Pre-Registration Specialist

Company: United Health Centers of the San Joaquin Valley
Location: Fresno
Posted on: January 10, 2022

Job Description:

This position is responsible for the efficient and effective pre-registration of scheduled appointments. Confirms patient appointments per established protocols. Secures patient demographics information for charting, billing and record keeping purposes. Ensures that billing information is obtained in order to pre-register patients. Screens and evaluates processes necessary to determine a patient's eligibility for third party coverage. Additionally, is an expert in UHC's Sliding Fee and has knowledge of UHC's covered services, billing, and reimbursement procedures. Representative must be able to identify any schedule conflicts and take appropriate action to ensure smooth patient flows and the highest level of resource utilization possible. Answer incoming telephone calls from patients regarding their appointments. Deliver excellent customer service and communication.

SUMMARY OF RESPONSIBILITIES:

+ Overall knowledge of the revenue cycle process, registration, insurance verification, pre-certification, billing compliance, payer contracts, patient estimation.

+ Obtaining updated insurance and demographic information, entering it in the computer system, and ensuring completion of all necessary information.

+ Answer incoming calls on a multi-line phone

+ Make outbound calls to confirm and obtain pre-registration information

+ Promptly and courteously answers phone calls from patients. Checks voicemail frequently.

+ Obtaining/updating patient records with registration and eligibility documentation.

+ Providing outstanding customer service to internal and external customers

+ Reporting any potential customer concerns or complaints immediately to management

+ Utilizes protocol for patient look up to ensure accurate identification of patient to ensure data integrity and patient safety

+ Review of appointments for eligibility purposes.

PERFORMANCE AREA 1:

+ Representative will screen and review patient insurance information to determine what payer to use for service date.

+ Representative will check eligibility for each patient on a daily basis.

+ Representative will place a call to the patient to verify demographic and insurance information prior to rendering services.

+ Representative will also inform the patient of pending account balances and/or information needed from the patient.

+ Representative will communicate with Health Care Associate's at multiple sites on a daily basis to collect or instruct staff on information missing or needed.

EDUCATION AND LICENSE/CERTIFICATION:

+ High School Graduate or equivalent. Associates Degree preferred.

PRIOR EXPERIENCE:

+ Minimum 2 years of office experience preferably in a health center setting.

+ Knowledge in scheduling or call center environment.

+ Knowledge of billing processes.

+ Demonstration of strong understanding of front office processes and patient intake.

SKILLS

+ Bilingual (English/Spanish) preferred

+ Team player, work well with others

+ Customer-service oriented

+ Strong computer skills

+ Positive professional insight

+ Flexibility and dependability

+ Demonstrated good problem-solving skills; sound judgment

+ Modern office practices and procedures including email

+ Intermediate computer skills

+ Attention to detail and excellent follow-through on work tasks

+ Able to handle multiple tasks simultaneously

+ Works efficiently and accurately

ID: 2021-1935

# of Openings: 6

Street: 3875 w. Beechwood Ave.

Keywords: United Health Centers of the San Joaquin Valley, Fresno , Pre-Registration Specialist, Other , Fresno, California