Patient Registrar I - Kaseman Behavioral Medicine

Presbyterian is seeking a Patient Registrar I to coordinate the encounter or episode process for our patients and consumers by performing activities related to patient registration.
Accuracy of data capture to reduce denials is paramount.
Secure financial payment at time of service including co-insurance, copayments, residual balances, self-pay and deductible monies due.
Illustrate insurance contract requirement knowledge and use of tools to respond to provider network questions.
Explain documents which require patient or representative signatures.
Use on-line tools to validate eligibility of coverage for presenting patients.
Provides comfort rounding and communicates delays with exceptional patient experience tools.

 

• This is a Full Time position - Exempt: No
• Job is based at PMG - Behavioral Health
• Work hours: Days

Ideal Candidate:

(9) months of work experiences in office, healthcare or customer service environment is required.

• High school or equivalent required
• A minimum of nine (9) months of work experiences in office, healthcare or customer service environment is required.
• Must pass EPIC competency for Registration at completion of Epic Clerical Training class.
• Pass annual competency exam for all areas of responsibility.
• Attend Quarterly MSO meetings.
• Attend Staff meetings
• Attend Employee Forums
• Requires general knowledge of the customer encounter process which may include scheduling, registration, contract requirements, financial guidelines, coordination of services and billing process in terms of what and how work is to be done as well as why it is done while maintaining exceptional patient experience.
  
  

 

 

 

Customer Service and Caring Practices:

• Achieve exceptional patient experience for patients and patient families by using CARES, AIDET and EPE tools.
• Addresses and attempts to appropriately resolve complaints in the moment by using key words at key times
• Ability to manage conflict and appropriately request the help of a supervisor when needed.
• Monitor and maintain the lobby waiting areas for cleanliness and to offer comfort cart rounding to the patients and families. Keep patients informed of delays.

Encounter Components:

• Performs the patient registration process. Manage the accurate collection of patient data which includes but is not limited to;
• Guide informed dialogue with patients and patients representatives regarding e-signature documents and offer printed copies during each registration. Able to answer questions regarding hospital and departmental operations, policies and procedures, including but not limited to Provider Based Billing
• Demographic data
• Insurance critical elements

Investigate insurance eligibility via electronic tools.

Financial Accountabilities:

• Collects identified patient financial obligation amounts including residual balance if applicable
• Refers as appropriate to on site Financial Advocate, or for uninsured to the Financial Advocacy Center
• Follows PMG cash handling policies and balances daily

Message Management:

• Formulates complete and accurate telephone encounter messages and routes to the appropriate Epic in-basket pool to support operational aspects of patient care.

Medical Record Components:

• Instructs patients on the Release of Information process and insure a fully completed ROI Form is submitted to Health Information Management.
• Follows workflows to obtain incoming records, documenting receipt and preparing for scanning into the electronic health record.
• Facilitate paperwork completions for patients. Communicate effectively, document and follow pre-determined workflows. Items may include; Prescriptions, Handicap Placards, Disability Forms

Patient Relations
*Comprehend quality service connection to patient satisfaction and reimbursement
*Manage patient relations in regard to late arrivals for pre-scheduled appointments. Explore all options to resolve the situation while maintaining effective and customer focused communication.

Patient Safety

• Respond quickly to patients showing distress. Follow guidelines set forth by the Clinic Manger to alert the clinical team. Assist in any manner the clinic team directs.
• Ensure registration area, waiting area and walkways are clear of any unnecessary items and are clean and neat.
• Report any concern that may create a safety issue.
• Annual competency completion of Clerical Staff during a Code Blue

Quality Improvement:

• Perform assigned patient care responsibilities, which may include:
• Overdue result letters
• Appointment reminder calls
• Rescheduling

C.A.R.E.S Behaviors:

• Demonstrates CARES behaviors of Collaborate, be Accountable, Respect, Engage and Serve to all whom you encounter.

About Presbyterian Healthcare Services
Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits.

The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities - like challenges, webinars, and screenings - with opportunities to earn gift to earn gift cards and other incentives.

As a mission-driven organization, Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers' markets and local partnerships. Founded in 1908, Presbyterian is a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group. With nearly 14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, Medicaid, and Commercial plans.

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

USD $21.19/Hr.

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.