About this role
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 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.
- Minimum two (2) years of experience working in a hospital Patient Registration department, healthcare insurance company, revenue cycle vendor, and/or other revenue cyclerelated role.
- Minimum one (1) year of experience in customer service, preferably in a healthcare environment.
- Experience in requesting and processing financial payments.
Preferred
- Three (3) years experience.
Where You’ll Work
Founded in 1967, Dignity Health - Mercy San Juan Medical Center is a 377-bed, acute care, nonprofit hospital located in Carmichael, California. Serving over 100,000 patients annually, the hospital offers a full complement of services including a Level II Trauma Center, Level III NICU, heart care, cancer care, women’s health, and neurology. Additionally, Mercy San Juan Medical Center has been recognized as an LGBTQ+ Healthcare Equality Leader by the Human Rights Campaign Foundation. It is a Comprehensive Stroke Center, the highest level of stroke care certification awarded by The Joint Commission.
One Community. One Mission. One California