Patient Registration Rep Southwest Facility

Mercy Hospital Of Bakersfield; United States; On-site; USD 21,000 - 30,000; Full time

Job summary

Dignity Health - Mercy Hospital in Bakersfield, CA, is seeking a Patient Registration Representative to ensure a positive patient experience during registration. You will identify patients, verify demographics and insurance, determine financial liability, and explain hospital policies to families.

The role requires meticulous data entry, strong communication, and adherence to CMS and hospital compliance standards, supporting accurate reimbursement and patient satisfaction.

Qualifications

• Identify patients and collect accurate demographics at registration.
• Verify insurance benefits and confirm financial liability.
• Explain hospital policies and patient rights clearly to families.

Responsibilities

• Register patients across Main Admitting, OP, ED, and maternity units.
• Enter demographic and financial data accurately into the ADT system.
• Verify insurance benefits and determine payer requirements for registration.
• Collect signatures on required forms and ensure documents are scanned.
• Explain patient rights, HIPAA notices, and other material to patients.

Skills

Customer service

Attention to detail

Communication skills

Multitasking

Data entry

Tools

ADT system

Electronic verification systems

Job description

Where You'll Work Founded in 1910, Dignity Health - Mercy Hospital is a 229-bed, acute care, nonprofit hospital located in Bakersfield, California. Serving nearly 90,000 patients annually, the hospital offers a full complement of services including Level II NICU, cancer care, women's health, and orthopedics. Additionally, Mercy Hospital Downtown & Mercy Hospital Southwest have been recognized as an LGBTQ+ Healthcare Equality High Performer by the Human Rights Campaign Foundation. They are both Joint Commission-certified Primary Stroke Centers. Mercy Hospital Downtown offers the only inpatient Oncology Unit in Bakersfield while Mercy Hospital Southwest has the only Obstetric Emergency Department in Bakersfield.

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 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.

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, follows department policy and pr