PT REGISTRATION SPECIALIST

Dignity Health; San Luis Obispo (CA); On-site; USD 38,000 - 47,000; Full time

Job summary

Dignity Health - French Hospital Medical Center in San Luis Obispo, CA is seeking a Patient Registration Specialist to deliver exceptional service during registration, verify insurance, analyze benefits, and obtain financial clearance for patients.

You will collect demographic and insurance data, determine patient financial liability, and guide patients and families through policies and rights, ensuring CMS requirements and accurate documentation.

Qualifications

• High School diploma or GED with at least 2 years in patient registration or related revenue cycle role.
• Experience in insurance verification and financial clearance.
• Excellent customer service and communication skills.
• Ability to verify eligibility and gather authorization information.
• Knowledge of CMS/billing compliance and regulatory requirements.

Responsibilities

• Register patients and ensure accurate demographic and insurance data.
• Verify insurance eligibility and benefits; obtain referrals, authorizations and pre-certifications.
• Counsel patients on financial liability and arrange payment plans when needed.
• Ensure pre-registration and CMS requirements are completed for compliant billing.
• Maintain up-to-date knowledge of registration processes across units.

Skills

Customer service

Communication

Attention to detail

Insurance knowledge

Education

High School Diploma

High School GED

Job description

Job Summary And Responsibilities

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

As our Patient Registration Specialist, 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 admission, registration, and pre-registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, Maternity, and Rehabilitation Units.
• Ensures the pre-registration process is complete for all assigned accounts at least 5-days prior to the scheduled date of service whenever possible.
• Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting.
• Obtains referral, authorization and pre-certification information and documents this information in the ADT system.
• When appropriate, ensures the payer receives a Notice of Admission on all admissions, scheduled and non-scheduled, with 24-hours or the next business day.
• Meets CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements applicable and documenting completion within the hospital's information system for regulatory compliance and audit purposes.

Job Requirements Required

• High School Graduate General Studies and Minimum 2 years of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle-related role. , upon hire or
• High School GED General Studies and Minimum 2 years of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle-related role. , upon hire and
• Applicable education and/or training can be used to balance a lack of experience and
• Minimum 1 year of experience in customer service, preferably in a healthcare environment. and
• Experience in requesting and processing financial payments.
• None, upon hire

Preferred

• 3 years and

Where You'll Work

Founded in 1946, Dignity Health - French Hospital Medical Center is a 112-bed, acute care, nonprofit hospital located in San Luis Obispo, California. Serving over 150,000 patients annually, the hospital offers a full complement of services including heart care, orthopedics, and a family birthing center. Additionally, French Hospital Medical Center has been recognized as an LGBTQ+ Healthcare Equality Leader by the Human Rights Campaign Foundation. It is a Joint Commission-certified Primary Stroke Center, and has achieved an “A” Hospital Safety Grade from The Leapfrog Group for every reporting period since 2012.

One Community. One Mission. One California

Pay Range

$27.51 - $34.48 /hour