- Location
- Shriners Children's - Charleston, United States of America
- Workplace
- Onsite
- Type
- Full-time
- Department
- Healthcare
- Education
- High School
- Source
- Workday
Description
Company Overview
Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.
With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations.
CURRENT EMPLOYEES: Please log into Workday Click Here to apply internally through the "Jobs Hub"
Job Description
Position Summary
Responsible for completing pre-registration and obtaining insurance verification for all appointments for physicians, therapists, and other ancillary services in accordance with the hospital's policies and procedures. Will also perform all registration and scheduling tasks when assigned. Also, responsible for assisting the department manager with tasks that are essential for maintaining efficient daily functioning of the Revenue Cycle process. Function: Insurance Specialist/Pre-Registration.
Position Responsibilities
Pre-registration Functions
• Monitors specific queues daily and calls families/guardian to complete pre-registration functions 10 days prior to the appointment date.
• Obtains and /or verifies all patient demographic data in SHCIS.
• Obtains and/or verifies all patient financial information in SHCIS, with accurate documentation.
• Communicates to the patients/families what is needed upon arrival at Shriners for registration.
• Creates outpatient pre-registration encounter for each future appointments.
• Communicates Temple information when necessary to patient families.
• Works the denials report for Revenue Cycle Management.
Eligibility Verification Functions
• Verifies insurance data for each visit using the intergraded SHCIS applications for participating providers.
• Verifies insurance data for all other visits by utilizing their website or phone contact as appropriate.
• Flags patients who do not have active insurance coverage to the Uninsured Work List.
• Flags patients with an invalid or inactive response to the Insurance Denied Work List and follows up with patient/guardian to obtain updated financial information.
• Completes Medicare Secondary Payer Questionnaire if patient is a Medicare beneficiary.
Registration & Scheduling
• Assists in the scheduling and rescheduling of patients as needed.
• Registers patients according to the guidelines adopted by the department and hospital as needed.
Miscellaneous Functions
• Destroys all patient information according to department guidelines.
• Maintains confidentiality of all patient information within the guidelines established by the department and hospital.
• Consistently removes confidential data from the computer screen and/or secures confidential data on desk(s).
• Assists the Revenue Cycle Manager as needed.
Note: This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned.
Education
Associate Healthcare Preferred
High School Diploma/GED Required
Additional Educational Requirements
None listed.
Experience
Less than 1 Year Scheduling, registration and insurance verification Required
Less than 1 Year Computer Applications Required
Additional Experience Information
None listed.
Certifications and Licensures
None listed.
Additional Knowledge and Skills
Non-clinical without patient contact: Non-applicable.
Compensation is determined based on years of relevant experience and departmental equity.