Posted in Other 30+ days ago.
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Type: Full Time
Location: Morgantown, West Virginia
JOB TITLE &CODE:
Registration Specialist Dental (60763)
Manager, Dental Billing
POSITION SUMMARY: Greets and receives patients into the School of Dentistry clinics. Manages the registration process to ensure the financial viability of the WVU Dental Corporation. Responsible for accurate and timely interviewing of patients and/or relatives in a courteous manner to obtain registration data based upon comprehensive data elements to complete the registration process. Ensures that all state/federal regulations are met. Performs pre-registration / registration / scheduling in person and via telephone interviews. Initiates and coordinates the information necessary for prompt and efficient admission, transfer, or discharge of patients in compliance with state and federal regulations. Maintains knowledge of revenue cycle operations, third party reimbursement and medical/dental terminology. Uses excellent customer service, written, and oral communication skills.
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
High school graduate or GED required
One year of customer service experience
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing
Prepares standard consent form, notice of privacy practice and/or other necessary paperwork related to registration and presents to patient/family/legal guardian for signatures
Secures signatures, witnesses and explains financial responsibility forms, consent to treat, assignment of benefits release of information to insurance company, Medicare forms or any other documents as determines necessary
Obtains and scan patients insurance/medical cards and driver s license into the registration system
Collects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems
Balances daily receipts and cash drawer for patient payments, prepares and delivers deposit bag to cashier s office
Follows up on accounts as indicated by system flags
Accurately utilizes applicable computer software and equipment for access processing
Maintains registration accuracy threshold of 98% as identified in audit processing
Initiates 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.
Initiates 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.
Initiates MSP (Medicare secondary screening). Obtains all information regarding MSP. Documents in registration/billing system all information required on the MSP form.
Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth.
Attends departmental meetings and/or documents review of meeting minutes.
Directs patients needing financial assistance to Dental Billing Office
Schedules, cancels, reschedules, and confirms patient visits over the phone, through mail, and in person for many providers within a variety of specialties. Determines urgency of patient s condition when scheduling visits. Answers patient questions.
Maintains confidentiality according to policy when interacting with patients, providers, families, co-workers and the public regarding demographic/clinical/financial information.
Demonstrates flexibility to meet the needs of department or hospital in regard to changes in work volume, planned change, scheduling changes and emergency call-backs (i.e. weather or disaster)
Provides patients with information concerning insurance, payment of bills and procedures.
Obtains commitment to pay from patients that do not meet requirements for public assistance or full charity write off; maintains current knowledge of major payor payment provisions.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, and grasping; must be able to sit for extended periods of time
Visual acuity must be within normal range
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
High volume, fast-paced office / out-patient clinical environment
SKILLS AND ABILITIES:
Excellent oral and written communication and customer service skills; minimum typing speed of 25 words per minute is required
Must have reading and comprehension ability; must be able to read and write legibly in English
Must have manual dexterity to operate office equipment
Date Reviewed/Revised: September 2016
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.
* Please view Equal Employment Opportunity Posters provided by OFCCP here http://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm.
* The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)