Patient Registration Representative

Job Summary and Responsibilities

Employing excellent customer service skills, the Patient Registration Representative is responsible for ensuring a positive patient experience throughout the registration process. In order to ensure appropriate reimbursement for services rendered, primary duties include: a) Appropriate patient identification, b) Collecting accurate and thorough patient demographic data, c) Obtaining insurance information and verifying eligibility and benefits, d) Determining and collecting patient financial liability and e) Referring patients to the Patient Registration Specialist as needed for assistance with financial counseling and/or clearance. The Patient Registration Representative adheres to the organization's policies and procedures for resolution of patient financial liability. Additionally, the Patient Registration Representative is an information source for patients and families by explaining hospital policies, patient financial responsibilities and Patient Rights and Responsibilities.

As our Patient Registration Representative, you will ensure a positive patient experience through excellent customer service during registration, insurance verification, benefit analysis, and financial clearance processes.Every day, you will identify patients, financially clear them across pre-registration to discharge, and counsel them on financial liability. You will verify payer sources, refer to alternative payment assistance programs, and accurately capture all demographic and insurance information for appropriate reimbursement. You will also determine and collect patient financial liabilities or arrange payment plans, serving as a primary information source for patients and families on policies and rights.To be successful in this role, you will possess exceptional customer service and communication skills, meticulous attention to detail in financial processes, and a strong understanding of insurance and payment assistance.

• Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, maternity, and Rehabilitation units.
• Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration.
• Properly identifies the patient to ensure medical record numbers are not duplicated.
• Responsible for reviewing assigned accounts to ensure accuracy and required documentation is obtained and complete.
• Meet CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements, as applicable and documenting completion within the hospital's information system for regulatory compliance and audit purposes.
• Collects and enters required data into the ADT system with emphasis on accuracy of demographic and financial information in order to ensure appropriate reimbursement.

Job Requirements

• High School GED General Studies.
• One (1) year of experience working in a hospital Patient Registration department, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle related roles.
• Experience in requesting and processing financial payments.
• Able to perform basic mathematics for payment calculation.
• Experience in requesting and processing financial payments.
• Intermediate to advanced computer skills.
• Thorough understanding of insurance policies and procedures, working knowledge of medical terminology.
• Knowledge of charity care programs as well as the various government and nongovernment programs.

Preferred

• Two (2) years experience.

Where You’ll Work

Founded in 1967, Dignity Health - Mercy San Juan Medical Center is a 377-bed, acute care, nonprofit hospital located in Carmichael, California. Serving over 100,000 patients annually, the hospital offers a full complement of services including a Level II Trauma Center, Level III NICU, heart care, cancer care, women’s health, and neurology. Additionally, Mercy San Juan Medical Center has been recognized as an LGBTQ Healthcare Equality Leader by the Human Rights Campaign Foundation. It is a Comprehensive Stroke Center, the highest level of stroke care certification awarded by The Joint Commission.

One Community. One Mission. One California

Salary : $34 - $38