Pre-Registration Spec BHS

Beacon Health System

Granger, IN

JOB DETAILS
SKILLS
Analysis Skills, Basic Cardiac Life Support (BCLS), Billing, CPR Certification, Calendar Management, Clinical Medicine, Communication Skills, Computer Skills, Cookies, Current Procedural Terminology (CPT), Customer Support/Service, Demographics, Detail Oriented, Documentation, Electronic Medical Records, End-Stage Renal Failure, English Language, Ergonomics, Establish Priorities, Family Medicine, Financial Planning, Healthcare, High School Diploma, Hospital, ICD-10, Identify Issues, Insurance, Insurance Regulations, Interpersonal Skills, Medical Billing, Medical Coding, Medical Conditions, Medical Library, Medical Office, Medical Records, Medical Terminology, Medical Treatment, Medicare, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft Word, Nursing, Occupational Health, Office Equipment, Operating Systems, Organizational Skills, Patient Care, Performance Management, Policy Development, Presentation/Verbal Skills, Problem Solving Skills, Procedure Development, Product Pricing, Project Design, Quality of Care, Regulatory Requirements, Remote Access, SSI, Vaccination, Worker's Compensation, Writing Skills
LOCATION
Granger, IN
POSTED
30+ days ago

Pre-Registration Spec BHS in Granger, IN - Careers at Beacon Health System - Jobs in Healthcare Pre-Registration Spec BHS in Granger, IN - Careers at Beacon Health System - Jobs in Healthcare

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Beacon Health System has been named to the prestigious 2023 Forbes list of America's Best Employers by State.

"We are honored to be recognized by Forbes as one of the top employers in the state of Indiana," said Beacon Health System CEO Kreg Gruber. "I am grateful to our associates for their significant contributions to our health system and their unwavering dedication to our patients every day. We strive to make Beacon a great workplace for everyone."

"I want to thank and congratulate each and every Beacon associate for their hard work, because we can't be a great employer without them," Gruber said. "This recognition would not be possible without a commitment to our mission - to deliver outstanding care, inspire health and connect with heart."

COVID Vaccination Required

Our mission is to deliver outstanding care, inspire health and connect with heart. For us to fully deliver outstanding care, we must ensure we provide the safest environment for care that we can. Beacon is now requiring the COVID vaccination for all associates.

Beacon Breaks Ground on New Memorial Hospital Patient Tower

In October 2022, Beacon Health System leaders broke ground on the new 10-story patient care tower on the campus of Memorial Hospital of South Bend. This transformational, once-in-a-generation project is designed to enrich the patient, family and visitor experience while meeting the growing healthcare needs of residents in our area for decades to come.

The tower is expected to create an estimated 500 new jobs in the community upon anticipated completion in early 2026. Click here to learn more about the new patient tower.

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Pre-Registration Spec BHS

  • Granger, IN
  • Central Pre-Registration
  • Beacon Health System
  • Full-time - Day - Monday-Friday 8:00-5:00
  • Req #: 223812

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Summary

Reports to the VP Patient Access under general supervision and according to established policies and procedures. Completes the pre-registration which includes collecting accurate demographic and financial information for the purpose of clinical care & revenue cycle reimbursement. In addition, this position provides exceptional customer service during every encounter with patients, families, and BMG associates by communicating with empathy and clarity regarding the details of the next step in care for the customer.

MISSION, VALUES and SERVICE GOALS

  • MISSION: We deliver outstanding care, inspire health, and connect with heart.
  • VALUES: Trust. Respect. Integrity. Compassion.
  • SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.

Pre-Registration Specialist/Integrated Care duties in accordance with established policies and procedures by:

  • Contacting patients to conduct pre-registration using daily work management queues.
  • Maintaining productivity standards set within the department.
  • Maintaining registration accuracy threshold of 98% as identified in audit processing.
  • Accurately identifies patients in the EMR, collects and verifies all information contained within the registration conversation including demographic and insurance information.
  • Verifying insurance eligibility using online eligibility system, payer websites or by phone call.
  • Identifing and/or determines patient Out of Network acceptance into the organization.
  • Reviewing insurance information & provides patient estimates utilizing price estimator products.
  • Collecting patient''s out of pocket expenses and past balances.
  • Meeting individual and department goals.
  • Coordinating when necessary the patients who need financial assistance to speak with a Financial Counselor (Navigator).
  • Providing explanation for billing procedures, policies and provides appropriate literature and documentation.
  • Scheduling, canceling, rescheduling and confirming patient appointments over the phone.
  • Following standard of work to determines urgency of patient medical condition when scheduling appointments.
  • Scheduling appointment based on the type of visit and insurance coverage requirements along with all test ordered by physician and coordinates appropriately.
  • Balancing daily receipts for patient payments.
  • Providing exceptional customer-centric service during every encounter with patients, and associates.
  • Participating in performance improvement (i.e., follows established work systems, identifies deviations or deficiencies in standards/systems/processes and communicates problems to supervisor or manager).
  • Understanding how the flow and rhythm of each task and can connect each resulting in convenient, connected and coordinated care for the patient and/or downstream customer.
  • Using numerous software platforms (multiple EMR''s, insurance websites, scheduling software, etc.) to conduct tasks for patient care.

