Interviews incoming patients to secure accurate and complete demographic and insurance information and authorization for admission/registration and efficient and effective billing. Participate in quality assessment and continuous quality improvement activities. Comply with all appropriate safety and infection control standards. Perform all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior.Works under the supervision of a departmental director or designee who assigns and reviews work for conformance with established procedures and standards. Acts as a lead worker to lower level clerical employees.

1. Interviews incoming patients or appropriate individuals in person or over the phone to obtain demographic data and accurate health insurance information to verify existing insurance coverage or establish insurance coverage on-line via third party payer websites with emphasis on verifying the primary care physician data in a courteous and customer-focused manner. Perform point of service collection on insurance co-pays and deductible and pre-payment arrangements as needed. Schedules patients for outpatient services as needed.


2. Refers patients to insurance services as needed to establish pre-payment arrangements and if necessary, for evaluation to determine if there is any other available insurance coverage other than Medicaid that can be established for the patient.


3. Verifies eligibility for insurance identified during registration utilizing telephone, computer, and other available methods.


4. Verifies appropriateness of referrals presented by patients during registration. Requests/enters appropriate referrals and authorizations as needed into registration system. Validate authorizations or referrals by phone or via websites to ensure authorizations and referrals are accurate and complete. Obtain signatures on waivers if the patient chooses to receive services without an authorization or referral present. Obtain signatures for all required documents during the registration/ admission process such as consent to treat, Notice of Privacy Practice, Important Message from Medicare, etc. as needed. Educates patients related to managed care and primary care physician issues and identifies potential problems to appropriate staff.


5. Selects preliminary ICD-9/10 and CPT-4 codes for patients. Enters codes into appropriate computer systems or paperwork.


6. Receives and reviews for accuracy patient registration information from patients, physicians, and/or other ancillary units affiliated with the Medical Center. Contacts physicians to ascertain patient information. Answers inquiries regarding patient status.


7. Documents, copies, and or scans confirming documentation such as insurance cards, identification cards, referrals, or authorization information presented at time of registration.


8. Confers with patients, physicians, clinics, ancillary departments to expedite pre-registration of scheduled patients.


9. Notifies appropriate officials as necessary in event of patient death. Obtains necessary releases and receipts from relatives and funeral homes. Releases deceased patient remains to funeral homes and/or Gift of Life representatives after all paperwork has been reviewed/approved by a Patient Access Representative or management.


10. Type forms or enters data on forms as needed for registration and billing purposes.


11. Escort patients and delivers various paperwork to their appropriate destinations.


12. Operates other standard office equipment such as computers, photocopiers, calculators, printers, and other peripheral devices. Utilizes internal and external (third party) embedded or standalone verification tools. Accesses computer/information systems for retrieval and input of information.


13. Demonstrates effective judgment and ability to understand, react competently to, and treat (if appropriate) unique needs of patient age groups served.


14. Work assigned work queues to ensure timely billing and to maintain established account receivable targets.


15. Performs other related duties as required/assigned. Utilizes new improvements and/or technologies that relate to job assignment.