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Insurance Verification Registrar

POSITON PURPOSE

Under general supervision of the Patient Access Director, the Insurance Verifier/Financial Counselor/Registrarperforms preadmission, registration, and financial counseling for inpatients, outpatients and surgical services patients, verifies insurance coverages and benefits,  obtains required authorizations, and assists patients with options for meeting their financial obligations to the  hospital.  This role is integral in denial prevention.

ESSENTIAL JOB FUNCTIONS

Every effort has been made to make this job description as complete as possible.  However, it in no way states or implies that these are the only duties the incumbent will be required to perform.  The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the position.

  • Obtains insurance benefits, proof of coverage and pre-certification/authorization for designated inpatients or outpatients.
  • Coordinates with Utilization Review and Patient Financial Services regarding insurance coverage issues.
  • Completes registration and scheduling processes according to established protocol, ensuring the integrity of the patient’s clinical record. This includes, but is not limited to patient, insurance subscriber, guarantor and physician demographics.
  • Meets standards for customer service, registration accuracy, productivity and upfront collection goals.  Reviews registrations daily for quality assurance, and correction of errors prior to close of business (reports provided by supervisor).
  • Researches scheduled appointment log for 3 days out to ensure appropriate insurance documentation, eligibility and verification, completion of referral and/or authorization requirements, and notification to patient of patient portion due at time of service. Reschedules patient within 24 hours of appointment if insurance pre-certification/authorization requirements are not met.
  • Promotes a culture of safety through proper identification, proper reporting, documentation and prevention of medical errors in a non-punitive environment.  Arm bands every patient (Red Rules) prior to the end of the registration process. 
  • Follows the appropriate check in process to electronically date/time stamp patient arrival and departure/handoff times. Includes compliance with EMTALA rules and regulations when working in the Emergency Room, including appropriate registration of the ER OB patient. 
  • Assists patient in registering for and utilization of the Patient Portal to ensure compliance with Meaningful Use.
  • Documents thoroughly and accurately.  Flags patient accounts as necessary for collection of past due balances, incorrect demographics, and other critical notifications as needed.
  • Utilizes payer websites and/or eligibility interface for eligibility and benefit detail, and assigns insurance plans according to validated results.  Performs and documents pre-certification/authorization at time of service for all registrations in compliance with payer requirements.  This includes communication to payer of ALL recorded/ordered procedures.
  • Discusses Coordination of Benefits with patient.  Confirms primary payer and records order of payers correctly within the registration profile. Documents account notes with the results of the COB review.  This includes the Medicare Secondary Payer Questionnaire when the primary insurance is traditional Medicare.  Assigns insurance plans in the correct order in accordance with MSPQ results.
  • Explains registration forms to the expressed understanding of the patient and obtains the signature of the patient or authorized individual in compliance with state and federal guidelines. 
  • Completes Medical Necessity screening as required by Medicare for outpatient diagnostic services. Communicates the results to the patient on the appropriately completed Advance Beneficiary Notice (ABN) form for services that fail Medical Necessity Screening.
  • Calculates patient’s share of cost and performs point of service collection in accordance with upfront collection policy and procedure; collecting self-pay portions, co-payments, and past due patient portions at the time of check in; all other collections to be collected at discharge.
  • Maintains cash drawer in accordance with established procedures. Participates in the daily reconciliation of cash collected and daily deposit as assigned.
  • Abides by the HMH Legal Compliance Code of Conduct. 
  • Maintains a safe work environment and reports safety concerns appropriately.
  • Maintains patient confidentiality and appropriate handling of PHI.
  • Performs all other related duties as required and assigned.

LATITUDE, CONTACTS/INTERACTIONS

All positions of Huntsville Memorial Hospital are part of an interdisciplinary team, and as such, participate in the care and service delivery process through effective interaction with other team members.  Primarily interacts with hospital staff, medical staff, patients, and visitors.

Education: High school diploma or GED required.

Experience: Three years applicable prior hospital experience preferred.

Required Skills: Excellent computer skills, oral and written communication and customer service skills.

PHYSICAL DEMANDS AND WORKING CONDITIONS

Frequent: sitting & reaching.

Occasional: standing, walking, lifting, carrying & pushing.

Visual and hearing acuity required.  Work is inside, with good ventilation and comfortable temperature.

Possible exposure to: toxic/caustic chemicals or detergents, communicable diseases, blood borne pathogens.

 

  • Health Care Plan (Medical, Dental & Vision)
  • Retirement Plan (401k, IRA)
  • Life Insurance (Basic, Voluntary & AD&D)
  • Paid Time Off
  • Short Term & Long Term Disability
  • Training & Development
  • Wellness Resources

Average salary estimate

$50000 / YEARLY (est.)
min
max
$45000K
$55000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Insurance Verification Registrar, Huntsville Memorial Hospital

Join the dynamic team at Huntsville Memorial Hospital as an Insurance Verification Registrar! This exciting role is all about making sure our patients have the best experience while ensuring that all their insurance needs are meticulously handled. Under the guidance of the Patient Access Director, you'll engage in vital tasks including pre-admission processes, financial counseling, and verifying insurance coverages and benefits. Your expertise will be essential in obtaining the necessary authorizations and helping patients navigate their financial responsibilities with ease. We emphasize a culture of safety and encourage the smooth flow of accurate patient information, so you'll play a key part in the registration and scheduling processes, ensuring each patient's record is impeccable. Not only will you tackle routine registrations, but you'll also promote patient safety through outstanding customer service, error checking, and diligent follow-up on critical insurance documentation. If you thrive in a collaborative environment and enjoy working with patients and medical professionals alike, this role is a perfect fit for you. Your contributions will help in preventing insurance denials and improving overall patient satisfaction, which is at the heart of what we do. Ready to make a difference? Come and be part of something meaningful at Huntsville Memorial Hospital!

