Pre-Registration Specialist

Rhode Island Hospital; Providence (RI); On-site; USD 26,000 - 43,000; Full time

Job summary

Brown University Health is seeking a Pre-registration Specialist to ensure accurate pre-registration and financial counseling for scheduled services. The role emphasizes generating estimates, verifying demographics and insurance, and securing payments while maintaining HIPAA compliance.

Successful candidates will have healthcare finance knowledge, strong communication, and experience with EHR systems like Epic or Cerner.

Qualifications

• High school diploma or equivalent required.
• Associate's or Bachelor's degree in healthcare administration, finance, or related field preferred.
• Minimum 2 years of experience in patient access, pre-registration, or revenue cycle operations.
• Experience with Epic or Cerner is preferred.
• Strong communication and analytical skills.
• Ability to work independently and in a team.

Responsibilities

• Complete pre-registration for scheduled services with accurate data.
• Verify insurance coverage and eligibility prior to service.
• Generate cost estimates based on payer contracts.
• Communicate financial obligations including co-pays and deductibles.
• Secure pre-service payments or establish payment plans.
• Maintain HIPAA-compliant patient records in Epic.

Skills

Healthcare finance

Insurance verification

Pre-registration processes

Analytical skills

Communication skills

Education

High school diploma or equivalent

Associate's or Bachelor's degree in healthcare administration, finance, or related field preferred

Tools

Epic

Cerner

Microsoft Office

Job description

SUMMARY:

The Pre-registration Specialist is responsible for ensuring accurate and timely pre-registration of patients for scheduled services. This role includes generating estimates, communicating with patients regarding their financial obligations, securing pre-service payments or establishing payment arrangements, and ensuring all demographic and insurance information is accurate. The Pre-registration Representative/Specialist plays a critical part in optimizing financial outcomes and enhancing patient experience through effective communication and financial counseling.

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

The core Success Factors include:
Instill Trust and Value Differences
Patient and Community Focus and Collaborate

RESPONSIBILITIES:

Pre-registration & Verification

• Complete pre-registration for scheduled services, ensuring all required information is obtained and accurately entered into the system.
• Verify patient insurance coverage and eligibility prior to scheduled services.
• Ensure all demographic and insurance information is accurate and up-to-date.

Financial Analytics & Patient Interaction

• Generate accurate cost estimates for scheduled services based on payer contracts and patient insurance coverage.
• Communicate with patients regarding their financial obligations, including co-pays, deductibles, and out-of-pocket costs.
• Secure pre-service payments or establish payment arrangements prior to the date of service.
• Provide clear and empathetic financial counseling to patients, ensuring understanding and satisfaction.
• Interact with patients to address any questions or concerns related to their financial responsibilities.

Documentation & Compliance

• Maintain accurate and up-to-date records of all pre-registration activities in the electronic health record (Epic) and patient accounting systems.
• Ensure compliance with HIPAA, payer guidelines, and internal policies.
• Participate in audits and quality improvement initiatives as needed.

QUALIFICATIONS:

Education & Experience

• High school diploma or equivalent required; Associate's or Bachelor's degree in healthcare administration, finance, or related field preferred.
• Minimum 2 years of experience in patient access, pre-registration, or revenue cycle operations, preferably in a healthcare setting.

Skills & Competencies

• Strong understanding of healthcare finance, insurance verification, and pre-registration processes.
• Proficiency in generating cost estimates and communicating financial obligations.
• Excellent analytical, problem-solving, and communication skills.
• Ability to work independently and collaboratively in a fast-paced environment.
• Experience with EHR systems (e.g., Epic, Cerner) and Microsoft Office Suite.

Pay Range: $19.03-$31.39

EEO Statement: Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location: Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903

Work Type: M-F flexible

Work Shift: Day Daily Hours:

4 hours

Driving Required: No