Registrar Sr

GENERAL SUMMARY:

Under the direction of the Patient Access Registration Front Line Manager, the Acute Care Hospital Registrar 2, in addition to performing all Registrar tasks, is recognized as a subject matter expert and mentors’ staff to exceed Beaumont Health and departmental standards along with assigned performance metrics. Performs as a Management Team representative in supervisor’s absence to resolve problems/issues/questions/concerns and initiate downtime and disaster procedures as appropriate. May assist in scheduling staff, assigning tasks, working task lists and assigned work queues, managing processes for the completion of special projects assigned and resolving problems as appropriate.

 

ESSENTIAL DUTIES:             

1. Perform all Registrar tasks and serves as expert resource for Registration staff. Will be assigned to a variety of work area as needed to provide registration services to clinical departments and patient services.
2. Performs all Registrar tasks and serves as expert resource for other staff. May assist with front line problem solving issues on a day to day basis.

• Excellent customers service skills and responds promptly with a warm and friendly reception. Direct patients to appropriate setting, explaining and apologizing for any delays. Maintain professionalism and diplomacy at all times.
• Register patients for each visit type and admit type and area of service via EPIC (Electronic Medical Record- EMR). Collects and documents all required demographic and financial information. Appropriately activates converts and discharges visits on EPIC.
• Scrutinize patient insurance(s), identifies the correct insurance plan, selects appropriately from the EPIC and documents correct insurance order.  Applies recurring visit processing according to protocol. May facilitate use of electronic registration tools where available (Kiosks, etc.).
• Verify patient information with third party payers. Collect insurance referrals and documents on EPIC. Communicate with patients and physician/office regarding authorization/referral requirements. Obtain financial responsibility forms or completed electronic forms with patients as necessary.
• Complex Financial Advocacy: Assertively and professionally seek to handle financial advocacy activities working with Financial Representatives, Patient Financial Services, outside resources (ADVOMAS and Collection Agencies) as necessary to resolve questions, initiate payment plans & re-bills and obtain payments as appropriate. Integrate scheduling tasks and Financial Advocacy so that patients are cleared as part of the scheduling process.
• May perform financial reviews and calculate complex estimates prior to cases going to the Financial Advisor team.
• Review/obtain/witness hospital consent forms, and Notice of Privacy Practices with patient/family. Screen outpatient visits for medical necessity. Provide cost estimates. Collect and document Advance Directive information, educating and providing information as necessary. Collect and document Medicare Questionnaire, issue Medicare Letter as required by Government mandates and enter data according to the Meaningful Use requirements.  Scan documents required and appropriate documents in EPIC.
• May issue receipts and complete cash balance sheets in specified areas where appropriate.  Utilize audits and controls to manage cash accurately and safely.
• Transcribe written physician orders, communicating with physician/office staff as necessary to clarify. Determine & document ICD-10 codes. Performs medical necessity check and issue ABN as appropriate for Medicare primary outpatients.  Note: excluding lab-only outpatients .
• Mark duplicate Medical Records for merge: Research potential duplicate records to determine that the past and current status is correct. Utilize all system resources and contact patient if necessary.
• Affix wristbands to patients, prepare patient charts. Manage/prepare miscellaneous reports, schedules and paperwork. Maintain inventory of supplies.

1. Scheduling and Management duties include:

• May assist with scheduling and review of initial time off requests for further management review. 
• Completes audits and task lists as assigned by the management team.
• Acts a preceptor or shadows newer staff as assigned by Supervisor. Follows the specific standards as defined in the department professionalism policy. Maintains or exceeds the department specific individual productivity standards, collection targets, quality audit scores for accuracy. Serve as management representative when Supervisor is not present to manage technical problems, questions, clinical issues and service concerns.
• Initiates and execute Epic downtime, disaster procedures/disaster drills as appropriate. 
• Communicate with leaders throughout the organization as appropriate to resolve issues utilizing chain of command process.
• Work with Supervisor on process improvement projects, new process flows, new hire training and other projects as needed.
• Merge Duplicate Medical Records: Research potential duplicate records to determine that the past and current records are truly the same. Contact patient directly as necessary.
• Participate with Joint Commission, or other regulartory reviews as needed.
• Correct work queue accounts and Insurance rejections within 1-2 business day(s) to support an efficient billing process.
• Perform other duties as assigned by the team or supervisor. Perform as a lead Registration representative to resolve problems/issues/concerns and initiate downtime and disaster procedures as appropriate.
• Maintain or exceed the Beaumont Customer Service Standards: Service, Ownership, Attitude and Respect. Provide every customer with a seamless, flawless Beaumont experience. Remain compliant with regular TB testing, Flu vaccination.

