Job Details

Patient Registration Specialist

Employing excellent customer service skills, the Patient Registration Specialist is responsible for ensuring a positive patient experience throughout the registration, insurance verification, benefit analysis, and financial clearance process. Primary duties include appropriate patient identification, financially clearing patients during the pre-registration, registration, admission process and prior to discharge, counseling patients about their financial liability, verifying payer sources, assessing and referring patients to alternative payment sources, including the Payment and Billing Assistance Program as well as government and non-government based payment assistance programs. The Patient Registration Specialist ensures timely, accurate and complete capture of all demographic and insurance information to ensure appropriate reimbursement for services rendered. In addition, the Patient Registration Specialist determines and collects the patient's financial liability and/or arranges payment plans. The Patient Registration Specialist is an information source for patients and families by explaining organization policies, patient financial responsibilities and Patient Rights and Responsibilities.

Maintains up-to-date knowledge of specific admission, registration, and pre-registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, Maternity, and Rehabilitation Units.

Ensures the pre-registration process is complete for all assigned accounts at least 5-days prior to the scheduled date of service whenever possible.

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.

When appropriate, ensures the payer receives a Notice of Admission on all admissions, scheduled and non-scheduled, with 24-hours or the next business day.

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.

Required:

• High School Graduate General Studies and 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.
• High School GED General Studies and 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
• Minimum 1 year of experience in customer service, preferably in a healthcare environment.
• Experience in requesting and processing financial payments.

Preferred:

• 3 years

Where You'll Work:

French Hospital Medical Center, located in San Luis Obispo, California, has been named one of the Nation's 100 Top Hospitals by Truven Health Analytics and is rated among the top hospitals in the nation for cardiac, orthopedic, and GI services. French Hospital has achieved the prestigious designation as a Primary Stroke Center by the Joint Commission. The Copeland, Forbes, and Rossi Cardiac Care Center provides the latest innovative cardiac and imaging technology. The hospital is also home to the unique Hearst Cancer Resource Center offering free education, resources, and support to cancer patients and their families. French Hospital Medical Center is a part of Dignity Health's Southern California Division and is a member of CommonSpirit Health, the largest not-for-profit health care system in the nation, boasting an integrated network of top quality hospitals, with physicians from the most prestigious medical schools, and comprehensive outpatient services - all recognized for quality, safety, and service. Each hospital is supported by an active philanthropic Foundation to help meet the growing health care needs of our communities.

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

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.

CommonSpirit Health is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.

CommonSpirit Health will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) ###-#### and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health participates in E-Verify.