To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
The Emergency Department Registrar (EDR) is responsible for all functions and responsibilities related to patient registration in the Emergency Department. Utilizing effective communication, and effective use of technology, the EDR is responsible to perform a variety of functions including accurate patient identification while adhering to Red Flag procedures to insure patient safety. Obtains and updates the patient''s demographic and financial information in a stressful atmosphere utilizing multiple computer systems to assure timely processing of the patient visit. The EDR must stay abreast of all insurance changes and adhere to managed care requirements and all other information legislated for Health Care as it relates to the hospital. The EDR must understand the various insurance carriers'' options and completes insurance entry accurately, satisfying billing requirements to ensure a payable account. The EDR electronically verifies eligibility of insurances, identifies co pay balances and collects co-pays or initiates other funding referrals as outlined by departmental policy. The EDR actively participates with other Emergency Department staff and special protocol teams (trauma, stroke, cardiac) to insure a cohesive, efficient work environment. The EDR must actively participle in incident planning and be prepared to effectively implement incident plan procedures in the event of a disaster. The EDR will also provide support to other areas in the admitting department as deemed appropriate.
Responsibilities: 1. Interviewing and Demographic Information 1.1 Properly identifies patients in a timely and accurate manner while adhering to Red Flag rules to insure patient safety. Prints patient identification label and places ID band on all patients to assure proper patient identification 1.2 Interviews patient timely, creates and prints emergency Department documentation chart, initiating the beginning of the patient''s medical record. 1.3 Demonstrates a thorough understanding of the ED tracking board in order to manage patient flow through the Emergency Department. Consistently manages the registration columns to maintain an accurate and real-time work list reflecting registration status for registration and clinical staff alike. 1.4 Exercises sound judgment when prioritizing patients to be interviewed based on acuity and wait time to ensure complete information and necessary forms are obtained prior to patient discharge. 1.5 Performs bedside registration and/or follow-up, interviewing the patient utilizing the wireless computers when appropriate. 1.6 Adheres to state and federal guidelines as it pertains to HIPAA, JCAHO requirements and all federal mandates. 2. Insurance and Billing requirements 2.1 Demonstrates a solid understanding of the various insurance carriers options and completes insurance entry accurately, satisfying billing requirements to ensure a payable account. 2.2 Exhibits a comprehensive understanding of the on line eligibility and insurance web site systems including understanding patient''s eligibility, determining benefits and co-pay amount due. Documents appropriate computer system according to departmental policies. 2.3 Informs patients of their financial responsibility as it relates to billing requirements and non ? covered balances. Makes all attempts to collect monies due prior to discharge. When applicable explains the hospital credit policy and determines the need to initiate financial document for reimbursements. 2.4 Processes billing edits and reconciles edits in a timely efficient manner to ensure timely reimbursement on the patients account. 2.5 Independently works pre-receivable reports, identifies and corrects billing errors in a timely fashion. 3. Technology Resource Management. 3.1 Maintains a strong working knowledge of SDK,CCSS/SCM,LYNX,ED Manager,POSC and all applicable systems that involve Emergency Department registration. 3.2 Ability to multitask, utilizing multiple computer systems to support efficient workflow in registration. 3.3 Works in conjunction with other disciplines in the Emergency Department (trauma, stoke, cardiac) to follow specific protocols developed based on service to ensure efficient thru put. Demonstrates a solid understanding of the department''s incident disaster plan and can implement as needed as it pertains to Emergency Department Registration/Admitting. 3.4 Responsible to maintain all required system and web application log in codes to make certain they are active for utilization at all times. 3.5 Utilizes the Group Wise system to keep abreast of all Emergency Department registration and department procedures. 3.6 Demonstrates the ability to problem solve resolving various registration issues as they pertain to the computer systems. 3.7 Ability to function within down time procedures with no affect on timely registration. 3.8 Utilizes interpreter services and/or Marti cart as appropriate. 4. Customer Service 4.1 Ensures smooth functioning of the registration process in order to reduce wait time in the Emergency Department. 4.2 Registrar must share an equal percentage of patient registration volume as observed by the supervisor and evidenced by review of productivity reports 4.3 Models customer service standards and demonstrates value for all people in the work environment. 4.4 Attends customer service training program to support model behavior 4.5 Follows department guidelines and identifies events where the service to a customer was less than optimal and appropriately begins and carries through the service recovery process. 4.6 Ensures the confidentiality of patient, staff and management data. 5. Resource Management 5.1 In collaboration with Manager, provide support in other designated work environments within PFAS to support department and patient needs. 5.2 Participates in designated PFAS workgroups to support team building and communication enhancements within the area. 5.3 Attend all in-services and staff meeting as appropriate. 6. Supports Organizational and Departmental goals 6.1 Performs all functions in accordance with established policies and procedures. 6.2 Demonstrates and applies sound knowledge of policies and procedures when performing all registration functions. 6.3 As needed communicates information appropriately to clinical staff, PFAS/SBO management staff as well as customer''s, patients, co-workers and others.
Associate Degree in Business, Health Administration/Health Services, or related field required or relevant strong customer service/technology/healthcare equivalent experience.
Two (2) or more years experience in a customer service environment preferably in the healthcare industry. Hospital and/or third party experience preferred.
Self directed, well organized and exhibiting excellent interpersonal and team oriented skills with a strong ability to interpret insurance benefits and apply to hospital services. Strong PC skills, keyboarding skills and the capability to navigate various software and spreadsheet systems. Must be able to work under intense pressure with ability to problem solve and multi-task. Capable of balancing appropriate level of intervention and partnering with clinical staff to insure the highest quality of patient care.
Responsible for the onsite interviewing of patients prior to and/or during visit to emergency department. Accountable for obtaining and verifying patient demographic and insurance benefits information. Identifies third party insurance requirements in a timely manner in order to facilitate billing and secure third party reimbursement. Identifies co-pays and high dollar deductibles and other out of pocket expenses, in order to collect patient responsibility balances. The EDR takes the necessary steps to protect the patient and the Hospital from financial loss by obtaining accurate demographic and insurance information to expedite the financial clearance process. Must be available to work flexible shifts to meet patient needs including weekends and alternating holidays
Requires dealing with a variety of situations, exercising discretion and independent judgment in dealing with patients/families and hospital staff. Must be able to work under intense pressure in often critical situations with the ability to problem solve and multi-task. Capable of balancing appropriate level of intervention and partnering with clinical staff to insure the highest quality of patient care. To protect the patient and the Hospital from financial loss must have the ability to communicate complex requirements across clinical and financial disciplines.