Uses the following specialized screening when necessary by:

  • Initiating auto accident liability coverage. Identifies all patients involved in an auto accident and obtains all pertinent information regarding medical or non-fault liability and documents in registration/billing systems.
  • Initiating ERSD (end stage renal disease) screening. Identifies ESRD patients and obtains all pertinent information regarding coverage by SSI and documents in the registration/billing systems.
  • Initiating Veterans Administration eligibility screening. Identifies all VA eligible patients and coordinated admission/treatment with AV and documents in the registration/billing systems.
  • Imitating Black Lung SSI screening. Identifies all patients covered under Black Lung and documents in the registration/billing systems.
  • Initiating Workers Compensation screening. Accurately identifies all patients seeking treatment for work related injuries. Assists in completion of appropriate paperwork and documents in the registration/billing systems.
  • Initiating MSP (Medicare secondary screening).Obtains all information regarding MSP. Documents in registration/billing system all information required on the MSP form.

Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by:

  • Enhancing professional growth and development through in-service meetings and educational programs as approved.
  • Assisting others and/or accept additional duties.
  • Maintaining up-to-date knowledge and stays abreast of changes and updates as they occur. (Includes but not limited to, insurance, department and processes changes.

ORGANIZATIONAL RESPONSIBILITIES

Associate complies with the following organizational requirements:

  • Attends and participates in department meetings and is accountable for all information shared.
  • Completes mandatory education, annual competencies and department specific education within established timeframes.
  • Completes annual employee health requirements within established timeframes.
  • Maintains license/certification, registration in good standing throughout fiscal year.
  • Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
  • Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
  • Adheres to regulatory agency requirements, survey process and compliance.
  • Complies with established organization and department policies.
  • Available to work overtime in addition to working additional or other shifts and schedules when required.

Commitment to Beacon''s six-point Operating System, referred to as The Beacon Way:

  • Leverage innovation everywhere.
  • Cultivate human talent.
  • Embrace performance improvement.
  • Build greatness through accountability.
  • Use information to improve and advance.
  • Communicate clearly and continuously.

Education and Experience

  • The knowledge, skills, and abilities as indicated are normally acquired through the successful completion of a high school diploma or equivalent; two or more years of previous work experience in insurance, medical records, coding, billing or related area to develop knowledge of healthcare revenue cycle. Knowledge of medical terminology & ICD-10 codes, knowledge of insurance verification process, and third-party payor''s, strong communication skills, both written and verbal, experience with computers and other office equipment, good organizational and analytical ability; must be detail oriented, proven customer service skills, along with commitment to patient satisfaction, working knowledge of Microsoft Office: Outlook, Excel and Word.

Knowledge & Skills

  • Demonstrates well-developed communication skills to communicate effectively and clearly to a variety of internal and external contacts.
  • Demonstrates analytical skills necessary to solve problems and interpret data.
  • Promotes collaboration and innovation in the clinical services to ensure an interdisciplinary approach to improving healthcare delivery and the quality of patient care.
  • Must be tactful in communicating problems which are often of a highly personal and confidential nature.
  • Must be able to maintain professionalism during potential frustrating interpersonal situations.
  • Demonstrates a high knowledge level of procedures, including knowledge of CPT codes and ICD-10 Codes.
  • Demonstrates a high knowledge of insurance network guidelines to ensure the referral is scheduled in accordance with customer''s insurances rules and regulations.
  • Ability to type 55-65 WPM.
  • Using critical skills to make decisions, identify problems, create solutions and helping to implement change.
  • Escalates concerns when necessary.
  • Effectively prioritizing work.
  • Working at a fast pace and maintaining accuracy.

Working Conditions

  • Assigned hours within your shift, starting time, or days of work are subject to change based on departmental and/or organizational needed.
  • Evening hours may be required.
  • Working space is frequently congested by other personnel.
  • Constantly exposed to noise and distraction.

Physical Demands

  • Requires the physical ability and stamina to perform the essential functions of the position.
  • Sitting for long periods of time in front of a computer monitor.

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