Miramar Research Paper
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The Patient Registration Representative will be responsible for accurate and timely patient registration utilizing medical systems. This person will utilize facility medical necessity tool to verify appropriate diagnosis and coverage criteria. This work will need to be performed according to established policies and procedures. The associate will provide exceptional customer service to physicians, patients, family members and all other medical professionals. In addition to the day to day responsibilities, this person will actively participate in quality improvement and innovative change processes as well as departmental meetings and educational offerings. In this role, the successful candidate must have demonstrated experience handling patients with efficiency and accuracy to broad customer base.
Responsibilities: Perform registration and basic insurance verification, ensuring collection of 7 critical data elements necessary for proper patient identification and billing. Identify and update patient demographic information on ADT system as defined by departmental policy and procedures. Interpret physician orders for appropriate testing or admission criteria. Coordinate patient admission needs and beds assignment to facilitate timely patient placement.
Identify non-participating Insurances or Out of Networks plans; takes necessary steps to inform patients and physicians regarding options, including but not limited to canceling appointment. Obtain Insurance Card copies or validate insurance information via electronic medical record, transfer information, or insurance eligibility tool. Provide courteous and accurate patient and hospital information with way finding instructions for patients, families, visitors, and ancillary areas. Explains processes and forms to patients prior to securing signatures and ensures that all documents are properly signed and witnessed as required.
Assemble and disassemble patient charts or departmental documents according to department policy. Copying and or faxing documents to ancillary areas or physician offices. Maintain inventory control of forms and paper supplies needed in area. Assist with all possible account resolutions pertaining to patient balances. Perform all other duties and projects as assigned.
