Patient Registration Representative

CommonSpirit Health

  • Sacramento, CA
  • 3 days ago

    Highlights

    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. As our Patient Registration Representative, you will ensure a positive patient experience through excellent customer service during registration, insurance verification, benefit analysis, and financial clearance processes.

    Numbers & Facts

    LocationSacramento, CA

    Description

    Job Summary and Responsibilities

    As our Patient Registration Representative, you will ensure a positive patient experience through excellent customer service during registration, insurance verification, benefit analysis, and financial clearance processes.

    Every day you will identify patients, financially clear them across pre-registration to discharge, and counsel them on financial liability. You will verify payer sources, refer to alternative payment assistance programs, and accurately capture all demographic and insurance information for appropriate reimbursement. You will also determine and collect patient financial liabilities or arrange payment plans, serving as a primary information source for patients and families on policies and rights.

    To be successful in this role, you will possess exceptional customer service and communication skills, meticulous attention to detail in financial processes, and a strong understanding of insurance and payment assistance.

    • 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.
    • Collects and enters required data into the ADT system with emphasis on accuracy of demographic and financial information in order to ensure appropriate reimbursement.

    Job Requirements

    Required

    • High School GED General Studies.
    • One (1) year of experience working in a hospital Patient Registration department, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle related roles.
    • Experience in requesting and processing financial payments.
    • Able to perform basic mathematics for payment calculation.
    • Experience in requesting and processing financial payments.
    • Intermediate to advanced computer skills.
    • Thorough understanding of insurance policies and procedures, working knowledge of medical terminology.
    • Knowledge of charity care programs as well as the various government and nongovernment programs.

    Preferred

    • Two (2) years experience.

    Where You''ll Work

    Founded in 1973, Dignity Health - Methodist Hospital is a 158-bed, acute care, nonprofit hospital located in Sacramento, California. Serving over 80,000 patients annually, the hospital offers a full complement of services including a Level II NICU, heart care, cancer care, women's health, and neurology. Additionally, Methodist Hospital of Sacramento has been recognized as an LGBTQ+ Healthcare Equality Leader by the Human Rights Campaign Foundation and is a Joint Commission-certified Primary Stroke 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.

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