Patient Registration Representative

CommonSpirit Health • Folsom, CA

3d

About The Position

The Patient Registration Representative ensures a positive patient experience through customer service during registration, insurance verification, benefit analysis, and financial clearance. The role identifies patients and financially clears them from pre-registration through discharge, counsels patients on financial liability, verifies payer sources, refers patients to alternative payment assistance programs, and accurately captures demographic and insurance information to support appropriate reimbursement. The representative determines and collects patient financial liabilities or arranges payment plans and serves as a primary source of information for patients and families about policies and rights.

The position maintains current knowledge of registration requirements across areas including Main Admitting, OP Registration, ED Registration, maternity, and Rehabilitation units. It ensures complete, accurate, and timely demographic entry into the ADT system, properly identifies patients to prevent duplicate medical record numbers, and reviews assigned accounts for accuracy and required documentation. The representative also completes and documents applicable CMS billing requirements, including the MSP, Important Message from Medicare, and Observation Notice, for regulatory compliance and audit purposes.

Requirements

• High school GED General Studies.
• One year of experience in a hospital Patient Registration department, healthcare insurance company, revenue cycle vendor, or another revenue cycle-related role.
• Experience requesting and processing financial payments.
• Ability to perform basic mathematics for payment calculation.
• Intermediate to advanced computer skills.
• Thorough understanding of insurance policies and procedures.
• Working knowledge of medical terminology.
• Knowledge of charity care programs and various government and nongovernment programs.

Nice To Haves

• Two years of experience.

Responsibilities

• Provide excellent customer service during registration, insurance verification, benefit analysis, and financial clearance.
• Identify patients and financially clear them from pre-registration through discharge.
• Counsel patients on financial liability and serve as a primary information source for patients and families regarding policies and rights.
• Verify payer sources and refer patients to alternative payment assistance programs.
• Accurately capture demographic and insurance information to support appropriate reimbursement.
• Determine and collect patient financial liabilities or arrange payment plans.
• Maintain up-to-date knowledge of registration requirements for Main Admitting, OP Registration, ED Registration, maternity, and Rehabilitation units.
• Enter complete, accurate, and timely demographic information into the ADT system at registration.
• Properly identify patients to prevent duplicate medical record numbers.
• Review assigned accounts for accuracy and completeness of required documentation.
• Complete and document applicable CMS billing requirements, including the MSP, Important Message from Medicare, and Observation Notice.
• Collect and enter required ADT data, emphasizing demographic and financial accuracy to ensure appropriate reimbursement.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED