Preregistration Representative

Location Address:

Compensation Pay Range:

Summary:

Responsibilities:

• Creates scheduled inpatient admission accounts, including obstetric admissions, inpatient and outpatient surgery accounts, series accounts, and radiology and diagnostic studies accounts in the Hospital Information System from Scheduling Systems or other scheduling methods as agreed to by the Hospital.
• Validates and verifies demographics with the patient, physician or other entity by placing outgoing calls, using the Hospital Information System or by other means when appropriate.
• Research patients phone numbers, if not available, by contacting the referring physicians office, search past accounts, and phone directories if necessary.
• Review all outstanding discharged patient accounts prior to phoning the patient. This will ensure the necessary follow up with patient to close previous discharged accounts prior to new visit beginning.
• Contacts patient to complete pre-registration, collect defined minimum data set, including patient demographic and other identification data, insurance or other third-party payer information.
• Pre-Registers accounts in accordance with departmental Documentation Standards. Ensures patient demographic, financial and insurance information is documented in the Hospital Information System in a clear, concise, consistent and accurate manner.
• Research inaccurate, incomplete or inconsistent information in accordance with departmental guidelines.
• Selects appropriate insurance plan codes for patient accounts.
• Provides a high level of customer service when dealing with patients and their families, departments and divisions.
• Communicates with patients in a confidential professional manner using tact and diplomacy.
• Provides high quality work without direct supervision.
• Adheres to department Quality Review process. Performs extensive follow-up as accounts are processed to ensure timely and accurate completion. Adheres to department productivity expectations as outlined.
• Uses department standard priority matrices and guidelines to prioritize daily workflow. Follows other planned priorities as assigned by the Patient Access Supervisor.
• Develops strong working relationships with all units within Patient Access such as, but not limited to Registration, Insurance Verification, POS Team and Financial Counseling. Additionally, develops working relationships with other departments such as the clinics and divisions to ensure maximum communication and coordination of service delivery.
• Participates in staff meetings and training sessions. Stays current on changing payer requirements related to accurate and high-quality registration of patient accounts.
• Receives cross-training to work all Scheduling Systems. Receives cross-training across another department as needed.
• *Works in a team environment. Assists other representatives and the Patient Access Supervisor as needed. Identifies when he/she requires assistance.
• Functions as a registration and insurance plan code expert.
• Identifies staff training needs. Notifies Patient Access Supervisor of any training items or issues that might be relevant to other Patient Access Representatives.

Qualifications:

• Highschool Diploma/GED required.
• Completion of one-year relevant work experience in healthcare, such as registrar, business office, medical group office experience, insurance verification, etc.
• One to two years customer service experience in any environment.
• Must be able to work cooperatively with the public as well as all levels of staff and management within the organization.
• Requires exceptional organizational and prioritization skills. Typing and ten key required.
• **Bilingual preferred

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.