Patient Registration Representative

Methodist Hospital Sacramento•Sacramento, CA

1d•$34 - $38

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 and financially clears patients from pre-registration through discharge, counsels them 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 regarding 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 avoid duplicate medical record numbers, reviews assigned accounts for accuracy and required documentation, and collects and enters required data with emphasis on demographic and financial accuracy. The role also meets applicable CMS billing requirements, including completing the MSP and issuing the Important Message from Medicare and Observation Notice, and documents completion in the hospital information system for regulatory compliance and audit purposes.

Requirements

High school GED in General Studies.
One year of experience in a hospital Patient Registration department, healthcare insurance company, revenue cycle vendor, and/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 government and nongovernment programs.
Exceptional customer service and communication skills.
Meticulous attention to detail in financial processes.
Strong understanding of insurance and payment assistance.

Nice To Haves

Two years of experience.

Responsibilities

Provide excellent customer service during patient registration, insurance verification, benefit analysis, and financial clearance.
Identify and financially clear patients from pre-registration through discharge.
Counsel patients on financial liability and serve as an 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 completion of required documentation.
Meet applicable CMS billing requirements, including completion of the MSP and issuance of the Important Message from Medicare and Observation Notice.
Document completion of applicable requirements in the hospital information system for regulatory compliance and audit purposes.
Collect and enter required ADT data accurately, particularly demographic and financial information.