Patient Registration Specialist

CommonSpirit Health • Stockton, CA

2d • Onsite

About The Position

As a Patient Registration Representative, you will ensure a positive patient experience during registration, employing excellent customer service. Every day you will identify patients, collect accurate demographics, verify insurance, determine/collect financial liability, and explain hospital policies and patient rights to families. To be successful, you will demonstrate exceptional customer service, meticulous attention to detail in data/insurance, and strong communication, crucial for patient satisfaction and reimbursement.

Requirements

• High School Graduate or GED
• Minimum 2 years of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle-related role.
• Minimum 1 year of experience in customer service, preferably in a healthcare environment.

Nice To Haves

• Preferred 3 years of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle-related role.

Responsibilities

• Maintains up-to-date knowledge of specific admission, registration, and pre-registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, Maternity, and Rehabilitation Units.
• Ensures the pre-registration process is complete for all assigned accounts at least 5-days prior to the scheduled date of service whenever possible.
• Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage.
• Obtains referral, authorization and pre-certification information and documents this information in the ADT system.
• Ensures the payer receives a Notice of Admission on all admissions, scheduled and non-scheduled, with 24-hours or the next business day.
• Meets CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements applicable and documenting completion within the hospital's information system for regulatory compliance and audit purposes.

What This Job Offers

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