Patient Registration Representative

Mercy San Juan Medical Center; California (MO); On-site; USD 36,000 - 48,000; Full time

Job summary

Mercy San Juan Medical Center in Carmichael, California, seeks a Patient Registration Representative to help patients and families begin their healthcare journey with clear information on financial responsibilities and rights, ensuring a smooth and respectful admission experience.

You will enter demographic and insurance data into the ADT system, verify eligibility, collect patient balances, explain hospital policies, assist with charity care questions, and maintain up-to-date registration

Qualifications

• High School GED General Studies.
• 1 year experience in hospital Patient Registration or related revenue cycle roles.
• Knowledge of insurance policies and procedures.
• Ability to calculate payments.

Responsibilities

• Enter demographic and insurance information accurately into the ADT system.
• Verify insurance eligibility and collect patient financial liabilities.
• Explain hospital policies and patient rights to patients and families.
• Maintain up-to-date knowledge of registration requirements across hospital units.
• Meet CMS/MSP and related regulatory documentation requirements.

Skills

Customer service

Insurance knowledge

Data entry

Verbal communication

Medical terminology

EMTALA awareness

Education

GED General Studies

Tools

ADT system

Billing software

Microsoft Office

Job description

Job Summary and Responsibilities

As our Patient Registration Representative, you will help patients and their families navigate the initial stages of their healthcare journey so they can receive timely and appropriate care with a clear understanding of their financial responsibilities and rights.

Every day you will ensure accurate and timely entry of patient demographic and insurance information into our systems. You will be expected to verify insurance eligibility, collect patient financial liabilities, follow EMTALA guidelines, and explain hospital policies and patient rights to foster trust and transparency.

To be successful in this role you must possess excellent customer service skills, intermediate to advanced computer proficiency, strong knowledge of insurance policies and procedures, and the ability to maintain current knowledge of registration requirements across various hospital units.

• 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.

Job Requirements

Required

• 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.
• 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