New job Health Registration Specialist in Oklahoma

Health Registration Specialist

Company : Cherokee Nation
Salary : Details not provided
Location : Oklahoma

Full Description

Job Summary:
Registers patients according to Cherokee Nation policy and procedures. Ensures accurate and timely entry of patient information (i.e. patient demographics, billing information, Medicare, Medicaid, private insurance, and Meaningful Use criteria). Provides excellent customer service for the benefit of the patient and Cherokee Nation.

Job Duties:
Greets and assists all patients and visitors in a courteous and friendly manner. Determines the eligibility of patients seeking healthcare, who have not been previously treated within the Cherokee Nation Health system, by obtaining a Certificate of Degree of Indian Blood (CDIB) card or other documentary proof of tribal membership in a federally recognized tribe. Assists patients in completing new or updated forms and gathers patient signatures as required. This includes inpatient, outpatient, emergency and after-hours patients. Interviews all new and existing patients to obtain pertinent registration information necessary to ensure proper healthcare standards. Verifies patient billing information through automated processes, registration interfaces (Emdeon), patient contact and payer contact by phone as necessary. Photocopies all third party healthcare cards and explains to patients why it is necessary for the hospital to bill for services rendered. Maintains current knowledge of beneficiary eligibility requirement for Medicare and Medicaid. Maintains current knowledge and implements the Privacy Act, Health Insurance Portability and Accountability Act (HIPAA), and other applicable patient confidentiality rules and regulations. Enters Medicare, Medicaid and private/commercial insurance (I.e. medical, pharmacy, dental, behavioral health, vision, etc.) billing information. Reviews notes and communicates with the Patient Benefit Advocate/Patient Benefit Coordinator to exchange billing information and ensure coordination of patient eligibility and benefits. Maintains acceptable production and quality assurance standards. Uses strong interpersonal/human relationship skills in order to provide exceptional customer service. Maintains a positive attitude in the work place. Directs patients' inquires to the appropriate personnel. Other duties may be assigned.

SUPERVISORY RESPONSIBILITIES
This job has no supervisory responsibilities.
Qualifications:
EDUCATIONAL REQUIREMENT
High school diploma or general education degree (GED).

EXPERIENCE REQUIREMENTS
At least one year experience in a related field.

COMPUTER SKILLS
To perform this job successfully, an individual should have knowledge of Database software.

CERTIFICATES, LICENSES, REGISTRATIONS
None.

OTHER SKILLS AND ABILITIES
Ability to answer intelligently, tactfully, and accurately patient questions.


OTHER QUALIFICATIONS

Employee must not and will not be under sanction by the United States Department of Health and Human Services Office of the Inspector General (OIG) or by the General Services Administration (GSA) or listed on the OIG’s Cumulative Sanction Report, or the GSA’s List of Excluded Providers, or listed on the OIG’s List of Excluded Individuals/Entities (LEIE).


Knowledge of interview techniques and business office billing requirements.


PHYSICAL DEMANDS

While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee is occasionally required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 10 pounds, frequently lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision and ability to adjust focus.


WORK ENVIRONMENT

The noise level in the work environment is usually moderate.


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