Patient Registration Representative

CommonSpirit Health•Redding, CA

2d•Onsite

About The Position

The Patient Registration Representative supports patients and families by providing a positive, clear registration experience and helping them understand their financial responsibilities and rights. The role ensures complete, accurate, and timely entry of patient demographic and financial information into the ADT system, verifies insurance, obtains required signatures, and ensures required documents are scanned and complete. The representative reviews assigned accounts and pre-registered information, corrects errors, manages patient financial liabilities, and follows CMS billing requirements and other regulatory standards. The position requires customer service skills, knowledge of insurance policies and procedures, medical terminology, basic mathematics, intermediate to advanced computer skills, and an understanding of charity care programs. Registration requirements vary across areas including Main Admitting, outpatient registration, Emergency Department, Maternity, and Rehabilitation. The role also follows EMTALA-compliant registration steps and applicable protocols for special Emergency Department cases.

Requirements

High school diploma or GED.
At least one year of experience in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, or another revenue-cycle-related role.
Experience requesting and processing financial payments.
Applicable education and/or training may be used to balance a lack of experience.
Knowledge of insurance policies and procedures, medical terminology, basic mathematics for payment calculations, intermediate to advanced computer skills, and charity care programs.

Nice To Haves

Two years of experience in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, or another revenue-cycle-related role.
Experience requesting and processing financial payments.

Responsibilities

Maintain current knowledge of registration requirements for Main Admitting, outpatient registration, Emergency Department, Maternity, and Rehabilitation units.
Enter complete, accurate, and timely demographic information into the ADT system during registration.
Identify patients correctly to prevent duplicate medical record numbers.
Ensure required documents are scanned into the appropriate systems.
Review assigned accounts for accuracy and complete required documentation.
Identify forms requiring patient or guarantor signatures and obtain those signatures.
Meet applicable CMS billing requirements, including completing the MSP and issuing the Important Message from Medicare and Observation Notice; document completion in the hospital information system for compliance and audit purposes.
Collect and enter required ADT data, emphasizing accurate demographic and financial information to support appropriate reimbursement.
Carefully review information entered in ADT on pre-registered accounts.
Verify information with patients during registration and correct identified errors.
Follow EMTALA-compliant registration steps in the Emergency Department and Labor and Delivery areas.
Follow Emergency Department protocols for applicable special cases, including 5150, Sexual Assault Response Team, domestic violence, Child Protective Services, incarcerated patients, workers’ compensation, auto accidents, and animal bites.
Verify insurance, manage patient financial liabilities, and request and process financial payments.