Registration Services Representative - Clinical Practice Services

Summary The Registration Services Representative (RSR) is responsible for complete registration & eligibility on non-central scheduled patients, scheduled inpatients, and research patients. This includes answering incoming calls for registration and using work lists to ensure all registrations are complete before the patient arrives in the clinic. The RSR enters insurance information obtained from the clinic check-in process, and corrects registrations forwarded via work queues from billing system edits. The RSR is responsible for running electronic eligibility checks and completing MSP questionnaires for Medicare patients. Information is documented in the Epic system with extreme accuracy to ensure proper billing and collections and customer service. Hybrid Position: 95% Remote & 10% Onsite, must live in Metro Milwaukee, WI area. Primary Responsibilities • Registers patients via phone and work lists/reports to ensure complete and accurate registration data is in the Epic system before the patient’s clinic visit. • Enter all patient demographics and insurance and coverage information in software or databases. • Ensures compliance policies are followed to avoid fraudulent billing, consent forms, and Medicare questionnaires. • Verifies Medicare and Medicaid eligibility. Requires full knowledge of on-line eligibility systems. • Apply extensive knowledge of miscellaneous and managed care insurance contracts. • RSR may need to call the patient and/or insurance carrier to verify coverage and eligibility as needed. • Enters insurance information obtained from the clinic check-in process. This will come via work queues containing insurance card copies, which are scanned or faxed by the clinic. Registration updates will also be made from billing edits, which will also come via work queues. • Checks e-mails, Epic work lists and Epic Inbasket regularly throughout the day to keep up to date with any changes and receive information on patients who need registration services. • Assists with quality control measures and special projects as situations demand. • Reviews own work and works reports to verify accurate information and corrects any registration issues. Knowledge – Skills – Abilities • Knowledge of quality control, customer service standards, information management, procedural process, and recordkeeping. • Computer, technical, interpersonal, oral communication, listening, and patience skills. Qualifications Minimum Required Education: High School Diploma Minimum Required Experience : 2 years Preferred Experience : Experience in a healthcare environment or customer service setting. #LI-RT1 Physical Requirements Work requires handling light weight materials or equipment with no special speed or exertion . Requires the ability to sit for extended periods of time. Work Environment Ordinary office working conditions with some slightly disagreeable features. Sensory Acuity Ability to detect and translate speech or other communication required . May occasionally require the ability to distinguish colors and perceive relative distances between objects. Why MCW? • Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options • 403B Retirement Package • Competitive Vacation and Paid Holidays offered • Tuition Reimbursement • Paid Parental Leave • Employee & Family Assistance Program (EFAP) • Pet Insurance • On campus Fitness Facility, offering onsite classes • Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc. For a brief overview of our benefits see: Benefits Overview For a full list of positions see: MCW Careers At MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring – Collaborative – Curiosity – Inclusive – Integrity – Respect. We are committed to fostering an inclusive environment that values diversity in backgrounds, experiences, and perspectives through merit-based processes and in alignment with all applicable laws. We believe that embracing human differences is critical to realize our vision of a healthier world, and we recognize that a healthy and thriving community starts from within. Our values define who we are, what we stand for and how we conduct ourselves at MCW. If you believe in embracing individuality and working together according to these principles to improve health for all, then MCW is the place for you. For more information, please visit our institutional website . MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination: The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering an inclusive community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.