Registration Specialist - Patient Access

Job Opportunity at Potomac Valley Hospital (PVH)

Performs a variety of administrative and clerical duties to manage patient registration and patient financial obligation.

MINIMUM QUALIFICATIONS :

1. High school graduate or equivalent. 2. State criminal background check and Federal (if applicable), as required for regulated areas.

CORE JOB DUTIES AND RESPONSIBILITIES : The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

• Obtains demographic / billing / insurance information from patient / family / legal guardian and enters into the registration / billing systems for service and claim processing and scans insurance cards & photo identification. Provides to the patient, information concerning insurance, payment of bills and hospital procedures.
• May complete managed care responsibilities in regard to obtaining pre-certification and authorizations.
• Prepares WVU Medicine standard consent form, notice of privacy practice and / or other necessary paperwork related to registration and presents to patient / family / legal guardian for signatures. Obtains electronic signature for consent to treat and patient financial obligations.
• Collects deposits / co-payments / deductibles / patient liability payments when applicable, provides patient receipt and documents payment in the registration / billing systems.
• Prepares armband for patient identification.
• Balances daily receipts and cash drawer for patient payments as needed. Follows up on accounts as indicated by system flags (courtesy dismissal / comments / red stickers).
• May initiate various screenings and obtains all pertinent information for coverage and completes appropriate paperwork.
• Performs medical necessity checks and completes Advanced Beneficiary Notice as needed.
• Schedules, reschedules, or cancels patients in accordance with hospital workflows.
• Checks for order completeness and validates order against scheduled service.

PHYSICAL REQUIREMENTS : The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WORKING ENVIRONMENT : The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SKILLS AND ABILITIES :

Additional Job Description :

Scheduled Weekly Hours : 0

Shift :

Exempt / Non-Exempt : United States of America (Non-Exempt)

Company : PVH Potomac Valley Hospital

Cost Center : 545 PVH Patient Access

Address : 100 Pin Oak Lane Keyser West Virginia

Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.