Patient Registration Representative

CommonSpirit Health; Sacramento (CA); On-site; USD 42,000 - 56,000; Full time

Job summary

Mercy General Hospital in Sacramento, part of CommonSpirit Health, seeks a Patient Registration Representative to ensure a positive patient experience during registration and to deliver outstanding customer service. You will collect demographics, verify insurance, determine financial liability, and explain hospital policies and patient rights, while maintaining accuracy in the ADT system.

The role emphasizes meticulous data entry, strong communication, and knowledge of charity care programs to

Qualifications

• High School GED General Studies.
• One year of hospital Patient Registration experience or related revenue cycle roles.
• Experience with insurance verification and collecting payments.
• Strong math and data entry skills.
• Knowledge of charity care and government programs.

Responsibilities

• Identify patients and collect accurate demographics.
• Enter demographic information into the ADT system accurately and timely.
• Verify insurance and determine/collect financial liability.
• Explain hospital policies and patient rights to families.
• Ensure CMS billing and regulatory documentation is complete.

Skills

Customer service

Data accuracy

Insurance knowledge

Communication

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

• 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 1925, Dignity Health - Mercy General Hospital is a 310-bed, acute care, nonprofit hospital located in Sacramento, California. Serving over 100,000 patients annually, the hospital offers a full complement of services including heart care, cancer care, women’s health, and neurology. Additionally, Mercy General Hospital has been recognized as an LGBTQ+ Healthcare Equality Leader by the Human Rights Campaign Foundation and a Joint Commission-certified Primary Stroke Center.

One Community. One Mission. One California