Job Title

Completes the pre-registration clearance process for outpatient tests and procedures performed by Baptist-Oktibbeha County. The Pre-Registration Specialist receives scheduling information, reviews accounts for medical necessity and pre-auth requirements, pre-registers patients and provides patient education and financial counseling relative to the scheduled service. Works well with each department and external agencies to ensure seamless, informed customer service. Provides courteous, informative services to patients and referring clinics to promote a positive impression of BMHCC. Job Responsibilities Review scheduled procedure for medical necessity and pre-authorization. If order does not meet medical necessity call the physician's office to obtain additional diagnosis, if appropriate. If unable to obtain additional diagnosis, have patient sign ABN, unless patient elects to reschedule or declines. Call the scheduled patient to pre-register them for services approximately 3-5 days prior to arrival. Provide information on when and where to check in; parking; personal items; visitation. Update demographic &insurance information as appropriate. Send updated face sheet to OP. Create a Care Estimate when appropriate for an account and provide the Care Estimate with financial counseling and payment options. Send copy to OP. Explain policies regarding services, charges, insurance billing and payment of account. Request full or partial payment for services rendered according to collection policies. Answer any financial questions and explain hospital financial policies to patients. Inform former patients or their representatives of delinquent accounts and attempt to obtain payment. Refer delinquent accounts to the patient accounts department for further action. Produce paperwork packet on each patient for distribution to appropriate departments. Communicate pre-registration status to OP department prior to check-in. Communicate payment pre-arrangements with OP department prior to check-in. Work with physician offices and ancillary departments, providing information when necessary or forwarding relevant documents. Other duties as assigned.