Broad Function:

The Pre-Registration Representative is responsible for completing the pre-registration for all scheduled inpatient and outpatient admissions both efficiently and accurately while creating a positive first impression on the patient experience.

Major Responsibilities:

• Pre-register patients by gathering pertinent patient information such a demographic and insurance information.
• Ability to review and interpret third party billing and payer data.
• Reviews and reconciles schedules daily while meeting or exceeding all daily, weekly and monthly established productivity goals.
• Interviews patients and responsible parties, obtaining accurate and complete personal and insurance data.
• Demonstrates personal accountability by performing to established standards for productivity and quality.
• Maintains necessary lists and records, and provides data to appropriate units as required.
• Contacts physician offices to obtain insurance information or authorization information when required.
• Contacts employers and insurance carriers to verify insurance coverage and eligibility.
• Responds to patient and office requests appropriately.
• Provides highest level of customer service to internal and external customers.
• Communicates and works effectively with colleagues from other departments and physician offices.
• Coordinates with the Financial Counselor all self-pay and Medicare only patients in advance of the scheduled admission.
• Maintains appointments and schedules patients for various tests according to established guidelines.
• Ability to report on site as requested to assist with department functions and for training purposes as requested by department leadership.
• Performs other duties as related or assigned.

Qualifications:

• Requires a high school diploma or GED equivalent.
• One (1) year experience in a hospital business office setting required.
• Effective customer relation skills, ability to organize and interpret data.
• Able to work effectively in a team environment.
• Ability to use a personal computer and related software.
• Six month rolling productivity requirement equal to 95% or above. Must have AHIQA score of A.