Lead Patient Registration Rep.

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 

Employing excellent customer service skills, the Patient Registration Lead is responsible for ensuring a positive patient experience throughout the financial clearance process. Primary duties include financially clearing patients prior to discharge, counseling patients about their financial liability, verifying payer sources, assessing and referring patients to alternative payment sources, including the Payment Assistance Program and government and non-government based payment assistance programs. The Patient Registration Lead is able to work in all registration areas as needed. Working under the supervision of the Registration Leadership, this position is responsible for assisting the Registration Management Team with training, quality assurance review and reporting, and developing and maintaining the staff schedules. The Patient Registration Lead ensures timely, accurate and complete capture of all demographic and insurance information to ensure appropriate reimbursement for services rendered. In addition, the Patient Registration Lead determines and collects the patient's financial liability and/or arranges payment plans for patients in need of them. The Patient Registration Lead is an information source for patients and families by explaining hospital policies, patient financial obligations, alternative payer sources, and Patient Rights and Responsibilities. 

• Interviews patients to obtain, clarify, and verify all demographic and insurance information not previously gathered.
• Identifies and corrects any errors found in the registration information.
• Reviews insurance verification information and account notes entered by the Patient Registration Representative and/or Registration. Ensures any missing information is captured. As  necessary, verifies patient's insurance coverage, determines benefit levels, reviews level of services, and calculates patient's financial liability.
• Explains the Payment and Billing Assistance Program to all patients regardless of financial concerns or limitations.
• Identifies outstanding balances from patient's previous visits and attempts to collect any amount due.

Minimum:

• Minimum 3 years of experience working in a hospital Patient Registration Department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle role. Applicable education and/or training can be used to balance a lack of experience.
• High School Diploma, GED,or equivalent required
• Minimum 2 years of experience in customer service, preferably in a healthcare environment.
• Thorough understanding of insurance policies and procedures. Working knowledge of the facility pricing structure and cost estimates
• Basic knowledge of ICD-9 (10) and CPT terminology. Working knowledge of medical terminology
• Able to perform basic mathematics for payment calculation. Experience in requesting and processing financial payments
• Intermediate to advanced computer skills. Excellent interpersonal, communication and customer service skills.

Preferred:

• 4 to 5 years of experience preferred working in a hospital Patient Registration Department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle role.
• More than 1 year of supervisory experience is strongly preferred.
• Associate's Degree is strongly preferred
• Thorough understanding of charity care programs as well as the various government and non-government payment assistance programs preferred.