Responsible for accurate entry of all patient registration data, and performing on-line insurance verification in accordance with HIPAA and compliance regulations. Responsible for maintaining, promoting and exhibiting excellent customer service for McLaren Greater Lansing.

Responsibilities:

• Receives complete bed requests and communicates with Administrative Nursing Supervisor in a timely fashion to plan, prioritize and coordinate the admission and transfer of patients.

• Contacts physicians, physician offices, other healthcare agencies and other departments to obtain orders that meet medical necessity and/or are complete (includes patient name, test(s) ordered, reason for test or diagnosis, patient name and birth date, physician signature; and meets medical necessity per CMS guidelines using on-line medical necessity tool). Completes medical necessity ABN forms and issues notification when necessary.

• Collects, verifies and records patient demographic and insurance data prior to service if services are pre-scheduled. If services are not pre-scheduled, may obtain information at time of service. Obtains necessary signatures on all registration and insurance forms.

• Prepares and audits patient records to ensure that registration data is complete and accurate. Copies and distributes patient records as necessary.

• May collect patient co-pays, deductibles and deposits prior to or at time of service as appropriate. Assures that all self pay patients are directed to the Pre-Admission Review staff or the Financial Counselor.

Required:

• High school diploma or equivalent.

• Minimum of six months patient registration or billing experience in acute care setting or physician office; or two years clerical experience that includes data entry, customer service, and recordkeeping; or Associates Degree in Medical Insurance Billing and Coding or related field that includes courses in medical insurance billing and/or coding.

• Experience or coursework in medical terminology.

• Experience with Microsoft office and windows application.

Preferred:

• Associates Degree.

• Two years experience in patient registration.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans.