Job Summary:
This role involves performing all tasks related to pre-registration and registration of inpatients and outpatients including securing upfront collections. The Patient Registration Representative I ensures efficient and accurate patient physician and hospital needs are met. This includes completing a comprehensive training program to interview and screen uninsured patients evaluating patient eligibility for state programs and assisting with benefit applications. Excellent communication and strong computer skills are essential.
Location: Whittier California United States
Responsibilities:
- Perform all tasks related to pre-registration and registration of inpatients and outpatients.
- Secure and calculate upfront collections (co-pays co-insurance).
- Complete the Hospital Presumptive Eligibility (HPE) training program.
- Interview and screen uninsured patients to identify eligibility for state programs.
- Assist applicants with completing benefit application paperwork.
- Compile records and assess information to determine eligibility status.
- Document and update efforts in the database.
- Verify patients are appropriately medically screened before Consent of Admissions is signed.
- Register patients in a timely manner (within 30 minutes in Emergency 15 minutes in Admitting/Outpatient).
- Maintain confidentiality of patient protected health information (HIPAA compliance).
- Ensure a safe patient environment and adhere to safety practices.
- Provide excellent customer service and communication with patients staff and insurance companies.
- Accurately enter patient demographic medical and insurance information into the system.
- Follow up on incomplete information to ensure accurate registrations.
- Obtain required signatures (COA Drivers License Insurance Authorization).
- Comply with all consent laws and policies.
- Utilize positive collection skills while complying with EMTALA laws.
- Educate patients about their insurance coverage and financial responsibility.
- Utilize Patient Payment Estimator and manually calculate patient liability when needed.
- Participate in Performance Improvement programs.
- Adhere to attendance and tardy policy.
Required Skills & Certifications:
- Excellent written and verbal communication skills.
- Strong attention to detail.
- Proficiency in Word Excel and navigating multiple computer screens.
- 1 year of medical office/hospital experience (preferred).
- Knowledge of medical terminology (strongly preferred).
- Knowledge of insurance (required).
- Ability to multi-task in a fast-paced environment.
- HIPAA compliance knowledge.
- Strong typing skills (45 wpm).
- Strong analytical and problem-solving skills.
- Completion of HPE comprehensive training program.
- Excellent customer service and phone skills.
- High school diploma or equivalent.
- Drivers license (for outpatient/financial counseling roles).
- Insurance and billing experience (strongly required).
Preferred Skills & Certifications:
- Bilingual (Spanish or Chinese Mandarin).
- Medical terminology knowledge.
- Continuing education.
Special Considerations:
- Variable work schedule based on department needs; days may vary weekly due to vacation requests and coverage.
- 72 hours bi-weekly for Admitting 7:00 am to 3:30 pm.
- Various days every other weekend.
- Ability to travel to off-site locations (Outpatient only).
Scheduling:
- 72 hours bi-weekly for Admitting.
- 7:00 am to 3:30 pm.
- Various days every other weekend.
- No set schedule; based on department needs. Days may vary from week to week.