Patient Registration & Financial Clearance Specialist

CommonSpirit Health; Bakersfield (CA); On-site; USD 34,000 - 43,000; Full time

Job summary

Mercy Hospital Bakersfield, part of Dignity Health, is seeking a Patient Registration Representative to ensure a positive patient experience during registration, collecting demographics, verifying insurance, and explaining patient rights.

You will enter data into the ADT system, confirm signatures, scan documents, and explain financial responsibilities while adhering to HIPAA, EMTALA, and regulatory requirements.

Qualifications

• High School Graduate General Studies, upon hire
• High School GED General Studies, upon hire
• Minimum 1 year of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle related roles.
• Applicable education and/or training can be used to balance a lack of experience and Experience in requesting and processing financial payments

Responsibilities

• Maintains up-to-date knowledge of specific registration requirements for all areas, including 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
• Meets 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
• Carefully reviews all information entered in ADT on pre-registered accounts. Verifies all information with patient at time of registration; corrects any errors identified
• Identifies all forms requiring patient/guarantor signature and obtains signatures
• Ensures all required documents are scanned into the appropriate system(s)
• Identifies all appropriate printed material hand-outs for the patient and provides them to the patient/guarantor (Patient Rights and Responsibilities, HIPAA Privacy Act notification, Advance Directive, etc.)
• Follows downtime procedures by manually entering patient information; identifying patient's MRN in the MPI database, assigning a financial number; and, accurately entering all information when the ADT system is live
• Follows EMTALA-compliant registration steps for both Emergency Department and Labor and Delivery areas
• Assesses self-pay patients for presumptive eligibility and when appropriate, initiates the process
• In the Emergency Department follows protocol for special cases, including but not limited to 5150, Sexual Assault Response Team (SART), Domestic Violence patients, Child Protective Services, incarcerated patients, Worker Compensation patients, auto accidents, animal bite reporting, etc as required.

Job description

Mercy Hospital Bakersfield, part of Dignity Health, is seeking a Patient Registration Representative to ensure a positive patient experience during registration, collecting demographics, verifying insurance, and explaining patient rights.

You will enter data into the ADT system, confirm signatures, scan documents, and explain financial responsibilities while adhering to HIPAA, EMTALA, and regulatory requirements.