/guests
- Interview patients for identifying information
- Accurately complete patient registrations/admissions
- Verify insurance benefits and pre-certification
- Secure copies of insurance cards and picture ID
- Obtain signed consents and legal documents
Qualifications for registration representative
- Work may include occasional pushing and/or pulling, lifting, and carrying objects weighing up to 20 pounds, such as files, documents and computer printouts
- At least 3 years of medical insurance verification experience preferred
- 1-2 years Medical Office/Admitting/Registration or equivalent healthcare experience preferred
- Bilingual (English/Spanish) preferred (as applicable)
- One (1) year experience in patient access or medical office preferred
- Previous experience with patient registration
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Registration Representative Job Description
Job Description Example
Our company is looking to fill the role of registration representative. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for registration representative
- Prepare appropriate documentation and correspondence to various in-house department , physicians and their staff, review and reconcile census, assist in other coverage within the department when needed
- May be responsible for bedside registering of all patients presenting to the Emergency Department
- Responsible for the screening and interviewing of patients presenting to the Emergency Department for identification of potential sources of financial assistance including eligibility for Federal/State programs that will assist with payment of medical services
- This may include completion of a financial application and required support documentation, credit scoring, appropriate interaction with eligibility vendor and/or HHSC representative
- High school diploma or general education degree (GED), and three to six months related experience and/or training in medical record management
- 3-6 months related experience and/or training in medical record management
- Physician order and physician information (must be forwarded to cashier)
- Obtain signed consents and legal documents, advise patient of expected costs
- Collect payments/make appropriate payment arrangements, review and reconcile census
- Prepare appropriate documentation and correspondence to various in-house departments, physicians and their staff
Qualifications for registration representative
- Minimum of 1-2 years of data entry experience
- Must have computer skills that include use of Windows and the ability to navigate
- Strong customer service skills both verbal and written
- Good verbal, writing, and computer skills are essential
- Ability to comprehend and follow the policies and procedures
- Ability to read, write and speak or communicate in effectively to successfully accomplish the essential duties of the position