Registration Representative

Key Responsibilities

• Registration:
• Greet and register patients for medical care in clinic settings, potentially in a 24/7 environment and fast-paced settings like the Emergency department.
• Verify patient demographic and insurance information against National Registration Standards and regional policies.
• Verify Insurance Eligibility and Benefits for all payers using approved systems, including policy limitations.
• Use problem-solving skills to verify patient identification to minimize duplicate medical records.
• Interview patients to obtain payer source, financial, and demographic information, and obtain appropriate signatures.
• Verify, identify, and input Other Coverage Information (OCI), primary, secondary, and tertiary payers.
• Revenue Collection:
• Determine and collect cost-shares and partial payments for services.
• Enter/verify payments in the computer, close cash drawers, count currency, checks, and credit card payments at the end of each shift, and create deposits per cash handling policies.
• Maintain billing accuracy and compliance per KPNW and National Revenue Cycle policies.
• Communicate KPNW policy on payment of services or prepayment for significant patient liabilities.
• Collect past due balances and refer to financial counselors as appropriate.
• Appointing & Messaging:
• Take messages according to scripts and guidelines.
• May schedule and/or cancel appointments based on member needs and regional policies.
• If applicable, make return appointments and referrals.
• Regulatory/Organizational Compliance:
• Explain and request patients to sign regulatory forms (e.g., consent, release).
• Make copies or scan patient identification, insurance information, and related documents.
• Understand and adhere to rules and regulations of Medicare, Medicaid, Managed Care, and Commercial payers regarding referrals, preauthorization, and pre-certification.
• Maintain compliance with CMS by accurately completing Medicare Secondary Payer screening information.
• Explain basic KPNW Medical Center and/or clinic policies and procedures to patients.
• General Services:
• Stock appropriate forms and supplies.
• Handle supplies and equipment in a cost-effective manner according to standards.
• Assist patients with phone numbers, facility directions, and office layouts.
• Direct patients to other departments and administrative services (e.g., Membership Services, Dental, Pharmacy).
• May assist with the orientation of new personnel.
• Perform all other duties as assigned consistent with the job description.

Requirements & Tech Stack

• Experience:
• Six (6) months of health care financial experience OR six (6) months of cash handling experience OR six (6) months of customer service experience in a high-volume customer service environment.
• Two (2) years of experience with keyboarding/typing and navigating multiple computer applications in a Windows environment, including data input.
• Note: Per the National Agreement, current KP Coalition employees have this experience requirement waived.
• Education:
• High School Diploma or General Education Development (GED) required.
• Additional Requirements:
• Excellent verbal and written English communication skills.
• Excellent organizational skills, flexibility, and ability to switch tasks frequently.
• Strong complex problem-solving skills and ability to make decisions independently.
• Final candidates will complete approved medical terminology course within six months of date of hire.

Preferred Qualifications

• Previous hospital or ambulatory clinic registration experience.
• Previous experience with EPIC applications.
• Certification by HFMA or NAHAM preferred.

Notes

• This is a backfill role for core employees for pre-scheduled, next-day & same-day support.
• Geographic area: East and Central Portland Metro.
• Replacement Pool, eligible for differential.
• ON CALL. Employees must meet minimum contractual availability & Employer work requirements.
• Travel: Yes, 100 % of the Time.
• Work Setting: Onsite.