Registration Coordinator

Job Function Summary:

Provide a description of the overall purpose of the position. "Why does this position exist?"
State the general nature, level and purpose of the job and a brief description of the duties and responsibilities. It may be
easier to write the general summary after completing other sections of the job description.
Reports to the Patient Access Supervisor, and is guided by the procedures of Inpatient and Outpatient services, the
Registration/UM Coordinator is responsible for providing support to all intensive (Inpatient, Partial Hospitalization, Intensive
Outpatient Program, consult Liaison and Electroconvulsive Therapy) patients seeking services at Langley Porter
Psychiatric Hospital- UCSF Health. The Registration/UM Coordinator is responsible for reception, registration, insurance
coverage verification, relaying financial information, providing financial need applications, and patient processing. Along
with supporting the Utilization Review Coordinator with analyzing patient records to determine legitimacy of admission,
length of stay, and compliance with insurance reimbursement. Receives assignments in the form of objectives with goals
and the processes by which to attain them. Serves as a clinical resource and liaison for patients and their families and
assists with navigating all aspects of the healthcare system.

Generic Scope (not customizable, will not be used in the job posting/advertisement):

Professional who applies acquired job skills, policies, and procedures to complete substantive assignments / projects / tasks of moderate scope and complexity; exercises judgment within defined guidelines and practices to determine appropriate action.

Custom Scope (customizable, will be used in the job posting/advertisement):

Serves as a non-clinical resource and liaison for patients and their families. Provides individualized support throughout the hospital stay and / or clinic visits. Develops expertise in the unit or clinic operations and systems to resolve issues across departments.

Note: If this is a reclassification request or a replacement with significant changes, please briefly describe (no more than 2 paragraphs) the significant changes that have taken place since the position was last reviewed. Additionally, please provide a copy of the former job description for the position.

Responsibilities:

• Communicates LPPHC administrative and financial policies clearly to patients, answering patient account questions and knowing when to refer patients to financial counseling, billing partners, patient relations or other support departments for additional help.

• Obtains and documents insurance authorizations for established patient visits, referrals and procedures or ancillary services. Communicates clinical information from medical records authorization requests to insurance companies.

• Works RFI work queues to secure information for accurate billing submissions or to respond to denials such as retro authorizations, clinical documentation, and addended authorizations with add on CPT codes.

• Secures prior authorization for procedures, specialty visits and ancillary testing and coordinates with Hospital Admissions Department as needed.

• Collects and verifies insurance and referral/authorization information for first appointment ensuring referral records and Hospital Accounts Records (HARS) are created and assigned to the appointment.

• Secures complex insurance authorizations for services, medications, or testing and is able to track the authorizations for renewal based on insurance company driven limits of time frames or numbers of visits or services.

• Understands how to identify and interpret a patient's insurance benefit package, including pharmacy and mental health carve outs.

• Address patient complaints from patients regarding billing and complaints related to billing that come out of Patient Relations.

• Understands the concept of managed care and is knowledgeable about the resources available to the staff in regard to knowing the specific requirements of individual managed care plans. Assist patients to understand the concept of managed care.

• Other Duties as assigned.

• Manages patient expectations by providing Mental Health -specific guidelines related to service/visit.

• Obtains appropriate consents, PAFRs and signed documents at first visit

• Creates a professional and positive first impression for patients and referring physicians. Demonstrates good judegement and common sense.

• Maintaines and adheres to patient confidenitality and HIPAA guideliens including the distribution of NOPP (Notice of Privacy Practices) and PAFR (Patient Financial Responsibility form)

• This position requires flexibility to orient and work at all UCSF Medical Center locations.

• One year related experience.

• Bachelor's degree in related area and / or equivalent experience / training.

• This position requires flexibility to orient and work at all UCSF Medical Center locations.

• One year related experience.

• Bachelor's degree in related area and / or equivalent experience / training.