Beacon Health System · 3 months ago
Pre-Registration Spec (BMG)
South Bend, IN
Full-time
Onsite
Entry, Mid Level
2+ years expBeacon Health System is dedicated to delivering outstanding care and inspiring health. The Pre-Registration Specialist is responsible for collecting accurate demographic and financial information for clinical care and revenue cycle reimbursement, while providing exceptional customer service to patients and families.
FitnessHealth Care
Responsibilities
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
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
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
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
Qualification
Required
High school diploma or equivalent
Two or more years of previous work experience in insurance, medical records, coding, billing or related area
Knowledge of healthcare revenue cycle
Knowledge of medical terminology & ICD-10 codes
Knowledge of insurance verification process and third-party payors
Strong communication skills, both written and verbal
Experience with computers and other office equipment
Good organizational and analytical ability
Detail oriented
Proven customer service skills
Commitment to patient satisfaction
Working knowledge of Microsoft Office: Outlook, Excel and Word
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
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
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
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
Company
Beacon Health System
Beacon Health System is a Hospital & Health Care centre providing health care facilities
5001-10000 employees
H1B Sponsorship
Beacon Health System has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
Funding
Current Stage
Late StageTotal Funding
$5.54MKey Investors
Health Resources and Services Administration
2024-12-18Grant· $0.14M
2024-05-08Grant· $5.4M
Leadership Team
Kreg Gruber
Chief Executive Officer
Phil Newbold
CEO Emeritus
Recent News
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