As our Representative, Patient Registration, you will play a crucial role in ensuring a positive patient experience while facilitating the essential registration process. Every day, you will employ excellent customer service skills to guide patients through registration, ensuring a positive experience from their first interaction. Your primary duties involve accurate patient identification, collecting thorough demographic data, obtaining and verifying insurance information and benefits, and determining and collecting patient financial liability. You will be responsible for referring patients to the Patient Registration Specialist as needed for financial counseling or clearance, adhering strictly to organizational policies for resolving patient financial liability. To be successful in this role, you will possess proven experience in patient registration, customer service, or a related administrative role, preferably within a healthcare setting. You will demonstrate exceptional interpersonal and communication skills, capable of empathetically handling patient inquiries and confidently explaining complex financial and policy information. Meticulous attention to detail, accuracy in data collection, and a strong understanding of insurance verification and patient financial responsibilities will be essential in ensuring appropriate reimbursement and a smooth patient journey. Employing excellent customer service skills, the Patient Registration Representative is responsible for ensuring a positive patient experience throughout the registration process. To ensure appropriate reimbursement for services rendered, primary duties include:a)Appropriate patient identificationb)Collecting accurate and thorough patient demographic datac)Obtaining insurance information and verifying eligibility and benefitsd)Determining and collecting patient financial liabilitye)Referring patients to the Patient Registration Specialist as needed for assistance with financial counseling and/or clearance. The Patient Registration Representative adheres to the organization's policies and procedures for resolution of patient financial liability. Additionally, the Patient Registration Representative is an information source for patients and families by explaining hospital policies, patient financial responsibilities and Patient Rights and Responsibilities. Registration:Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units. Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration. Properly identifies the patient to ensure medical record numbers are not duplicated. Responsible for reviewing assigned accounts to ensure accuracy and required documentation is obtained and complete. Meet CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements, as applicable and documenting completion within the hospital's information system for regulatory compliance and audit purposes. Verification, Authorization, and Compliance:Follows approved scripting, verifies insurance benefits on all patients registered daily by using electronic verification systems or by contacting payers directy to determine the level of insurance coverage. Thoroughly and accurately documents insurance verification information in the ADT system, identifying deductibles, copayments, coinsurance, and policy limitations. Obtains referral, authorization and pre-certification information; documents this information in the ADT system and submits notices of admission when necessary. Verifies medical necessity check has been completed for outpatient services. If not completed and only when appropriate, uses technology tool to complete medical necessity check and/or notifies patient that an ABN will need to be signed. Identifies payer requirements for medical necessity. Verifies patient liabilities with payers, calculates patient's payment, and requests payment at the time of registration. Financial Processing and Assistance:Understands and follows the Delay/ Defer procedure and escalates accounts that do not meet financial clearance standards to Patient Registration leadership immediately. Explains the Payment and Billing Assistance Program to all patients regardless of financial concerns or limitations. Refers patients to Patient Registration Specialist as appropriate. Documents the referral to the Patient Registration Specialist in the ADT system. Provides financial clearance services to self-pay patients prior to discharge or within 24-business hours. Acts as resource to other hospital departments regarding insurance benefits and requirements and collaborates with other departments, as needed, to ensure proper compliance with third party payer requirements. Other Duties:Properly handles credit card transactions in accordance with PCI-DSS standards and guidelines. Will have access to both single card transactions as well as access to data from multiple transactions or reports and files containing bulk transactional information containing un-encrypted or un-redacted credit card information. If required by facility, inventories and stores patient's valuables following proper procedure. Works with physician offices and clinical areas to collect and share patient information and to help update these stakeholders on changes in Patient Registration requirements, processes or programs. The above statements reflect the general details considered necessary to describe the essential functions of the job as identified, and shall not be considered as a detailed description of all work requirements that may be inherent in the position. Understands and follows the Cashier policy and procedures. Job Requirements. Required:Minimum 1 year of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle-related roles and. Experience in requesting and processing financial payments, or applicable education and/or training can be used to balance a lack of experience. Thorough understanding of insurance policies and procedures. Working knowledge of medical terminology. Able to perform basic mathematics for payment calculation. Intermediate to advanced computer skills. Preferred:Knowledge of charity programs as well as the various government and non-government programs. Where You'll Work. Mercy Medical Center, a Dignity Health member, has been building a rich history of care in our community for more than 100 years. We have grown from a small one-story wooden structure into a major healthcare provider with a new 186-bed main campus, offering the latest in facility design and technology. Mercy also operates Outpatient Centers, a Cancer Center and several rural clinics. Wherever you work throughout our system, you will find faces of experience with dedication to high quality, personalized care. Joining our 1,300 employees, 230 physicians and many volunteers, you can help carry out our commitment to providing our community with the excellence they have come to associate with Mercy Medical Center. One Community. One Mission. One California Total Rewards Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.