Title: Pre-Registration Representative

Location: Fountain Valley, CA

Department: Admitting

Status: Full-time (8hr)

Shift: Days

Pay Range*: $22.25/hr - $30.08/hr

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Position Summary

The Registration Representative is under the direction of the Supervisor/ Manager and is responsible for completing all pre-registrations of patients presenting for procedures, admissions, and outpatient visits. The Representative must obtain and verify demographic, guarantor and insurance information so that the patient can be accurately identified and billed for their services. The Registration Representative is responsible for running eligibility to ensure the correct coverage is in the system.Excellent customer service must be maintained with all patients and families.The Registration Representative must support hospital and department goals in a manner that will enhance the successful operation of the Revenue Cycle department for the MemorialCare Health System.

This position requires full understanding and active participation in fulfilling the mission of MemorialCare Health System. It is expected that the employee will demonstrate behavior consistent with our core values: Integrity, Accountability, Best Practices, Compassion and Synergy. The employee shall support the MemorialCare Health System strategic plan and participate in and advocate performance improvement/patient safety activities.

Essential Functions and Responsibilities of the Job

• ATTENDANCE/PUNCTUALITY: Must adhere to the MHS Time and Attendance policy, clocks “in” and “out” of MTM accurately with minimal manual clocking requests for each scheduled shift and must sign off at the end of each pay period.

• PATIENT IDENTIFICATION: Avoid HIPAA violations by accurately entering patient information into the system, adheres to policy of using 2 patient identifiers to avoid passing on defects such as, incorrect PCP, guarantor, IPA, health plan, subscriber, W/C, guarantor etc.

• PRE-REGISTRATION/DATA ENTRY/ DOCUMENTATION: Pre-Registers patients timely and accurately obtaining demographic, guarantor and insurance information and creating a hospital account record (HAR). Inputs accurate documentation into the pre-registration to secure reimbursement.

• CUSTOMER SERVICE/PROFESSIONALISM:Interact in a positive and constructive manner and must deliver excellent customer service to patients, physician office staff and hospital staff members in order to ensure workflow effectiveness. Must maintain an effective and professional working relationship with co-workers and others.

• ELIGIBILITY VERIFICATION DUTIES:Verifies eligibility via RTE or payor websites to ensure the correct coverage is assigned to the hospital account record (HAR).

• ATTENDANCE OF MEETINGS/PROFESSIONAL DEVELOPMENT: Participates in and supports department specific and MHS performance improvement education, training, meetings and projects.

• DAILY PRODUCTIVITY:Monitor and manages the pre-registration work queues to meet the minimum daily productivity requirements of the department. Be flexible and capable of performing other work assignments within the department.

• WORKFLOW MANAGEMENT: Utilize resources appropriately to accurately complete pre-registrations such as EPIC, RightFax, OnBase, websites, RTE, physician’s offices, team leads and supervisors.

• Other duties as assigned

*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

Minimum Requirements

Qualifications/Work Experience:

• 2+ year’s experience in hospital admitting setting preferred

• Experience and understanding of the hospital, medical environment and government agencies

• Excellent customer service skills required

• Strong knowledge and experience with insurance plans, HMO, PPO, EPO, POS, Workers Comp, Medicare, Managed Medicare, Medi-Cal and managed Medi-Cal plans.

• Must be able to multitask

• Knowledge of medical and insurance terminology

• Bilingual preferred.

Education/Licensure/Certification:

• High School Diploma or GED