Patient Registration Representative

CommonSpirit Health; Sacramento (CA); On-site; USD 26,000 - 34,000; Full time

Job summary

CommonSpirit Health is seeking a Patient Registration Representative in Sacramento to ensure a positive patient experience during registration and financial clearance. You will verify insurance, counsel on financial liability, and capture accurate demographic and insurance information for reimbursement.

You will also identify payer sources, refer to payment assistance, collect liabilities, and answer questions on policies and rights. Strong customer service and attention to detail are essential.

Qualifications

• High School GED General Studies.
• One year of experience in hospital Patient Registration or related revenue cycle 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.
• Knowledge of charity care programs and government programs.

Responsibilities

• Ensure a positive patient experience through registration and service.
• Verify insurance, analyze benefits, and achieve financial clearance.
• Identify patients and counsel on financial liability.
• Verify payer sources and refer to payment assistance programs.
• Capture demographic and insurance information accurately for reimbursement.
• Determine and collect patient liabilities or arrange payment plans.
• Serve as primary information source on policies and rights.
• Maintain up-to-date knowledge of registration requirements.
• Ensure complete data entry into the ADT system at registration.
• Identify patient to prevent duplicate medical record numbers.
• Review accounts for accuracy and required documentation.
• Meet CMS billing requirements and document completion in the system.
• Enter required data into ADT with emphasis on accuracy.

Skills

Customer service

Communication

Financial counseling

Data entry

Basic math

Education

High School GED General Studies

Tools

ADT system

Job description

Job Summary and Responsibilities

As our Patient Registration Representative, you will ensure a positive patient experience through excellent customer service during registration, insurance verification, benefit analysis, and financial clearance processes.

Every day you will identify patients, financially clear them across pre-registration to discharge, and counsel them on financial liability. You will verify payer sources, refer to alternative payment assistance programs, and accurately capture all demographic and insurance information for appropriate reimbursement. You will also determine and collect patient financial liabilities or arrange payment plans, serving as a primary information source for patients and families on policies and rights.

To be successful in this role, you will possess exceptional customer service and communication skills, meticulous attention to detail in financial processes, and a strong understanding of insurance and payment assistance.

• 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.

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.
• Experience in requesting and processing financial payments.
• 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 1973, Dignity Health - Methodist Hospital is a 158-bed, acute care, nonprofit hospital located in Sacramento, California. Serving over 80,000 patients annually, the hospital offers a full complement of services including a Level II NICU, heart care, cancer care, women’s health, and neurology. Additionally, Methodist Hospital of Sacramento has been recognized as an LGBTQ+ Healthcare Equality Leader by the Human Rights Campaign Foundation and is a Joint Commission-certified Primary Stroke Center.

One Community. One Mission. One California