Registration Specialist

Website ctorthopaedics Connecticut Orthopaedics

Job Summary: The Registration Specialist is primarily responsible for the referrals, prior authorization for workers compensation, and pre-estimation needs.  The registration associate acts as an expert resource to all staff within the department, as well as within the CBO, related to the processes associated with registering patients, referrals, and workers compensation pre authorizations.  The Registration Associate demonstrates a service orientation which consistently aims at exceeding client expectations, and which contributes positively to the greater working environment.

Essential Responsibilities: 

  • Verifies eligibility utilizing Phreesia, Availity, Medicaid, Medicare and similar websites to ensure proper registrations are completed prior to patients entering the facility.
  • Collect pre-payments from patients for non-covered procedures
  • Interact with patients to collect correct insurance/demographic information via email, or phone.
  • Serve as a liaison in all Connecticut Orthopaedic office’s related to registration, referrals, workers compensation, registration, and pre-estimation needs.
  • Add Insurance company/plans, employers and reviews duplicate accounts and inactivates as appropriate.
  • Handle Workers’ compensation authorizations and enters all pertinent information into PrimeSite as appropriate.
  • Achieves excellence in performance by working collaboratively with others within the CBO, as well as with tasks and projects related to external vendor relationships.
  • Supports and demonstrates the values of Connecticut Orthopaedic conducting activities in an ethical manner with integrity, honesty, and confidentiality. Demonstrates a positive, open-minded, can-do attitude. Represents a team perspective and willingness and enthusiasm to collaborate with others. Follows through on commitments and achieves desired results. Exhibits sound judgment, obtains the facts, examines options, gains support, and achieves positive outcomes.
  • Familiarization of interfaces and applications that gather registration data, such as patient demographics, as well as knowledge of insurance verification and payer registration denial processes

Skills and Abilities: 

  • Ability to multi-task and prioritize workload
  • Ability to manage high call volume
  • Strong attention to detail
  • Knowledgeable in appending modifiers to office visits and office procedures.
  • Knowledge of all government rules and regulations as it pertains to compliant billing using National Correct Coding Initiative (NCCI), and third-party payor rules.
  • Excellent communication skills both verbal and written
  • Demonstrate proficiency in Microsoft Office Suite, including Word and Excel

Experience/Educational requirements:

  • EDUCATION: High school diploma or equivalent; supplemented with three (3) years of related work
  • EXPERIENCE: Preferred Experience in Greenway Primesuite Practice Management and EMR, Payer Eligibility Web Sites is helpful, Customer service skill set.
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