 

This document represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described.

 

STANDARD QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

 

1. Education / Training:

• High school diploma or equivalent required. Associate or Bachelor’s degree in business, management or other related fields preferred. Working knowledge of Windows, Excel, Word, Outlook, EPIC, Electronic Eligibility System and various websites for third party payers for verification.

1. Work Experience:

• At least 2 years of relevant experience.

 

• Completed initial department training program, initial preceptor and supervisor led Department training program (approximately 1 week) with minimum score of 85% on competency testing/evaluation by preceptor or supervisor. Completion of supervisor and preceptor-led training (4-6 weeks) with a minimum score of 85% on competency testing or by maintaining department set productivity and quality standards. Proficient in medical terminology and has assimilated the proficient typing requirements. Overall, must maintain or exceed their individual  department specific productivity standards, collection targets, quality audit scores for accuracy.

 

• Position elegibility is reviewed on an annual basis. Candidate cannot be in corrective action process.

 

1. Certification, Licensure, Registration:

• None

 

1. Other Qualifications:

 

• Must be able to accurately manage a great number of details in a fast paced, dynamic environment while providing excellent service to Beaumont’s patients, visitors, clinical departments & physicians. Excellent, demonstrated, customer service & communication skills required. Demonstrated problem solving, organization, judgment, and diplomacy, multi-tasking skills are necessary. Ability to work independently and supervise individual workload to meet targets and productivity standard along with a varied schedule. Must be 18 years of age, as required to co-sign legal documents (hospital consent forms, etc).

 

 

WORKING CONDITIONS:    

 

1. Physical Effort

 

• Strength: Position requires incumbent to infrequently perform physical activities requiring ability to push/pull objects up to 20 pounds and occasionally lift objects of up to 30 pounds.
• Manual Dexterity: Position requires incumbent to frequently perform simple motor skills such as answering a telephone, frequently perform simple and moderately difficult manipulative skills such as writing and typing.
• Coordination: Position requires incumbent to frequently perform gross body coordination such as walking, filing, retrieving manuals, frequently performing tasks which require eye-hand coordination such as keyboard skills.
• Mobility: Position requires incumbent to frequently perform mobility skills such as walking, standing, sitting and occasionally perform prolonged sitting. Must be able to push a patient in a wheelchair and walk throughout shift to support clinical departments and assist patients/families as needed.
• Visual Discrimination: Position requires incumbent to frequently see objects far away such as locating a client company and to discriminate colors in industrial signs; occasionally to see objects closely as in reading faces or dials.
• Hearing: Position requires incumbent to constantly be able to hear normal sounds with some background of noise and to distinguish sounds as voice patterns in telephone conversations with clients.
• Concentration: Position requires incumbent to constantly be able to concentrate on details with moderate amounts of interruptions such as staff requests, new projects, financial analysis and strategy, proposal preparation.
• Attention Span: Position require incumbent to attend to task/functions constantly for periods up to 60 minutes in length and frequently attend to task/functions constantly for periods exceeding 60 minutes in length such as complicated reports, contract negotiations and renewals.
• Conceptualization: Position requires incumbent to frequently be able to understand and relate to specific ideas, concepts and theories multiply generated and simultaneously discussed.
• Memory: Position require incumbent to constantly remember task/assignments given to self and others over both short and long periods of time.

 

1. Work Environment:

 

• Position require incumbent to be exposed to a variety of substances within the home office environment, corporate facilities and other sites such as electro-magnetic radiations as in VDT’s and occasionally to dust.

* Beaumont Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.