Pre-registration Specialist

SUMMARY:

The Pre-registration Specialist is responsible for ensuring accurate and timely pre-registration of patients for scheduled services. This role includes generating estimates, communicating with patients regarding their financial obligations, securing pre-service payments or establishing payment arrangements, and ensuring all demographic and insurance information is accurate. The Pre-registration Representative/Specialist plays a critical part in optimizing financial outcomes and enhancing patient experience through effective communication and financial counseling.

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done.

The core Success Factors include:

Instill Trust and Value Differences

Patient and Community Focus and Collaborate

RESPONSIBILITIES:

Pre-registration & Verification

- Complete pre-registration for scheduled services, ensuring all required information is obtained and accurately entered into the system.

- Verify patient insurance coverage and eligibility prior to scheduled services.

- Ensure all demographic and insurance information is accurate and up to date.

Financial Analytics & Patient Interaction

- Generate accurate cost estimates for scheduled services based on payer contracts and patient insurance coverage.

- Communicate with patients regarding their financial obligations, including co-pays, deductibles, and out-of-pocket costs.

- Secure pre-service payments or establish payment arrangements prior to the date of service.

- Provide clear and empathetic financial counseling to patients, ensuring understanding and satisfaction.

- Interact with patients to address any questions or concerns related to their financial responsibilities.

Documentation & Compliance

- Maintain accurate and up-to-date records of all pre-registration activities in the electronic health record (Epic) and patient accounting systems.

- Ensure compliance with HIPAA, payer guidelines, and internal policies.

- Participate in audits and quality improvement initiatives as needed.

QUALIFICATIONS:

Education & Experience

- High school diploma or equivalent required, associate or bachelor's degree in healthcare administration, finance, or related field preferred.

- Minimum 2 years of experience in patient access, pre-registration, or revenue cycle operations, preferably in a healthcare setting.

Skills & Competencies

- Strong understanding of healthcare finance, insurance verification, and pre-registration processes.

- Proficiency in generating cost estimates and communicating financial obligations.

- Excellent analytical, problem-solving, and communication skills.

- Ability to work independently and collaboratively in a fast-paced environment.

- Experience with EHR systems (e.g., Epic, Cerner) and Microsoft Office Suite.

Pay Range:

EEO Statement:

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

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Driving Required: