US-Patient Registration Representative - Emergency Department

R1 RCM Holdco Inc.; Austin (TX); On-site; USD 22,000 - 32,000; Full time

Job summary

R1 RCM Holdco Inc. is seeking a Patient Registration Representative in Austin, TX, located at Ascension Dell Seton Medical Center - University of Texas. This frontline role handles patient registrations, insurance verification, and collections support in a busy hospital setting.

You will ensure accurate data capture, communicate with patients and insurers, and help maintain smooth revenue cycle operations. Candidates should have prior patient registration experience and thrive under high-volume

Qualifications

• Previous Patient Registration experience is required.
• Bilingual preferred.
• Strong multitasking and organizational skills.
• Excellent time management and ability to work under pressure.

Responsibilities

• Complete accurate patient registrations and obtain required demographic information.
• Verify patient insurance coverage accurately and efficiently.
• Support collection efforts and ensure patient financial responsibilities are addressed.
• Maintain accuracy while managing multiple accounts and priorities.
• Communicate effectively with patients, insurance companies, clinical staff and internal departments.

Skills

Patient registration experience

Bilingual

Multitasking

Organizational skills

Attention to detail

Punctuality

Job description

At R1, we’re transforming how healthcare works by combining nearly two decades of revenue cycle expertise with advanced technology, including analytics, AI, intelligent automation and workflow orchestration. We pair that technology with the irreplaceable expertise of our people to help hospitals, health systems and medical groups improve financial performance, simplify administrative complexity and create better experiences for patients and providers. All Together Better defines our culture and the way we work. We’re a diverse, global team united by a shared mission to make healthcare work better for all. Across technology, operations and support functions, our people bring deep expertise, empathy and ingenuity to the work we do. Here, collaboration fuels progress, adaptability sparks innovation and every voice can help shape what’s next for R1 and the future of healthcare.

Are you passionate about helping people during critical moments while building a career in healthcare customer service? We are the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups.At R1, you’ll be part of a mission-driven team that blends advanced technology with real‑world service to create exceptional patient experiences.

As a Patient Registration Representative, you will be responsible for completing accurate patient registration, insurance verification, supporting collections efforts, and providing exceptional customer service in a fast‑paced healthcare environment. This is more than registration — it’s a frontline healthcare customer service role where you directly impact patient experience, hospital operations, and revenue cycle success.

Location: Ascension Dell Seton Medical Center - University of Texas

Shift: Full‑time, Wednesday 12 PM – 6 PM, Thursday – Saturday 6 AM – 6 PM

What You’ll Do:

• Complete accurate patient registrations and obtain required demographic information
• Verify patient insurance coverage accurately and efficiently
• Support collection efforts and ensure patient financial responsibilities are appropriately addressed
• Maintain accuracy while managing multiple accounts and priorities simultaneously
• Communicate effectively with patients, insurance companies, clinical staff, and internal departments
• Assist with resolving registration and insurance‑related issues and discrepancies
• Maintain compliance with organizational policies and procedures

What We’re Looking For:

• Previous Patient Registration experience is required
• Bilingual (preferred)
• Strong multitasking and organizational skills
• Excellent time management abilities
• Ability to work effectively under pressure and meet deadlines
• Adaptable and able to respond quickly to changing priorities
• Strong attention to detail and problem‑solving skills
• Reliable attendance and punctuality are essential
• Ability to thrive in a fast‑paced, high‑volume, and high‑stress Emergency Department environment while maintaining accuracy, professionalism, and productivity
• Participation in the Emergency Department on‑call rotation twice per month
• Work some holidays based on departmental needs
• Demonstrate flexibility to adjust to operational changes with little notice
• Maintain excellent attendance and dependability standards

What You’ll Gain:

• Experience in healthcare administration & patient access
• Exposure to revenue cycle, insurance processes, and hospital operations
• Opportunity for growth within R1 A team environment focused on innovation, collaboration, and patient experience
• Meaningful work supporting patients during urgent and emotional moments

Why You’ll Love This Job:

• Make a Real Difference: Patients lean on you for support and reassurance. You’ll be more than a data collector - you’ll be a calm, helpful presence during stressful times.
• Learn Healthcare from the Ground Up: From insurance basics to hospital workflows, you’ll gain valuable knowledge and skills that open the door to long‑term career growth.
• Fast‑Paced, Never Boring: You’ll move between systems, phone calls, and in‑person interactions - balancing accuracy with compassion, working alongside clinicians and emergency staff.
• Supportive Team Environment: We’re invested in your professional journey. You’ll be surrounded by teammates who have your back and leaders who want to see you succeed.

For this US‑based position, the base pay range is $16.12 - $23.21 per hour . Individual pay is determined by role, level, location, job‑related skills, experience, and relevant education or training.

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories. If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent To learn more, visit: R1RCM.com Visit us on Facebook R1 is the leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration.

A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long‑term value. To learn more, visit: https://www.r1rcm.com.