Patient Access Registrar Team Leader

Patient Access Registrar Team Leader

The Patient Access Registrar Team Leader performs admitting duties for patients admitted for services at ThedaCare. Meets the mission and goals of ThedaCare and regulatory compliance requirements. Works within the policies and processes as they are being performed across ThedaCare.

Schedule : Variable, need to have flexibility with schedule. On call responsibilities.

Key Accountabilities :

• Assigns accurate MRNs, completes medical necessity / compliance checks, provides proper patient instructions, collects insurance information, receives and processes physician orders, and utilizes overlay tools while providing excellent customer service as measured by Press Ganey.
• Operates the telephone switchboard to relay incoming, outgoing, and interoffice calls as applicable. Adheres to ThedaCare policies and provides excellent customer service in interactions with the appropriate level of compassion. Is accountable for point-of-service goals as assigned.
• Utilizes quality auditing and reporting systems to ensure accounts are accurate and complete. Conducts audits of accounts and ensures forms are complete, accurate, and timely to meet audit standards.
• Performs pre-registration of patient accounts prior to patient visits including inbound and outbound calling to obtain demographic, insurance, and other patient information including patient financial liabilities and collecting point-of-service collections, past due balances, and bad debt. Provides information to the patient / representative or may create and process payment plan options.
• Explains general consent for treatment forms to the patient / guarantor / legal guardian, and obtains necessary signatures. Explains and distributes patient education documents.
• Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code. Enters benefit data to support point-of service collections and billing processes to assist with a clean claim rate.
• Screens medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare. Distributes and documents other forms and pamphlets.
• Performs other duties as assigned including answering the phones at other facilities.
• Collaborates with multiple disciplines to effectively and efficiently provide patient care and achieve the desired patient outcomes.
• Applies critical thinking to assess, plan, and implement day-to-day operations, and communicates updates to team members.
• Delegates team member duties in relation to patient needs, and manages evolving demands from team members, physicians, equipment, and scheduling.
• Manages call schedule, revenue and usage audits, and meeting minutes, and is a super user with department diagnostic equipment and supplies.

Qualifications :

Physical Demands :

Work Environment :

Scheduled Weekly Hours : 40

Scheduled FTE : 1

Location : ThedaCare Regional Medical Center - Appleton - Appleton, Wisconsin

Overtime Exempt : No