Registration Specialist

OVERVIEW

This position supports Patient Access operations by resolving complex registration and billing issues, researching insurance requirements, assisting with authorizations, and conducting audits to ensure accuracy and compliance. The role also develops and facilitates employee training, provides education and guidance to team members and leadership, and maintains training resources to promote consistent processes, operational efficiency, and exceptional patient service.

SCHEDULE: Full-Time, 40 hours per week. Hybrid.

Essential Duties and Responsibilities

• Analyzes billing denials related to registration errors to investigate root cause.
• May be responsible for correction of highly complex registration issues and system set up.
• Responds to inquiries for the purpose of finding resolution to complex registration errors and issues.
• Researches the registration requirements of insurance companies through phone, web, or review of contracts and monitor insurance notification of changes that may impact front end processes.
• Performs monthly registration audits to confirm pre-admission functions, insurance verification and pre-certification actions are performed and accurate.
• Takes opportunity through audits to provide education to partners in need of guidance.
• Provides feedback to partner leadership partners and if audit findings show ongoing issues.
• Assists with insurance authorizations.
• Assists with setting up new financial programs such as credit card and bank loan programs.
• Plans and organizes patient access/registration employee training and materials to implement training activities that address front end/access processes at clinic and hospital locations.
• Develops individual orientation and ongoing training for employees to ensure compliance with consistency, uniformity and understanding of registration process.
• Facilitates training logistics.
• Presents necessary information for making decisions, increasing efficiency and effectiveness, and enhancing customer service.
• . Creates and maintains a variety of manual and electronic files and/or records (e.g. training procedure manuals, guides, course materials, handouts/visuals, training records, required reports, etc.) for the purpose of providing up-to-date reference and complying with regulatory requirements and established guidelines.
• May be required to work alternate shifts, weekends, and overtime during peak periods.
• Other duties as assigned.

Culture of Excellence Behavior Expectations

To perform the job successfully, an individual should demonstrate the following behavior expectations:

Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals.

Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions.

Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals.

Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue.

Education and Experience

High school diploma or equivalent preferred

Three years of experience in healthcare relating to insurance, billing, registration, claim filing, or collections required

Knowledge of commonly used concepts, practices and procedures within the healthcare field required.

Experience with Microsoft Outlook, Word, and Excel required.

Experience with an EMR system preferred.

Training experience preferred.

Certification and Licensure

Healthcare revenue cycle related certification or an equivalently designated certification approved by management required within 1 year.

Skills and Abilities

Excellent oral and written communication skills/organizational skills.

Strong problem-solving skills.

Knowledge of various health care systems and databases desirable.

Knowledge of general computer applications (word, excel, outlook, etc.)

Special Physical Demands

Medium work exerting 10 to 25 lbs. of force frequently and 25 to 60 lbs. of force occasionally. While performing the duties of this job the employee is constantly required to sit, stand, walk, push, pull, handle, finger, feel, reach, talk and hear. The employee is frequently required to twist at the torso and stoop. The employee is occasionally required to climb ramps/stairs, crawl, crouch, kneel, carry, lift from floor to waist, reach at/below shoulder level and overhead. The employee is frequently required to sit and work at a computer for long periods of time Specific vision abilities required by this job include constantly using close vision, color vision, adjust focus, and distance vision. Manual dexterity is needed to operate telephone and keyboard. Must be able to push a patient in wheelchair.

Level of Supervision

There are no supervisor responsibilities for this position. Some independent judgment is required, but alternatives are limited by standard practices or procedures.

Supervises

N/A

PAY RANGE

$21.00 - $31.50

Mercyhealth is an Equal Opportunity Employer . All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status.

Mercyhealth offers competitive pay and a comprehensive benefits package including:

• Medical, Dental, Vision
• Life & Disability Insurance
• FSA/HSA Options
• Generous, accruing paid time off
• Paid Parental and caregiver leave
• Career advancement and educational opportunities
• Tuition and certification reimbursement
• Certification Reimbursement
• Well-being Programs
• Employee Discounts
• On-Demand Pay
• Financial Education
• Annual recognition/awards events
• Partner appreciation days
• Family entertainment/attractions discount
• Community service/improvement opportunities

Click here for more details regarding Mercyhealth Careers Benefit Information.

At Mercyhealth, we don’t simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin.

Mercyhealth has been nationally recognized for our commitment to our people and culture, including:

• #1 in the nation on AARP's Best Employers for Workers Over 50
• One of Working Mother magazine's 100 Best Companies for Working Mothers
• A Top 50 Company and Top 10 Nonprofit for Executive Women