PRN ER Registrar

Huntsville Memorial Hospital•Huntsville, TX

About The Position

Under general supervision of the Director, the ER Registrar supports timely and accurate scheduling, insurance eligibility and verification, referrals and authorizations, patient registration, point-of-service collections, and patient transfers and discharges. The Registrar is a first point of contact for providers and patients by phone and in person, and supports hospital operations as requested. The role ensures accurate demographic and financial information, timely handoff of patient and registration documents and physician orders to clinical care departments, and patient identification by applying an armband to every patient before registration is complete. Duties are performed according to established policies and procedures to support a positive experience for patients and providers and the success of the revenue cycle. The position completes registration and scheduling processes, maintains the integrity of clinical records, reviews registrations for quality and accuracy, and works to meet customer service, productivity, registration accuracy, and upfront collection standards. It verifies insurance and benefits, completes referrals and authorizations, communicates patient cost responsibilities, and collects applicable payments. The role also supports safe patient identification, compliance with EMTALA requirements in the Emergency Room, Patient Portal use, accurate documentation, confidentiality, and appropriate handling of protected health information.

Requirements

High school diploma or GED.
Excellent computer skills.
Strong oral and written communication skills.
Strong customer service skills.

Nice To Haves

Prior hospital or physician practice experience.

Responsibilities

Complete registration and scheduling processes according to established protocols, maintaining accurate patient, insurance subscriber, guarantor, and physician demographics.
Meet customer service, registration accuracy, productivity, and upfront collection standards; review registrations daily and correct errors before close of business.
Review appointment schedules three days in advance for insurance documentation, eligibility, verification, referrals, authorizations, and patient notification of amounts due; reschedule patients within 24 hours when required pre-certification or authorization is not in place.
Promote patient safety through proper identification, reporting, documentation, and prevention of medical errors; apply an armband to every patient before registration is complete.
Follow check-in procedures to electronically record patient arrival and departure or handoff times, including EMTALA compliance and appropriate registration of ER OB patients.
Assist patients with Patient Portal registration and use.
Document accurately and flag accounts for past-due balances, incorrect demographics, and other critical notifications.
Use payer websites or eligibility interfaces to verify eligibility and benefits, assign plans based on validated results, and complete and document required pre-certification or authorization, including communicating all recorded or ordered procedures to payers.
Discuss Coordination of Benefits with patients, confirm and record payer order, document review results, and complete the Medicare Secondary Payer Questionnaire when traditional Medicare is primary.
Explain registration forms and obtain signatures from patients or authorized individuals in compliance with state and federal guidelines.
Complete Medicare medical-necessity screening for applicable outpatient diagnostic services and communicate results using an Advance Beneficiary Notice when services fail screening.
Calculate patient cost shares and collect self-pay amounts, co-payments, and past-due patient portions at check-in; collect other amounts at discharge according to policy.
Maintain the cash drawer and participate in daily reconciliation of collected cash and the daily deposit as assigned.
Follow the HMH Legal Compliance Code of Conduct, maintain a safe work environment, report safety concerns, protect patient confidentiality, and handle PHI appropriately.
Perform other related duties as required and assigned.