Registration Specialist PRN

• General Duties:
• Proactively seeks assistance to improve any responsibilities assigned to their role
• Accountable for maintaining a working relationship with clinical partners to ensure open
• communications between clinical, ancillary, and patient access departments, which enhances the
• patient experience
• Provides timely and continual coverage of assigned work area in order to offer prompt patient service
• and availability for all clinical partner registration needs. Arranges relief coverage during extended
• time away from assigned registration area
• Meets and exceeds productivity standards determined by department leadership
• Meets attendance and punctuality requirements. Maintains schedule flexibility to meet department
• needs. Exhibits effective time management skills by monitoring time and attendance to limit use of
• unauthorized overtime
• If applicable to facility, provides coverage for PBX (Switchboard) as needed, which includes: full
• shifts, breaks, and any scheduled/ unscheduled coverage requirements
• If applicable to facility, maintains knowledge of PBX (Switchboard), which includes: answering
• phones, transferring calls or providing alternative direction to the caller, paging overhead codes, and
• communicating effectively with clinical areas to ensure code coverage. If applicable to facility,
• knowledge of alarm systems and protocols and expedites code phone response. Maintains knowledge
• of security protocol
• Actively attends department meetings and promotes positive dialogue within the team
• Insurance Verification/Authorization:
• Contacts insurance companies by phone, fax, online portal, and other resources to obtain and verify
• insurance eligibility and benefits and determine extent of coverage within established timeframe
• before scheduled appointments and during or after care for unscheduled patients
• Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS)
• standards and communicates relevant coverage/eligibility information to the patient. Alerts physician
• offices to issues with verifying insurance
• Obtains pre-authorizations from third-party payers in accordance with payer requirements and within
• established timeframe before scheduled appointments and during or after care for unscheduled
• patients. Accurately enters required authorization information in AdventHealth systems to include
• length of authorization, total number of visits, and/or units of medication
• Obtains PCP referrals when applicable
• Alerts physician offices to issues with obtaining pre-authorizations. Conducts diligent follow-up on
• missing or incomplete pre-authorizations with third-party payers to minimize authorization related
• denials through phone calls, emails, faxes, and payer websites, updating documentation as needed
• Submits notice of admissions when requested by facility
• Corrects demographic, insurance, or authorization related errors and pre-bill edits
• Meets or exceeds accuracy standards and ensures integrity of patient accounts by working error
• reports as requested by leadership and entering appropriate and accurate data
• Patient Data Collection:
• Minimizes duplication of medical records by using problem-solving skills to verify patient identity
• through demographic details
• Registers patients for all services (i.e. emergency room, outpatient, inpatient, observation, same day
• surgery, outpatient in a bed, etc.) and achieves the department specific goal for accuracy
• Responsible for registering patients by obtaining critical demographic elements from patients (e.g.,
• name, date of birth, etc.)
• Confirms whether patients are insured and, if so, gathers details (e.g., insurer name, plan subscriber)
• Performs Medicare compliance review on all applicable Medicare accounts in order to determine
• coverage. Identifies patients who may need Medicare Advance Beneficiary Notices of Noncoverage
• (ABNs). Issues ABN forms as needed
• Performs eligibility check on all Medicare inpatients to determine HMO status and available days.
• Communicates any outstanding issues with Financial Counselors and/or case management staff
• Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries
• Properly identifies patients, ensures armband accuracy, inputs demographics information, and secures
• the required forms to ensure compliance with regulatory policies
• Ensures patient accounts are assigned the appropriate payor plans
• Ensures all financial assessments, eligibility, and benefits are updated and thorough to support post
• care financial needs. Uses utmost caution that obtained benefits, authorizations, and pre-certifications
• are correct and as accurate as possible to avoid rejections and/or denials. Maintains a current and
• thorough knowledge of utilizing online eligibility pre-certification tools made available
• Delivers excellent customer service by contacting patients to inform them of authorization delays 48
• hours prior to their date of service and answers all questions and concerns patients may have
• regarding authorization status
• Ensures consistent monitoring of interdepartmental tracking tools to proactively identify patients that
• require registration to be completed.
• Thoroughly documents all conversations with patients and insurance representatives - including payer
• decisions, collection attempts, and payment plan arrangements
• Coordinates with case management staff as necessary (e.g., when pre-authorization cannot be
• obtained for an inpatient stay)
• Ensures patients have logistical information necessary to receive their services (e.g., appointment and
• time, directions to facility)
• Payment Management:
• Creates accurate estimates to maximize up-front cash collections and adds collections documentation
• where required
• Calculates patients co-pays, deductibles, and co-insurance. Provides patients with personalized
• estimates of their financial responsibility based on their insurance coverage or eligibility for
• government programs prior to service for both inpatient and outpatient services
• Advises patients of expected costs and collects payments or makes appropriate payment agreements
• in adherence to the AdventHealth TOS Collection Policy
• Attempts to collect patient cost-sharing amounts (e.g., co-pays, deductibles) and outstanding balances
• before service. Establishes payment plan arrangements for patients per established AdventHealth
• policy; clearly communicates due dates and amount of each installment. Collects payment plan
• installments, out-of-pocket costs, outstanding previous balances, and any other applicable amount
• from patients per policy. Informs patients of any convenient payment options (e.g., portal, mobile
• apps) and follows deferral procedure as required
• Connects patients with financial counseling or Medicaid eligibility vendor as appropriate
• Contacts patient to advise them of possible financial responsibility and connects them with a financial
• counselor if necessary
• Performs cashiering functions such as collections and cash reconciliation with accuracy in support of
• the pre-established legal and financial guidelines of AdventHealth when required
• Discusses financial arrangements for newborn(s), informs patient of the timeframe for enrolling a
• newborn in coverage, provides any documentation or guidance for the patient to enroll their child
• prior to or after the anticipated delivery date, and communicates appropriate information to
• registration staff as needed

• High School Grad or Equiv Required
• Associate Preferred
• One or more years of Work Experience Preferred
• Mature judgement in dealing with patients, physicians, and insurance representatives
• Working knowledge of Microsoft programs and familiarity with database programs
• Ability to operate general office machines such as computer, fax machine, printer, and scanner
• Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient
• fashion
• Ability to communicate professionally and effectively, both verbally and written
• Ability to adapt in ever changing healthcare environment
• Ability to follow complex instructions and procedures, with a close attention to detail
• Adheres to government guidelines such as CMS, EMTALA, and HIPPAA and AdventHealth
• corporate policies
• Understanding of HIPAA privacy rules and ability to use discretion when discussing patient
• related information that is confidential in nature as needed to perform duties
• Knowledge of computer programs and electronic health record programs
• Basic knowledge of medical terminology
• Exposure to insurance benefits; ability to decipher insurance benefit information
• Bilingual English/Spanish
• Certified Healthcare Access Associate (CHAA) Preferred
• Certified Revenue Cycle Rep (CRCR) Preferred

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