Team Lead PAS (Columbia County) ED - Nights

Job Summary

To assist management with daily operations, in addition to Registration Specialist duties. Duties will include guidance and mentoring of new/existing staff with daily work, monitoring of quality assurance and productivity reports, daily deposits and orientation of new employees. Must adhere to all functions of Registration Specialist job description. An expectation of this individual is ensuring all financial requirements are met including the collection of patient liabilities and all ABN related payment expectations, and route uninsured patients appropriately through financial counseling.

Core Responsibilities and Essential Functions

• Utilizes proper patient identification; properly armband patients. Ensures all demographic and insurance information is obtained and correct; scans IDs and insurance cards. Sends query for insurance eligibility to validate and accurately document eligibility and benefits. Informs patients of in/out of network status, as appropriate. Accurately completes the Medicare Secondary Payer Questionnaire on all eligible patients. Demonstrates working knowledge of EMTALA, HIPAA, and financial assistance.
• Collects all payments due, including current liabilities, outstanding balances and ABN related amounts.
• Accurately schedules patient follow-up appointments at checkout that best fit the patients schedule in coordination of availability of provider and other resources. Performs other duties to ensure reimbursement is received for appointments/services including, but not limited to, obtaining required precertifications, referrals or authorizations and completing medical necessity checks.
• Assists Management in training, ongoing development, and compiling data for evaluations. Reviews daily audit, performance statistics and productivity reports. Assists staff with work flow questions. Assists with training and job shadowing for new staff and cross training of current staff. Researches issues such as registration errors and patient dissatisfaction. Reconciles liability collections, conducts quality checks on individual deposits. Balances log sheets.
• Obtains all necessary patient demographics, insurance, and financial information for provider services rendered at off-site non-affiliated locations (including all referral and authorizations related to encounters). Reconciles all encounter forms daily. Discusses problems/confidential information appropriately; keeps any confidential documents secure and out of public view.
• Must follow department and System policies and procedures, in addition to all applicable state and federal regulations, including EMTALA. Must adhere to physician/departmental scheduling protocols to accurately schedule patients for appointments. Strives to achieve point of service collection goals, as established annually. Achievement of benchmarks including, but not limited to: greater than registration accuracy rate; insurance verification rate; MSPQ obtained; ABNs obtained.
• Performs other duties as assigned
• Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education

• High School Diploma General or GED General or Associates General-Preferred

Required Minimum License(s) and Certification(s)

All certifications are required upon hire unless otherwise stated.

• CHAA - Cert Healthcare Access Assoc or CPAR - Certified Patient Account Rep or CRCR - Certified Revenue Cycle Rep or CRCR-P - Certified Revenue Cycle Rep - Provisional (90 Days) within 120 Days

Additional License(s) and Certification(s)

HFMA, NAHAM, AAHAM, CPC or equivalent Upon Hire Preferred

Required Minimum Experience

Minimum 2 years registration or face-to-face customer service healthcare setting. Required or Minimum 3 years registration or face-to-face customer service healthcare setting. Preferred

Required Minimum Skills

• Customer Service
• Basic Computer
• MS Office
• Medical Terminology- preferred