Registrar, Healthcare, Healthcare Administration

Location: Moss Beach

The Registrar is under the direct supervision of the Patient Access/Admitting Supervisor for AHMC Seton Medical Center and Seton Coastside. The registrar is responsible for coordinating and completing every phase of the Admitting Registration functions Emergency and ED admissions, Outpatient registrations that includes collecting accurate demographic information, obtaining and verifying insurance information to ensure a clean claim, which in turn will decrease DNFB or Bill Hold report.

Collection of copays and deductibles. Acts as a liaison between Clinical staff and Admitting department concerning admitting procedures, authorization process, and patient orders to comply with all state and federal regulatory agencies that govern the healthcare industry. Keeps abreast of federal and state regulations concerning admission criteria in order to implement these regulations in the Admitting department. Responsible for the accuracy of data collection to meet Office of Statewide Healthcare Planning Department (OSHPD) reporting requirements.

These registration functions are for both AHMC Seton Medical Center and Coastside.

Position Specific Duties

• Collects accurate, complete demographic and billing data at the time of registration. The current department standard is 98% or greater accuracy. Completes registrations in a timely manner. Understands forms used on a daily basis during the registration process, including and is not limited to the following Condition of Admission (COA), Advanced directives, Patient rights, HIPAA and Notice of Privacy Practices, Medicare Important Message (IM), Medicare Outpatient Observation Notice (MOON) and for non-Medicare Outpatient Observation Notice (OON).
• All forms are completed accurately and in its entirety, obtaining second attempts for patients who are unable to sign at the time of registrations or admissions. Checks the appropriate boxes for Advance Directives and Notice of Privacy Practice (NPP).
• Demonstrates effective communication skills, both verbal or in written form. Communication must be legible, concise and easy for patients and staff to read and/or understand.
• Understands the EMTALA law, including the rules and regulations and insurance plans such as HMOs, PPOs, Commercials, Managed Care/Standard Medi‑Cal/Medicare, and Workman's Compensation. Obtains the needed authorizations from these plans.
• Determines insurance requirements for outpatient services. Answers basic billing questions or refers to a financial advisor if it is out of scope of knowledge. Troubleshoots insurance issues for patients if they arise. Contacts insurance providers for all patients and obtains benefit information and eligibility for services. Documents the benefit information on the patient accounts and communicates with clinical staff.
• Demonstrates consistent ability to follow written and verbal instructions.
• Works together with staff in a team effort. Answers phones professionally to promote excellent customer relations when providing information/directions to physicians, staff, and public; also transfers calls to appropriate departments. Participates in problem solving to assure revenue targets and customer satisfaction.
• Performs other related duties as required. Keeps forms & supplies stocked and re‑orders when necessary.

Qualifications / Job Requirements

• High school diploma or GED: required.
• Minimum of one‑year experience working in a hospital Admitting/Patient Registration department or Physician’s office setting.
• Knowledgeable: and understanding of healthcare insurances; private, government, worker’s compensation and third party. Proficiency in health insurance eligibility.
• Knowledgeable: of medical terminology.
• Excellent communication skills: Provides excellent customer service.