MedStar Health
Patient Registration Associate (All Shifts Required)
MedStar Health, Washington, District of Columbia, us, 20022
Patient Registration Associate (All Shifts Required)
Department:
Emergency Room
Status:
Full-time, 40 hours per week
Schedule:
Day/Evening/Night shifts with rotating weekends (must be available for all shift types)
Union:
Service Employees International Union (SEIU) Local 722
Independently completes pre‑registration and financial clearance activities for Washington Hospital Center patients. The Financial Clearance Representative is responsible for maintaining exemplary levels of customer service in all interactions in accordance with the Washington Hospital Center Mission and Vision. The following major functions outline the essential duties of this position.
Primary Duties and Responsibilities
Completes pre‑registration activities and documents results in the registration system for scheduled patients, including contacting patients by phone or in person to obtain and verify demographic and insurance information, communicating outstanding liability and relaying necessary pre‑arrival instructions.
Uses customer service skills while communicating with the patient’s insurance company, employer, or third‑party payer to secure all required demographic and financial data for accurate and complete information.
Contacts insurance carriers or reviews information from insurance verification systems to determine coverage and eligibility, resolving problems and coordinating payer payment responsibilities among multiple carriers or sources of coverage (e.g., coordinating benefits between primary, secondary, and tertiary payors).
Reviews and updates demographic/insurance information and account status to ensure accounts meet payer requirements and time‑frames for billing and payment, ensuring data quality standards through quality monitoring and report reviews.
Obtains pre‑certification/authorization when required for scheduled services prior to admission or outpatient procedure, or upon admission for nonscheduled services.
Notifies payors of admission or arrival according to facility contractual obligations.
Determines final eligibility of patients for hospital financial/insurance criteria, coordinating activities with physicians, insurance carriers, managed‑care payors, and third‑party payers regarding each admission/registration.
Communicates and documents patient liabilities prior to or at the time of service, establishing contract agreements where applicable per hospital policy for outstanding balances.
Educates patients and family members on insurance coverage, available resources, and hospital billing processes to ensure patient financial commitment is met.
Accurately obtains ICD‑9/HCPCS and CPT‑4 codes from responsible parties for billing purposes or estimating charges for self‑pay patients.
Applies knowledge of government regulations related to Medicare Secondary Payer (MSP) screening, Advance Beneficiary Notice (ABN), and Ambulatory Payment Classification (APCs).
Researches denied accounts and recommends whether to appeal or accept the denial, ensuring appropriate denial/appeal codes are entered into the billing system within required time‑frames.
Reviews/explains bill(s) to patients and/or third‑party payors, requesting corrections for billing errors.
Coordinates and addresses financial clearance issues for patients presenting at sites of service.
Refers self‑pay and other accounts to financial counseling as appropriate.
Stays abreast of changing payor guidelines and requirements, expanding knowledge of current payors.
Performs other duties as assigned.
Minimal Qualifications Education
High School Diploma or GED required.
May require up to one year of technical or specialized training such as training in data entry, medical terminology, and ICD‑9/medical insurance coding/billing.
Experience
1 to 3 years of relevant experience required.
Licenses and Certifications
Medicare Regulation Certification within one year required.
Knowledge, Skills, and Abilities
Ability to read and write; knowledge of grammar and arithmetic including fractions and decimals.
Proficiency with standard office/medical equipment (e.g., typewriter, personal computer, data terminal, online printer, calculator, telephone, facsimile, copier, sterilizing equipment, blood pressure cuff or tables); preparation, comparison, or checking of reports, records, and related data; use of basic formulas, charts, tables, drawings, and knowledge of their application.
Hiring Range USD $25.28 – $38.36 per hour.
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Emergency Room
Status:
Full-time, 40 hours per week
Schedule:
Day/Evening/Night shifts with rotating weekends (must be available for all shift types)
Union:
Service Employees International Union (SEIU) Local 722
Independently completes pre‑registration and financial clearance activities for Washington Hospital Center patients. The Financial Clearance Representative is responsible for maintaining exemplary levels of customer service in all interactions in accordance with the Washington Hospital Center Mission and Vision. The following major functions outline the essential duties of this position.
Primary Duties and Responsibilities
Completes pre‑registration activities and documents results in the registration system for scheduled patients, including contacting patients by phone or in person to obtain and verify demographic and insurance information, communicating outstanding liability and relaying necessary pre‑arrival instructions.
Uses customer service skills while communicating with the patient’s insurance company, employer, or third‑party payer to secure all required demographic and financial data for accurate and complete information.
Contacts insurance carriers or reviews information from insurance verification systems to determine coverage and eligibility, resolving problems and coordinating payer payment responsibilities among multiple carriers or sources of coverage (e.g., coordinating benefits between primary, secondary, and tertiary payors).
Reviews and updates demographic/insurance information and account status to ensure accounts meet payer requirements and time‑frames for billing and payment, ensuring data quality standards through quality monitoring and report reviews.
Obtains pre‑certification/authorization when required for scheduled services prior to admission or outpatient procedure, or upon admission for nonscheduled services.
Notifies payors of admission or arrival according to facility contractual obligations.
Determines final eligibility of patients for hospital financial/insurance criteria, coordinating activities with physicians, insurance carriers, managed‑care payors, and third‑party payers regarding each admission/registration.
Communicates and documents patient liabilities prior to or at the time of service, establishing contract agreements where applicable per hospital policy for outstanding balances.
Educates patients and family members on insurance coverage, available resources, and hospital billing processes to ensure patient financial commitment is met.
Accurately obtains ICD‑9/HCPCS and CPT‑4 codes from responsible parties for billing purposes or estimating charges for self‑pay patients.
Applies knowledge of government regulations related to Medicare Secondary Payer (MSP) screening, Advance Beneficiary Notice (ABN), and Ambulatory Payment Classification (APCs).
Researches denied accounts and recommends whether to appeal or accept the denial, ensuring appropriate denial/appeal codes are entered into the billing system within required time‑frames.
Reviews/explains bill(s) to patients and/or third‑party payors, requesting corrections for billing errors.
Coordinates and addresses financial clearance issues for patients presenting at sites of service.
Refers self‑pay and other accounts to financial counseling as appropriate.
Stays abreast of changing payor guidelines and requirements, expanding knowledge of current payors.
Performs other duties as assigned.
Minimal Qualifications Education
High School Diploma or GED required.
May require up to one year of technical or specialized training such as training in data entry, medical terminology, and ICD‑9/medical insurance coding/billing.
Experience
1 to 3 years of relevant experience required.
Licenses and Certifications
Medicare Regulation Certification within one year required.
Knowledge, Skills, and Abilities
Ability to read and write; knowledge of grammar and arithmetic including fractions and decimals.
Proficiency with standard office/medical equipment (e.g., typewriter, personal computer, data terminal, online printer, calculator, telephone, facsimile, copier, sterilizing equipment, blood pressure cuff or tables); preparation, comparison, or checking of reports, records, and related data; use of basic formulas, charts, tables, drawings, and knowledge of their application.
Hiring Range USD $25.28 – $38.36 per hour.
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