Admitting Representative, Patient Registration, Full Time, Days

MarinHealth Medical Center•Bon Air, CA

About The Position

The Admitting Representative coordinates efficient, orderly inpatient admissions and outpatient registration, ensuring accurate patient information is collected. The role works to minimize patient wait times, support high patient satisfaction, and maintain overall quality at or above 95%. It also includes preparing related materials and collecting required deposits, copayments, coinsurance, and deductibles. The representative promptly and courteously greets patients and directs them to the appropriate areas. The position performs patient registration, pre-registration, prior authorization, and insurance verification as applicable. It obtains and processes demographic, medical-record, and financial information; distributes registration information to hospital departments; explains insurance benefits and out-of-pocket expenses; and works to resolve coverage or authorization issues before admission or services. The role also provides courteous service to patients and visitors, protects confidential health information, and participates in departmental and organizational activities.

Requirements

High school diploma or GED.
At least one year of experience in an acute care setting in admitting/registration, pre-admission, or insurance verification; healthcare clerical experience is preferred.
Computer experience required.
Basic Life Support (BLS) certification required within 90 days of hire.
Integrative Agitation Management (IAMTAC) required within 30 days of hire.
Ability to work tactfully and professionally with patients, family members, and hospital staff.
Ability to problem-solve, multitask efficiently, and organize and prioritize tasks.
Excellent verbal and written communication skills.
Ability to treat a diverse patient population with respect and courtesy.
Must comply with required measles, mumps, varicella, and annual influenza immunizations, subject to applicable exemptions.

Nice To Haves

Associate degree in a healthcare or business field.
Experience in acute-care admitting/registration, pre-admission, or insurance verification.
Working knowledge of patient admissions, pre-admissions, insurance verification, and customer service.
Ability to speak English, Spanish, or other languages.

Responsibilities

Register patients accurately, consistently, and in a timely manner, including pre-registration, prior authorization, or insurance verification as applicable.
Obtain accurate information to establish a complete medical record and proper demographic and financial records, maintaining a registration error rate of 5% or less.
Process registration records and distribute information to hospital departments.
Collect required deposits, copayments, deductibles, and coinsurance.
Maintain working knowledge of insurance and billing requirements to support complete and accurate registration.
Escort or arrange for the escort of patients to patient care units when necessary.
Greet patients and visitors, provide information, and answer and relay telephone messages professionally and promptly.
Identify appropriate patient insurance and obtain information about benefits, approvals, and other admission requirements from internal systems, insurance representatives, or carrier websites.
Explain insurance benefits and out-of-pocket expenses to patients, and communicate coverage problems to patients and physicians while facilitating resolution before admission or services.
Communicate relevant case management issues to the Case Management department.
Identify and resolve insurance-company problems before or after admission.
Obtain and document authorization for elective or scheduled patients accurately and promptly.
Maintain effective working relationships with external organizations and agencies as required.
Participate in organizational and departmental goals, in-services, and staff meetings; uphold applicable standards and policies; and assist with orienting new employees.
Maintain confidentiality and appropriate conduct.
May perform Admitting Shift Lead duties and other assigned duties.