Patient Registration Representative

St Josephs Medical Center • Stockton, CA

1d • $30 - $34

About The Position

The Patient Registration Representative helps patients and families navigate the initial stages of their healthcare journey, supporting timely and appropriate care and ensuring they understand their financial responsibilities and rights. The role involves entering patient demographic and insurance information accurately and promptly, verifying insurance eligibility, collecting patient financial liabilities, following EMTALA guidelines, and explaining hospital policies and patient rights.

The representative maintains current knowledge of registration requirements across hospital areas, including Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation. They ensure correct patient identification to prevent duplicate medical record numbers, review assigned accounts for accuracy and complete documentation, and meet applicable CMS billing requirements. These requirements include completing the MSP and issuing the Important Message from Medicare and Observation Notice, with completion documented in the hospital information system for regulatory compliance and audit purposes.

Requirements

• High school diploma or GED.
• At least 1 year of experience in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or another revenue-cycle-related role.
• Applicable education and/or training may be used to balance a lack of experience.
• Excellent customer service skills.
• Intermediate to advanced computer proficiency.
• Strong knowledge of insurance policies and procedures.
• Ability to maintain current knowledge of registration requirements across various hospital units.

Nice To Haves

• 2 years of experience in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or another revenue-cycle-related role.

Responsibilities

• Maintain up-to-date knowledge of registration requirements for Main Admitting, OP Registration, ED Registration, Maternity, Rehabilitation, and other areas.
• Enter patient demographic information accurately and promptly into the ADT system at registration.
• Properly identify patients to prevent duplicate medical record numbers.
• Review assigned accounts for accuracy and ensure required documentation is obtained and complete.
• Meet applicable CMS billing requirements, including completing the MSP and issuing the Important Message from Medicare and Observation Notice.
• Document completion of applicable requirements in the hospital information system for regulatory compliance and audit purposes.
• Verify insurance eligibility and collect patient financial liabilities.
• Follow EMTALA guidelines and explain hospital policies and patient rights to patients and families.

What This Job Offers

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