Frequently Asked Questions (FAQs) for Insurance Verification Registrar Role at Huntsville Memorial Hospital
What are the primary responsibilities of an Insurance Verification Registrar at Huntsville Memorial Hospital?

The Insurance Verification Registrar at Huntsville Memorial Hospital plays a crucial role in the preadmission and registration processes. The responsibilities include verifying insurance coverage and obtaining necessary authorizations, coordinating with various departments regarding insurance issues, and ensuring patient information is accurately recorded in accordance with established protocols. This position is integral in preventing denials and enhancing the overall patient experience.

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What qualifications do I need to become an Insurance Verification Registrar at Huntsville Memorial Hospital?

To qualify for the Insurance Verification Registrar position at Huntsville Memorial Hospital, you need a high school diploma or GED, with three years of applicable hospital experience preferred. Candidates should demonstrate excellent computer skills, along with strong oral and written communication abilities. Customer service skills are crucial, as you will interact frequently with patients and staff.

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How does an Insurance Verification Registrar contribute to patient safety at Huntsville Memorial Hospital?

An Insurance Verification Registrar contributes to patient safety at Huntsville Memorial Hospital by meticulously ensuring that all patient information is accurate and current. This includes proper registration processes and adherence to guidelines, such as EMTALA regulations in the Emergency Room. By maintaining accurate documentation and validating insurance information, the registrar plays a vital role in preventing errors and promoting a safe care environment.

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What role does the Insurance Verification Registrar play in financial counseling?

The Insurance Verification Registrar is pivotal in financial counseling at Huntsville Memorial Hospital. This role involves assisting patients in understanding their insurance coverage, calculating their share of costs, and discussing payment options. By providing clear and comprehensive information, the registrar helps patients navigate their financial responsibilities and makes them feel supported throughout their healthcare journey.

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What are the working conditions like for an Insurance Verification Registrar at Huntsville Memorial Hospital?

Working conditions for an Insurance Verification Registrar at Huntsville Memorial Hospital are primarily indoors, with good ventilation and comfortable temperatures. The role involves sitting and reaching frequently, and occasional standing or walking may be required. While there's a possibility of exposure to chemicals or pathogens, safety protocols are in place, and the work environment is designed to be safe and supportive for all staff.

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Common Interview Questions for Insurance Verification Registrar
Can you describe your experience with verifying insurance benefits?

When responding, mention specific instances where you've successfully navigated the verification process, such as using payer websites or eligibility interfaces. Highlight your attention to detail and how you resolved any discrepancies that arose during verification.

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How do you handle difficult patients regarding insurance queries?

Emphasize your customer service skills and ability to communicate effectively under pressure. Provide examples of how you listened to the patient's concerns and offered clear, understandable explanations of their insurance coverage.

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What systems or software are you familiar with for patient registration?

In your answer, list the specific software or systems you've used, such as electronic health records (EHR), billing software, or insurance verification interfaces. Discuss your proficiency and any relevant experiences that demonstrate your technical abilities.

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How do you stay informed about changes in insurance regulations and policies?

Discuss your commitment to continuous learning and staying up-to-date with industry changes. Mention any workshops, courses, or resources you use to keep your knowledge current, emphasizing how this helps you serve patients effectively.

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Describe a time you had to correct an error in patient registration.

Share a specific example, detailing the nature of the error, how you discovered it, and the steps you took to rectify it. Highlight the importance of accuracy and your proactive approach to quality assurance.

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What strategies do you use to ensure a high level of patient confidentiality?

Outline the importance of patient confidentiality in your role, mentioning best practices like careful handling of PHI and understanding of HIPAA regulations. Provide examples of how you've implemented these strategies in previous roles.

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How do you approach the point-of-service collection process?

Explain your understanding of the importance of upfront collections and how you guide patients through this process. Discuss techniques you use to make patients feel comfortable and informed when discussing financial obligations.

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What challenges do you anticipate in this role, and how would you address them?

Consider potential challenges such as changes in insurance policies or difficult patient interactions. Discuss your strategies for overcoming these challenges, such as seeking feedback, collaborating with other departments, or remaining adaptable.

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How would you promote a culture of safety within the patient registration process?

Provide specific examples of how you’ve contributed to safety in past roles, such as thorough error checking and promoting clear communication among staff. Emphasize the importance of a non-punitive environment where staff feel comfortable reporting issues.

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What do you believe is the most important aspect of being an Insurance Verification Registrar?

Reflect on qualities such as attention to detail, strong communication skills, and empathy for patients. Explain how these aspects come together to create a successful experience for both the hospital staff and patients.

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Huntsville Memorial Hospital is a Joint Commission-accredited, not-for-profit acute care community hospital. Founded in 1927 to memorialize those lost in World War I, the facility provides health care services and delivers quality care to the resi...

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Full-time, on-site
DATE POSTED
December 22, 2024

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