PRN Registrar

Huntsville Memorial Hospital•Huntsville, TX

About The Position

The Registrar works under the general supervision of the Director and is responsible for timely, accurate scheduling, insurance eligibility and verification, referrals and authorizations, patient registration, point-of-service collections, and the transfer and discharge of hospital patients. The Registrar is a first point of contact for providers and patients, both by phone and in person, and supports hospital operations as requested. The role ensures accurate demographic and financial information, timely handoff of registration documents and physician orders to clinical departments, and patient identification by applying an armband before registration is complete. Duties are performed according to established policies and procedures to support positive patient and provider experiences and the revenue cycle.

Requirements

High school diploma or GED.
Excellent computer skills.
Strong oral and written communication skills.
Strong customer service skills.

Nice To Haves

Prior hospital or physician practice experience.

Responsibilities

Complete registration and scheduling processes according to protocol, maintaining the integrity of patient clinical records and demographic information.
Meet customer service, registration accuracy, productivity, and upfront collection standards.
Review registrations daily for quality assurance and correct errors before the close of business.
Review appointments scheduled three days in advance for insurance documentation, eligibility, verification, referrals, authorizations, and patient notification of amounts due.
Reschedule patients within 24 hours when insurance pre-certification or authorization requirements are unmet.
Promote patient safety through proper identification, reporting, documentation, and prevention of medical errors; apply an armband to every patient before registration is complete.
Follow check-in procedures to electronically record patient arrival, departure, and handoff times.
Comply with EMTALA requirements when working in the Emergency Room, including appropriate registration of ER OB patients.
Assist patients with registering for and using the Patient Portal.
Document thoroughly and accurately, and flag accounts for past-due balances, incorrect demographics, and other critical notifications.
Use payer websites or eligibility interfaces to verify eligibility and benefits, and assign insurance plans based on validated results.
Perform and document pre-certification and authorization at the time of service, including communicating all recorded or ordered procedures to payers.
Discuss Coordination of Benefits with patients, confirm primary payer, correctly record payer order, and document review results, including the Medicare Secondary Payer Questionnaire when applicable.
Explain registration forms and obtain the patient’s or authorized individual’s signature in compliance with state and federal guidelines.
Complete Medicare Medical Necessity screening for applicable outpatient diagnostic services and communicate failed screening results using an Advance Beneficiary Notice (ABN).
Calculate patient cost shares and collect self-pay portions, co-payments, and past-due patient portions at check-in; collect other amounts at discharge.
Maintain the cash drawer according to procedure and participate in daily cash reconciliation and deposits as assigned.
Follow the HMH Legal Compliance Code of Conduct, maintain a safe work environment, report safety concerns, protect patient confidentiality, and handle PHI appropriately.
Perform other related duties as required and assigned.