Inpatient Registrar & Reimbursement Specialist - Omaha (40 hrs, Mon-Fri)

JOB OVERVIEW:

• Responsible for the efficient and orderly registration of inpatient admissions for Madonna business lines.
• Obtains and completes patient demographic information, consents and authorizations and ensures patients are aware of financial responsibility.
• Responsible to know, understand and apply the facilityâ??s reimbursement process from the IP registration process through collection.
• Proficient in the use of the Registration Application of AFFINITY add information to Sunrise and scan medical records to appropriate folders.
• Responsible for collecting, verifying, recording, revising and overseeing financial payer information for all inpatient programs.
• Consults, advises, and assists the IP Registrar Supervisor & Director of Payer Relations in providing leadership and direction in planning and coordinating customer access.
  
  RESPONSIBILITIES:
• Verifies primary and secondary payers and clarifies benefits per policy for inpatients to ensure proper billing.
• Notifies the pre-admission case manager/nurse liaison of payer benefits and requirements for pre-authorization/pre-certification to maximize reimbursement.
• Computes and records the Medicare benefit days used and available for all Medicare Part A recipients for accurate Medicare billing.
• Verifies Medicaid eligibility for all inpatient programs.
• Develops, analyzes, plans, implements, and follows up on quality improvement processes to increase productivity and efficiency of department operations and resource management.
• Reviews, and maintains daily registration reports.
• Identify admissions that are related to a motor vehicle accident and monitor that the Accident Questionnaire is completed and forwarded to patient accounts.
• Responsible for acquiring all Accident Report Forms.  Understands and operationalizes admission policy and procedures.
• Obtains and enters required demographic information into the computer system prior to the patientâ??s admission.
• Investigates and communicates third party liability coverage to appropriate staff.
• Reviews registration reports and follows up on any missing items from the admission process and makes necessary corrections.
• Interviews and registers incoming patients and/or family of the patient in person or via telephone prior to admission.
• Escorts patients and families to their assigned rooms.
  QUALIFICATIONS:
• High school equivalency with one year post high school education and two years relevant work experience required.
• Relevant work experience is to consist of any of the following: medical registration, insurance processing/collection, awareness of Medicare, Medicaid, and insurance benefit information.
• Demonstrated ability within a related position at Madonna may be considered in lieu of two years relevant experience.
• Additional relevant work experience would be considered in lieu of formal education.
  Madonna provides a professional work environment free from discrimination and harassment, including sexual harassment.  Discrimination or harassment on the basis of a current or potential employee's race, creed, color, religion, sex, sexual orientation, gender identity or gender expression, age, disability, national origin, pregnancy, receipt of public assistance, marital status, Vietnam era veteran status, genetic information, or any other protected class specified under applicable local, state, or federal law is expressly prohibited.