POSITION SUMMARY :
The Admitting Registrar is responsible for timely and accurate patient registration resulting in seamless hand off to clinical departments. The Admitting Registrar interviews the patient, obtains and records applicable demographic and financial information, ensures insurance eligibility, performs pre-cert / authorization, calculates and collects patient portion at time of service.
SHIFT DETAILS :
- Mon-Fri, 8 : 30am-5 : 00pm, Day Shift, No holidays
KEY RESPONSIBILITIES :
Consistently supports and communicates the Mission, Vision and Values of St. Joseph Medical CenterFollows the St. Joseph Medical Center Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)Promotes a culture of safety for patients and employees through proper identification, proper reporting, documentation and prevention of medical errors in a non-punitive environmentGreets patient immediately upon his / her arrival in the registration area, utilizing the appropriateRegistration Tracker (ED and non-ED) to date / time stamp patient arrival time, registration begin and end times, delay reasons, and other pertinent registration throughput data elementsAchieves targeted registration turn-around-timesResearches scheduled appointment log and / or secures a copy of the physicians order to ensure registration to the correct patient type and status with appropriate routingNotifies the appropriate clinical department if the patient has arrived too early or late for their appointment; coordinates the registration process convenient to the physician and / or clinical care area but in compliance with payer authorization and point of service collection requirements (completing the registration process bedside or exam-side if necessary)Provides bedside and Medical Screen Out (MSO) registration in the ED; in full compliance with EMTALA rules and regulationsResearch patient visit history to avoid account and / or medical record duplication and ensure compliance with Medicare Payment Window RulesUtilizes registration Quick Registration routine as instructed to ensure timely and appropriate delivery of clinical care (ED services and Direct / Urgent / Stat orders)Perform and document pre-cert / auth at time of service for all registrations and account status changes (unit to unit and / or level of care)Coordinates activities with physician offices to secure a fully compliant and authenticated written physician order for service; ensures physician compliance with pre-cert / auth and / or referral form requirements so that facility authorization can be obtained without delayAssigns accurate and appropriately sequenced payer code / Insurance plansUtilizes payer websites and / or eligibility vendor to obtain real time eligibility and benefit detail; printing and / or cut-n-pasting detail to ensure availability for revenue cycle referenceCompletes Medicare Secondary Payer Questionnaire to determine primary payerExplains registration forms to the expressed understanding of the patient and obtains the signature of the patient or authorized individual in compliance with state and federal guidelinesDistributes and Retains patient registration information for Medical Record and financial purposes as per chart distribution guidelinesCalculates patient cost share and performs point of service collection in accordance with upfront collection policy and procedureCommunicates with hospital case management as needed to ensure clinical detail is provided to the payer in a timely mannerUtilize registration system notes to document important information related to the registration process, insurance verification, pre-cert and upfront collection activitiesMeet / exceed performance standards for customer service, registration turn-around-times, productivity and upfront collection goalsImplements and follows system downtime procedures when necessaryOther duties as assignedSupportive of the compliance program set forth by SJMC and demonstrated by :Upholds the SJMC Standards of Conduct and Corporate Compliance
Adheres to and helps to enforce all compliance policies relevant to his / her areaAssures timely compliance education as requested by the Regional Compliance & Safety Officer and / or through corporate initiativesSets an example to all staff in their daily activitiesREQUIRED KNOWLEDGE & SKILLS :
Technical, critical thinking, and interpersonal skills relevant to area in order to effectively communicate with physicians, health team members, patients and familiesAbility to prioritize work with minimal supervision, in order to independently carry out the duties of the positionAble to communicate effectively, both verbally and in writingAdditional languages preferredBasic computer knowledgePOSITION QUALIFICATIONS : Equal Opportunity Employer Minorities / Women / Veterans / Disabled
2-3 years of registration or comparable work experience requiredHigh school diploma or GED requiredHouston's oldest hospital is GROWING!
Welcome to St. Joseph Medical Center (SJMC), Houston's first and only downtown hospital delivering world-class care for the last 137 years and looking forward to the next century of exceptional care to Houstonians when they need us most.
Whether it's for a scheduled surgery, the birth of a baby, an unexpected emergency, or an outpatient visit, we have staff available around the clock to provide you access to immediate, quality health care. SJMC has been providing health care services to Greater Houston residents for over 130 years, which should give you great comfort in knowing that we have a great tradition of caring for our community. We strive to meet our patients' expectations and encourage our patients to provide us with feedback on how we can help them have the best experience possible while they're in our care.
Over the last years we have expanded our services to include the Advanced Wound Care Center, Comprehensive Cardiac and Vascular Services, the Women's Center, the St. Joseph Maternal Fetal Medicine Center, and a Weight Loss Surgery Program, just to name a few. As you work with our physicians, nurses, case managers, educators, and other staff, you will be guided through your health care journey, from diagnosis to treatment, with compassion every step of the way.
Diversity, equity, inclusion, and belonging are at the foundation of the care St Joseph Medical Center provides to our community we are privileged to support in all of our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or expression or any other non-job-related characteristic.