Central Registration Associate

Overview

The Central Registration Associate assists patients, facilities and other callers in the scheduling of needed outpatient services offered within the BronxCare Healthcare System in a high volume/high paced call center environment, while delivering an outstanding patient centered customer service experience.   The Associate ensures each patient receives an appropriate appointment with an appropriate care provider and assures that each appointment is compliant with the patient’s health insurance utilization requirements.  The Associate accurately coordinates benefits and prior-authorization to each visit pre-registration and documents Financial Clearance status to scheduled visits to facilitate an express point of service registration at the local outpatient site.

Responsibilities

The employee’s primary responsibility is to deliver an outstanding patient experience, in every way, every time and understand the importance that (s) he contributes to the BronxCare commitment to patients and families.

Responsible for centralized telephone scheduling of patient appointments through the use of ALLSCRIPTS in a Call Center Environment.  The scheduling activities consist of but not limited to scheduling, rescheduling and cancellations.

Demonstrates proficiency in Pre-Registration and Pre-certification requirements for each insurance plan to ensure proper approvals and assures coordination of benefits are available prior to patient arrival.

Verifies insurance, authorizations and pre-registration data for each patient appointment scheduling.  Incorporates missing data and changes to demographics when advised by patient.

Works with Hospital/Clinics personnel to facilitate appointments scheduling for Hospital In-patient discharge follow up visits to ensure continuity of care.

 Maintain the highest level of professionalism and confidentiality at all times to ensure compliance with Federal/State regulations such as HIPPA and EMTALA.

 Act as a liaison with clinics, physicians, patients, staff, insurers and ancillary departments and maintain a positive relationship with all.

Qualifications

High School or GED required, Associates preferred. Knowledge of Windows OS and Microsoft Office applications including Microsoft Outlook/Exchange is required, Word, and Internet browser applications is required, 1-2 years customer service experience, preferably in a call center and/or outpatient healthcare environment is required.  1-2 years’ experience involving Health Benefit verification and Third-Party Billing is strongly preferred. Bilingual – English/Spanish proficiency is preferred.