Patient Registration Rep

Bakersfield Memorial Hospital; United States; Presencial; USD 25.000 - 36.000; Jornada completa

Descripción de la vacante

Dignity Health - Memorial Hospital in Bakersfield, CA seeks a Patient Registration Representative to deliver a positive patient experience during registration, collecting demographics, verifying insurance, and explaining hospital policies to families.

You will ensure accurate data entry into the ADT system, review accounts for completeness, and follow CMS and EMTALA registration steps across ED, Main Admitting, Maternity, and other units to support timely reimbursement.

Formación

• Maintains up-to-date knowledge of registration requirements for all areas.
• Performs accurate demographic data entry into the ADT system.
• Verifies insurance benefits and determines financial liability at registration.
• Explains hospital policies and patient rights to families.

Responsabilidades

• Identify patients and collect accurate demographics at registration.
• Verify insurance, determine/collect financial responsibility, explain policies.
• Enter data accurately into the ADT system and ensure no duplicate MRNs.
• Follow CMS billing requirements and EMTALA-compliant registration steps.
• Review accounts for accuracy and obtain necessary signatures.

Descripción del empleo

Where You\'ll Work

Founded in 1956, Dignity Health - Memorial Hospital is a 385-bed, acute care, nonprofit hospital located in Bakersfield, California. Serving nearly 100,000 patients annually, the hospital offers a full complement of services including heart care, maternity care, and orthopedics. Additionally, Memorial Hospital has been recognized as an LGBTQ+ Healthcare Equality Leader by the Human Rights Campaign Foundation. It is a Joint Commission-certified Primary Stroke Center, and its Lauren Small Children\'s Center is the first comprehensive pediatric program in Kern County.

One Community. One Mission. One California

Job Summary and Responsibilities

As a Patient Registration Representative, you will ensure a positive patient experience during registration, employing excellent customer service.

Every day you will identify patients, collect accurate demographics, verify insurance, determine/collect financial liability, and explain hospital policies and patient rights to families.

To be successful, you will demonstrate exceptional customer service, meticulous attention to detail in data/insurance, and strong communication, crucial for patient satisfaction and reimbursement.

Registration

• 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
• Carefully reviews all information entered in ADT on pre-registered accounts. Verifies all information with the 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

Verification, Authorization, and Compliance

• Follows approved scripting, verifies insurance benefits on all patients registered daily by using electronic verification systems or by contacting payers directly to determine the level of insurance coverage
• Thoroughly and accurately documents insurance verification information in the ADT system, identifying deductibles, copayments, coinsurance, and policy limitations
• Obtains referral, authorization and pre-certification information; documents this information in the ADT system and submits notices of admission when necessary
• Verifies medical necessity check has been completed for outpatient services. If not completed and only when appropriate, uses technology tool to complete medical necessity check and/or notifies patient that an ABN will need to be signed. Identifies payer requirements for medical necessity
• Verifies patient liabilities with payers, calculates patient\'s payment, and requests payment at the time of registration
• Identifies any outstanding balance due from previous visits, notifies patient and requests patient payment
• Sets up payment plans for patients who cannot pay their entire current copayment and/or past balance in one payment
• Thoroughly and accurately documents the conversation with the patient regarding financial liabilities and agreement to pay
• When collecting patient payments, follow department policy and procedure regarding applying payment to the patient\'s account and providing a receipt for payment
• Clarifies division of financial responsibility if payment for services is split between a medical group and an insurance co