Registration Specialist

Title: Registration Specialist

Location: Fountain Valley, CA (Hybrid)

Department: Physician Billing

Status: Full-time (8-hour shifts)

Shift: Days

Pay Range*: $21.00/hr - $27.00/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 Specialist is responsible for accurately and efficiently registering new and existing patients while following established standards and productivity metrics. This role is essential for verifying patient coverage through Real-Time Eligibility and payor portal websites.  The specialist also reviews registration and insurance documents to ensure correct coverage and resolve registration discrepancies in EPIC work queues. By fulfilling these responsibilities, the Registration Specialist enhances patient experiences and supports the overall operational effectiveness of the healthcare organization.

Essential Functions and Responsibilities of the Job

• Provide professional and courteous service to all customers.
• Communicate effectively in written and verbal form.
• Maintain a clean, well-organized, properly stocked, and secure working area.
• Maintain complete patient/employer confidentiality at all times per company and HIPAA requirements.
• Perform job functions in accordance with current departmental and company standards, policies, and procedures.
• Demonstrate teamwork by assisting coworkers with tasks/training as directed, and attending and participating in mandatory meetings.
• Accommodates changes in workload within the department.
• Keep leadership informed when problems may interfere with work being completed on time.
• Use initiative to resolve problems with appropriate action and follow through.
• Utilize payor portal websites effectively to confirm patient coverage. Ensure accuracy during registration and review Real-Time Eligibility (RTE) response history to verify that coverage details are correctly added or updated.
• Review patient registration and insurance documents to identify the correct coverage and necessary setup. Contact insurance companies as needed to confirm eligibility if additional information or clarity is required.
• Respond to inquiries from clinic offices or department personnel regarding registration issues in a professional and timely manner.
• Complete manual registration on a timely basis for posting and billing charges within the timeframes established by insurance payors, ensuring that all registration information is complete and accurate.
• Maintain assigned workload and notify department management when assistance is needed.  Collaborate with team members to support each other with the workload as necessary and as time allows.
• Maintain working knowledge of payors and plans.
• 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.

Qualifications:

Minimum Requirements

Qualifications/Work Experience:

• Minimum two (2) years experience in a business office environment.
• Working knowledge of registering insurance coverage in a practice management system.  EPIC experience is preferred.
• General knowledge of medical terminology, CPT, HCPCS, and ICD-10 is desired.
• Working knowledge of general medical office procedures.
• General computer skills, including the ability to use the internet and learn other computer applications.
• 40 WPM typing, verifiable.
• Possess strong 10-key by-touch skills
• Must have good listening skills and be able to effectively and clearly communicate (written and verbal) in English.

Education/Licensure/Certification:

• High school graduate or equivalent.
• Medical billing course completed desired.

Salary : $21 - $27