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Northwell Health Registrar Verifier in Mount Kisco, New York

Req Number 003FK1

Job Description

Verifies that patients entering the hospital for inpatient and targeted outpatient services are properly screened for insurance verification, managed care authorizations and insurance co-pay information. Support for all inpatient admissions and designated outpatient departments to manage the authorizations, collection of correct insurance and co-pay amounts prior to date of service. Pre-register patients and request co-pay at time of pre-registration

  1. Prints the schedule of the identified outpatient departments from the HIS system.

  2. Verifies insurance, demographic, authorizations and co-pay amounts for scheduled outpatient cases and billed accounts required new verification.

  3. Utilizes eligibility online system, web sites, calls insurance or physician office to obtain correct information when necessary.

  4. Revises demographic and financial information and enters co-pay information in HIS.

  5. Pre-registers patients for elective procedures and requests identified co-pay amount at time of pre-registration.

  6. Documents the status of co-pays at the specified fields identified in the HIS system so that the outpatient service department is aware of what to collect at point of service.

  7. Communicates issues with outpatient department scheduler regarding issues of authorizations, patients' insurance coverage so that department may make a decision to proceed or not with scheduled case.

  8. Refers Self Pay patients to Financial Assistance.

  9. Attends meetings and participates on Project Teams as requested to facilitate department co-pay programs.

  10. Verifies insurance coverage and notifies insurance companies of in-patient admissions.

  11. Updates the hospital HIS with accurate revisions to the patient's registration regarding demographics, Insurance information and hospital stay authorization.

  12. Routes applicable payer calls re: clinical information to appropriate inpatient Care Manager.

  13. After eligibility and notification is complete and reference number documented, transfers coordination and follow-up of Self Pay inpatient cases to a Financial Counselor for payment arrangement and financial assistance.

  14. Provides general Hospital Information to patients, visitors, etc. and / or directs more specific inquiries to the appropriate party if called upon.

  15. Interviews patients and / or their representatives prior to or at the time of registration / admission, to accurately obtain all demographic and financial information required for patient's registration / admission. Documents reason for lack of required information or any other unusual circumstances as determined by finance.

  16. Informs patient and / or their representative of financial agreement with the Hospital, Consent to Treatment, and HIPPA Privacy Notice, etc., and obtains signature and witnesses on same, as required.

  17. Validates that patient's insurance is active using the hospital eligibility software.

  18. Refers self-pay patients to Financial Counselor for payment arrangement and / or financial assistance.

  19. Collects and issues receipts for patient and / or non-patient cash items.

  20. Processes all credit card transactions.

  21. Proves daily cash receipts with checks and cash and prepares daily reconciliations.

  22. Responsible for the maintaining the Petty Cash change fund consisting of coin to be purchased by the Cafeteria and Security.

  23. Maintains record of valuable secured in the vault and check out valuable returned to the Patient.

  24. Notifies by mail the patient or family member of valuable left in the Hospital safe at time of discharge.

  25. Maintains a working knowledge of third party payer regulations, current contractual agreements, hospital managed care contracts and authorization requirements.

  26. Alerts supervisor / manager to any problem situations or accounts.

  27. Participates on project teams as required to develop computer system and workflow solutions for improved eligibility verification and collection of departmental co-pays.

  28. Performs related duties, as required. *ADA Essential Functions

Qualifications

  • High School Diploma or equivalent required.

  • One to two (1-2) years previous hospital or physician billing experience. Insurance experience preferred.

  • Experience with computer and / or data entry and medical terminology.

  • Excellent communication skills, including the ability to project the Hospital's Service Quality Initiative.

  • Excellent organizational skills.

  • Excellent problem solving skills.

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