vacancies (USA-TN-Nashville) Hospital Registration Specialist-Behavioral Health (Psych) jobs USA

(USA-TN-Nashville) Hospital Registration Specialist-Behavioral Health (Psych)



## Description Vanderbilt Psychiatric Hospital is accepting applications for the Hospital Registration Specialist within a fast paced environment. In this role, you will perform customer service and business office functions in Admitting, TVC Day Surgery/ED registration or for specific clinic(s). Assist in financial problem resolution relating to patient care charges; ensure compliance with hospital JCAHO/HCFA related policies and maintain stringent collection procedures and contract agreements. **Key Functions and Expected Performances:** 1. **Provide Service Excellence to all external (patients, families, staff/faculty from outside departments etc.) and internal (co-workers and management) customers within the guidelines of the VUMC Mission and Credo during every encounter.** 1. Welcome all calls and physical presentations to work area 2. Provide appropriate hand-off to more expert resource, including full details of issues and why they are being handed over for service resolution. 3. Understand, own and resolve each problem with pleasant and professional body language, facial expression and tone of voice. 4. Be prepared to respond to volume need for patient flow by moving quickly from one work area to another 5. Be prepared to participate in on-call pool of staffing for those times when volume is higher than staffing 2. **Adherence to expected performances, protocols and operational requirements** 1. Verify, correct and update all demographic and insurance carrier information on patient accounts in all computer billing systems. 2. Ensure all information in patient information system is updated and accurate as measured by documented errors 3. Employ proper search criteria in order to obtain accurate Medical Record information 4. Ensure that authorization and verification of insurance is accomplished on all patient accounts. Process waivers for all non-covered services and patient accounts that have not yet received pre-certifications. 5. Notify payers which require immediate notification of services at time of service 6. Use on-line tools, as available, to verify information (insurance, etc) 7. Ensure appropriate notification of key personnel when changes are received. 8. Follow all TJC and CMS requirements of patient information and consent 9. Ensure that all cases are entered accurately and thoroughly into multiple computerized patient tracking and registration systems 10. In an effort to ensure patient safety and maximum revenue reimbursement; troubleshoot and convert patient accounts to the correct status based on requests from patient care units. 11. Process all L&D;/Newborn admits in a timely manner documenting all required information in accordance to department policy. 12. Ensure all cases are audited for accuracy and processed into the patient registration system as determined by the departmental policy. 3. **Through communication with patient, evaluate the patient's ability to pay and ensure patient reimbursement meets department protocol.** 1. Ensure that 80% verifiable reimbursement requirement is met 2. Explain billing to patients according to VUMC credit and collection policies 3. Through collaboration with patient/guarantor ensure payment can be made for services rendered and, if appropriate, provide resources to patient for financial assistance 4. Ensure all pertinent information is maintained in proper documentation files for accurate billing of claim, including obtaining necessary patient or guarantor signatures 4. **Perform administrative functions to ensure department functions according to policies, procedures and protocols** 1. Ensure accurate cash collection and balance, reconcile and prepare deposit daily, according to department guidelines. 2. Ensure accurate receipt and return of patient valuables, complying with VUMC policy / procedure for releasing of valuables to patients or families. 3. Assess any variation from procedural norm and, if determined necessary, forward to Assistant Manager and/or Manager. 4. Provide full information to customer and, after determining their level of understanding and comprehension, clarify as needed. 5. **Accountability** 1. Follow all EMTALA, TJC, HIPAA, and CMS requirements of patient information and consent. 2. Provide appropriate hand-off to more expert resource including full details of issues and why they are being handed over for service resolution. 3. Provide service excellence to all external (patients, families, staff faculty from outside departments, etc.) and internal (co-workers and management) customers within the guidelines of the VUMC mission, Promise and CREDO during every encounter. 4. Be prepared to respond to volume and need for patient flow by moving quickly from one work area to another. 6. **Perform midnight census reconciliation per the guidelines outlined in the hospital operations policy (VUH and MCJCHV).** 1. Ensure admission, discharge, and transfer processes reflect current hospital occupancy is consistent with patient locations and levels of care throughout the medical centers. 2. Collect all patient care unit census information prior to midnight each night and review for any discrepancies to correct accordingly. 3. Communicate with patient care units and/or administrative coordinator as necessary according to department protocols. 4. Ensure nightly census reconciliation reports are distributed in accordance per the guidelines required by the Admitting department. ## Basic Qualifications **ESSENTIAL ELEMENTS:** * High school graduate or GED * Three years of experience or the equivalent. *Job:* Medical Coding and Billing *Primary Location:* TN-Nashville-Vanderbilt Psychiatric Hospital (VPH) *Organization:* Vanderbilt Psychiatric Hosp 202700 *Job Posting:* Mar 2, 2014, 3:52:48 PM *Unposting Date:* Mar 7, 2014, 11:59:00 PM *Req ID:* 1401676



(USA-TN-Nashville) Hospital Registration Specialist-Behavioral Health (Psych)



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