Admitting Registrar

St. Josephs Medical Center; Houston (TX); On-site; USD 42,000 - 64,000; Full time

Job summary

St. Joseph Medical Center in Houston seeks an Admitting Registrar to ensure timely, accurate patient registration and a seamless hand-off to clinical and nonclinical teams.

The role interviews patients, collects demographic and financial data, verifies insurance eligibility, and handles pre-certifications and upfront collection of patient portions. Ideal candidates will uphold HIPAA guidelines, follow registration procedures, and coordinate with physicians and departments to minimize delays

Qualifications

• Experience in patient registration and insurance eligibility verification.
• Knowledge of HIPAA and privacy policies.
• Strong communication and teamwork skills.

Responsibilities

• Interview patients and collect demographic data.
• Verify insurance eligibility and pre-certifications.
• Collect patient portion at time of service.
• Document registrations and coordinate with care teams.

Skills

Communication

Attention to detail

Customer service

HIPAA compliance

Tools

Registration software

Job description

POSITION SUMMARY:

The Admitting Registrar is responsible for timely and accurate patient registration resulting in seamless hand-off to clinical/nonclinical departments. The Admitting Registrar interviews the patient, obtains and records applicable demographic and financial information. The Admitting Registrar ensures insurance eligibility, performs pre-cert/authorization, calculates and collects patient portion at time of service. Other duties as assigned.

SHIFT:

• Days, 6:30a-7p, Rotating Weekends

KEY RESPONSIBILITIES:

• Service Consistently supports and communicates the Mission, Vision, and Values of St. Joseph Medical Center.
• Follows the St. Joseph Medical Center Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to present or detect unauthorized disclosure of Protected Health Information (PHI)
• Upholds the Standards of Conduct and Corporate Compliance.
• People:
• Consistently follows facility guidelines and procedures in performance.
• Greets patient immediately upon his/her arrival in the registration area, utilizing the appropriate Registration Tracker (ED and nonED) to date/time stamp patient arrival in the registration begin and end times, delay reasons, and other pertinent registration throughput date elements.
• Notifies the appropriate clinical department if the patient has arrived too early or late for their appointment; coordinates the registrations process convenient to the physician and/or clinical care area but in compliance with payer authorization and point of service collection requirements (completing the registration process bedside or exam-side if necessary).
• Provides bedside registration in the ED; in full compliance with EMTALA rules and regulations.
• Utilizes Quick Registration routine as instructed to ensure timely and appropriate delivery of clinical care (ED services and Direct/Urgent/Stat orders).
• Performs and documents pre-certification/authorization at time of service for all registrations and account status changes (unit to unit and/or level of care).
• Coordinates activities with physician offices to secure a fully compliant and authenticated written physician order for service; ensures physician compliance with pre-certification/authorization and or referral form requirements so that facility authorization can be obtained without delay.
• Utilizes payer websites and/or eligibility vendor to obtain real time eligibility and benefits detail; printing and/or cut & pasting detail to ensure availability for revenue cycle reference.
• Completes Medicare Secondary Payer Questionnaire to determine primary payer.
• Explains registration forms to the expressed understanding of the patient and obtains the signature of the patient or authorized individual in compliance with state and federal guidelines.
• Communicates with hospital case management as needed to ensure clinical detail is provided to the payer in a timely manner.
• Utilizes registration system notes to document important information related to the registration process, insurance verification, pre-certification and upfront collection activities.
• Follows system downtime procedures when necessary.
• Quality:
• Completes annual education requirements.
• Promotes of a culture of patient safety for patients and employees through proper identification, proper reporting, documentation and prevention of medical errors in a non-punitive environment.
• Researches scheduled appointment log and/or secures a copy of the physicians order to ensure registration to the correct patient type and status with appropriate routing.
• Researches patient visit history to avoid account and/or medical record duplications and ensure compliance with Medicare Payment Window Rules.
• Achieves targeted registration turn-around-times.