Registration Rep Specialist

Job Summary The Registration Rep Specialist is responsible for assisting the patient through the pre-registration process to ensure outpatient procedures are screened based on assigned payors, missing or incomplete information is obtained, and insurance eligibility is verified while assisting the patient obtain pre-certifications, referrals, and authorization for patient visits. Required Qualifications Require a minimum of three (3) years of experience in health care and/or customer service related industry. Require an Associate degree, or relevant experience in a healthcare setting can be considered in lieu of the required degree on a year for year basis. Require Certified Healthcare Access Associate (CHAA) certification (must be obtained within one (1) year of hire date into position). Preferred Qualifications: Prefer demonstrated knowledge of medical terminology. Prefer demonstrated understanding of commercial and government insurance payors. Prefer demonstrated knowledge of ICD-10 coding and CPT coding. Prefer demonstrated knowledge of Medicare guidelines and Medical Necessity. Prefer demonstrated ability to establish and maintain effective working relationships. Prefer demonstrated ability to analyze problems and offer solutions. Prefer demonstrated experience using a PC and some analytical software. Prefer demonstrated ability to make independent decisions and handle multiple tasks simultaneously. Prefer ability to work in a fast pace environment of a physician office. Work Days/Shift/Start Time: M-F, 8A-4:30P