Pre-Registration Rep - Per Diem

MemorialCare•Fountain Valley, CA

3d•Onsite

About The Position

The Registration Representative is under the direction of the Supervisor/ Manager and is responsible for completing all pre-registrations of patients presenting for procedures, admissions, and outpatient visits. The Representative must obtain and verify demographic, guarantor and insurance information so that the patient can be accurately identified and billed for their services. The Registration Representative is responsible for running eligibility to ensure the correct coverage is in the system. Excellent customer service must be maintained with all patients and families. The Registration Representative must support hospital and department goals in a manner that will enhance the successful operation of the Revenue Cycle department for the MemorialCare Health System. This position requires full understanding and active participation in fulfilling the mission of MemorialCare Health System. It is expected that the employee will demonstrate behavior consistent with our core values: Integrity, Accountability, Best Practices, Compassion and Synergy. The employee shall support the MemorialCare Health System strategic plan and participate in and advocate performance improvement/patient safety activities.

Requirements

2+ year’s experience in hospital admitting setting preferred
Experience and understanding of the hospital, medical environment and government agencies
Excellent customer service skills required
Strong knowledge and experience with insurance plans, HMO, PPO, EPO, POS, Workers Comp, Medicare, Managed Medicare, Medi-Cal and managed Medi-Cal plans.
Must be able to multitask
Knowledge of medical and insurance terminology
High School Diploma or GED

Nice To Haves

Bilingual preferred

Responsibilities

Completing all pre-registrations of patients presenting for procedures, admissions, and outpatient visits.
Obtaining and verifying demographic, guarantor and insurance information.
Running eligibility to ensure the correct coverage is in the system.
Maintaining excellent customer service with all patients and families.
Supporting hospital and department goals to enhance the successful operation of the Revenue Cycle department.
Accurately entering patient information into the system, adhering to policy of using 2 patient identifiers.
Pre-registering patients timely and accurately obtaining demographic, guarantor and insurance information and creating a hospital account record (HAR).
Inputting accurate documentation into the pre-registration to secure reimbursement.
Interacting in a positive and constructive manner and delivering excellent customer service to patients, physician office staff and hospital staff members.
Maintaining an effective and professional working relationship with co-workers and others.
Verifying eligibility via RTE or payor websites to ensure the correct coverage is assigned to the hospital account record (HAR).
Participating in and supporting department specific and MHS performance improvement education, training, meetings and projects.
Monitoring and managing the pre-registration work queues to meet the minimum daily productivity requirements of the department.
Being flexible and capable of performing other work assignments within the department.
Utilizing resources appropriately to accurately complete pre-registrations such as EPIC, RightFax, OnBase, websites, RTE, physician’s offices, team leads and supervisors.