Patient Registration Specialist

Where You’ll Work

Founded in 1938, Dignity Health - Mercy Medical Center Mt. Shasta is a 25-bed, acute care, nonprofit hospital located in Mt. Shasta, California. Serving over 40,000 patients annually, the hospital offers a full complement of services including a Level III Trauma Center, heart care, cancer care, and a family birth center. Additionally, Mercy Medical Center Mt. Shasta, has been recognized as an LGBTQ+ Healthcare Equality High Performer by the Human Rights Campaign Foundation and a Joint Commission-certified Primary Stroke Center.

One Community. One Mission. One California 

Job Summary and Responsibilities

As a Patient Registration Representative, you will ensure a positive patient experience during registration, employing excellent customer service.Every day you will identify patients, collect accurate demographics, verify insurance, determine/collect financial liability, and explain hospital policies and patient rights to families.To be successful, you will demonstrate exceptional customer service, meticulous attention to detail in data/insurance, and strong communication, crucial for patient satisfaction and reimbursement.

Verification, Authorization and Compliance

• Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting
• Obtains referral, authorization and pre-certification information and documents this information in the ADT system
• Meets CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements applicable and documenting completion within the hospital's information system for regulatory compliance and audit purposes
• Thoroughly and accurately documents insurance verification and authorization information in the ADT system, identifying outstanding deductibles, copayments, coinsurance, and policy limitations, and advises patient and collects amount due at or before the time of service
• Identifies any outstanding balance due from previous visits, notifies patient during the financial clearance process and requests patient payment
• Sets up payment plans for patients who cannot pay their entire current copayment and/or past balance in one payment
• Explains the Payment and Billing Assistance Program to all patients regardless of financial concerns or limitations
• Interviews self-pay patients to identify potential eligibility for government aid and/or other payer sources, including Medi- Cal/Medicaid presumptive eligibility. Follows appropriate policy and/or refers to eligibility vendor
• Understands and follows the Delay/Defer policy and escalates accounts that do not meet financial clearance requirements to Patient Registration leadership immediately

Job Requirements

Required

• High School Diploma/GED 
• Minimum 2 years of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle-related role
• Applicable education and/or training can be used to balance a lack of experience and Minimum 1 year of experience in customer service
• Experience in requesting and processing financial payments