Patient Access Registrar-Telecommuting Resume Example

Initial Admission:

Placed registration on hold for all patients admitted to PEDS, PICU or Observation/Outpatient (per hospital face sheet) on hold at the registration level until status had been confirmed as inpatient or outpatient.

Within 5 calendar days of admit, confirmed admission type as inpatient or outpatient.

If the status had changed from the initial Admission

deleted charges and billed with correct CPT code based on Medical Records review.

New Patient Registrations:

For all new registrations, required to obtain complete accurate insurance and demographic information and register information into OBR system.

Verified the following:

Authorization Number when applicable.

Patient's Legal Name

Primary Policy Number

Group Number

Patient and Subscriber Information

Subscriber DOB

Prepared Billing and Registrations:

Gathered and verified current demographic information by speaking with the parents or hospital.

Obtain correct Insurance/Medicaid information from parents.

Contacted Insurance companies to verify insurance data on accounts.

Completed registration and billing of all accounts within the

designated timeframe.

Obtained authorization numbers as requested by the insurance companies.

Updated accounts in regard to changes in insurance or demographic information.

Prepared and submitted daily census and monthly statistics. Obtained daily census by unit for each facility.

Compared census to OBR daily and made corrections.

Ran report and balanced charges entered daily.

Ran report to resolve unbilled registrations.

Ran report to resolve missing charges.

Provided support services to Corporate/Regional Office

Prepared and submitted all payments and disbursements along with check requests to Accounts Payable Dept.

Assisted the Credentialing Dept. in obtaining hospital privileges and medical credentials for both newly hired and currently employed physicians and nurse practitioners.

Provided billing and/or census to Regional Auditor within the timeframe requested.

Attended Patient Account Meetings via telephone or web access.

Submitted Medical Record requests from the hospital medical records department .

Maintain strict confidentiality in accordance with HIPAA regulations.

Performed other job-related duties in a positive professional demeanor.

Registered Patients from hospital census.

Verified insurance and demographic information.

Registered patients via American Medical software.

Billed insurance and Medicaid for services rendered.

Submitted Medical Records to Insurance companies and Medicaid for denials.

Posted insurance and Medicaid payments to registered accounts.

Bookkeeping

Bank Deposits

Payments

Worked accounts that were 60 days old by calling insurance companies or parent contact.

Helped parents with billing questions.