Patient Registration Specialist I

• Obtains all demographic and financial information by interviewing families face-to-face or via telephone to create and complete the registration process. Accurately creates and updates registration data for patients.
• Schedule patients for office visit and may need to complete the check-in/check-out process.
• Prompts patients for front-end collections payments and reconciling payments via Epic.
• Verifies benefit coverage and eligibility via on-line resources, fax, or telephone.
• Initiates and completes the pre-certification process including the forwarding of any supportive clinical documentation.
• Calculate and validate estimated patient balances and identifies those patient requiring financial assistance.
• Guide patients through the financial assistance process, assist with payment plans, apply for state insurance, and assist with Medi-Redetermination.
• Assist patients with understanding their bill and financial obligations.
• Document all encounters in Epic account notes.
• Performs other related duties as assigned.
• Maintains knowledge of managed care/insurance requirements by attending educational sessions.

• Answers all incoming calls into the registration call flow.
• Complete all registrations during calls with patients/families on inbound and outbound assignments.
• Monitors the Avaya call back assist function in the call center.
• Completes all online registrations submitted by families.
• Mange the interpreting services for non-English speaking patients.
• Ensure all demographic, insurance, emergency contact and appointment information is updated and verified with caller.
• Merges guarantors, corrects duplicate patient records and initiates name corrections and DOB corrections with HIM.
• Verify parental consent details and verify legal custody documents with callers to ensure patient records are up to date.
• Navigates patients through managed care enrollment process for commercial, marketplace and government based insurance options.
• Email and text patient’s appointment reminders at their request.
• Communicate rescheduling details back to the division offices and send out of network and self-pay notices to the divisions.

• Runs eligibility queries for upcoming patient appointments.
• Assists with registration calls.
• Collaborate with the call center registrars to verify eligibility on appointments that cannot be E-verified in Epic.
• Entering in insurance referrals into Epic.
• Create and register all Tele-echo patients and create early intervention authorizations.
• Contact insurance companies as needed to verify patient’s active coverage and benefits.
• Takes calls from division staff and patients needing additional details on insurances Lurie accepts, referral requirements and out of network benefit options. Send out of network and self-pay notices to the divisions.

• Complete all of the patient creation and patient registration details for Outreach hospitals.
• Manage the baby names process for Outreach hospitals that see newborns.
• Coordinate with outreach hospitals on capture of final names for new born babies.
• Coordinate with Outreach hospitals on demographic issues related to incomplete information received in registration batches.
• Manages the CIN registration process.

• High school graduate required; BS, BA, or CHAA preferred.
• Excellent communication/listening skills.
• Customer centric approach to engaging with patients and families.
• Ability to make quick accurate decisions on a daily basis.
• Ability to handle stressful situations.
• Proficient computer skills and aptitude.
• Problem solving ability and able to handle multiple priorities.
• FEMA certification required after hire (ED ONLY).
• Minimum two years’ experience in pre-certification, registration, hospital, clinics, or physician office environment preferred.
• Substantial interpersonal skills sufficient to work effectively with pediatric patients, families, physicians, nursing, other allied health professionals, law enforcement, and funeral directors.
• Knowledge of ICD-10 coding, medical terminology, third party billing and collections, and managed care requirements.
• Knowledge of commercial, marketplace and government managed care products and services.

Ann & Robert Lurie Children's Hospital of Chicago