Preregistration Representative-PRMC
 Presbyterian Healthcare Services | |
life insurance
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 United States, New Mexico, Clovis | |
 Mar 05, 2026 | |
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Location Address: 2100 N Dr Martin Luther King Jr Blvd Clovis, NM 88101-9412Compensation Pay Range: Minimum Offer $15.59 Maximum Offer $21.64 Now Hiring: Preregistration Representative-PRMCSummary: Uses reports and data from various Scheduling Systems to create accounts in the Hospital Information System. Will act as the gatekeeper to validate and verify the demographic information updated into the Hospital Information System from various information points, including but not limited to the physician s office, Hospital Information System and the patient. Will provide support to other areas in Patient Access and as needed Type of Opportunity: Full time Job Exempt: No Job is based: Plains Regional Medical Center Work Shift: Days (United States of America)Responsibilities: *Creates scheduled inpatient admission accounts, including obstetric admissions, inpatient and outpatient surgery accounts, series accounts, and radiology and diagnostic studies accounts in the Hospital Information System from Scheduling Systems or other scheduling methods as agreed to by the Hospital.*Validates and verifies demographics with the patient, physician or other entity by placing outgoing calls, using the Hospital Information System or by other means when appropriate. *Researches patient s phone numbers, if not available, by contacting the referring physician s office, search past accounts, and phone directories if necessary. *Review all outstanding discharged patient accounts prior to phoning the patient. This will ensure the necessary follow up with patient to close previous discharged accounts prior to new visit beginning. *Contacts patient to complete pre-registration, collect defined minimum data set, including patient demographic and other identification data, insurance or other third-party payer information. *Pre-Registers accounts in accordance with departmental Documentation Standards. Ensures patient demographic, financial and insurance information is documented in the Hospital Information System in a clear, concise, consistent and accurate manner. *Researches inaccurate, incomplete or inconsistent information in accordance with departmental guidelines. *Selects appropriate insurance plan codes for patient accounts. *Provides a high level of customer service when dealing with patients and their families, departments and divisions. *Communicates with patients in a confidential professional manner using tact and diplomacy. *Provides high quality work without direct supervision. *Adheres to department Quality Review process. Performs extensive follow-up as accounts are processed to ensure timely and accurate completion. Adheres to department productivity expectations as outlined. *Uses department standard priority matrices and guidelines to prioritize daily workflow. Follows other planned priorities as assigned by the Patient Access Supervisor. *Develops strong working relationships with all units within Patient Access such as, but not limited to Registration, Insurance Verification, POS Team and Financial Counseling. Additionally, develops working relationships with other departments such as the clinics and divisions to ensure maximum communication and coordination of service delivery. *Participates in staff meetings and training sessions. Stays current on changing payer requirements related to accurate and high quality registration of patient accounts. *Receives cross-training to work all Scheduling Systems. Receives cross-training across other department as needed. *Works in a team environment. Assists other representatives and the Patient Access Supervisor as needed. Identifies when he/she requires assistance. *Functions as a registration and insurance plan code expert. *Identifies staff training needs. Notifies Patient Access Supervisor of any training items or issues that might be relevant to other Patient Access Representatives. *Other duties as assigned Qualifications: Education: High School Dimploma requiredTwo to three years of college level courses preferred or equivalent experience. Three to five years relevant work experience in healthcare. Three to five years customer service experience. Must be able to work cooperatively with the public as well as all levels of staff and management within the organization. Requires exceptional organizational and prioritization skills. Basic Excel experience preferred for monthly reporting requirements. Typing and ten key required. Bilingual preferred UPDATED:09/17/21 All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits. Wellness Why work at Presbyterian? About Presbyterian Healthcare Services Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services | |