Pool Admitting Registrar II (Variable Shifts)- Emergency Room

Steward Health Care System

Job Description


The Admitting Registrar is responsible for timely and accurate patient registration resulting in seamless hand-off to clinical/non clinical departments.

The Admitting Registrar interviews the patient, obtains and records applicable demographic and financial information. The Admitting Registrar ensures

insurance eligibility, performs pre-cert/authorization, calculates and collects patient portion at time of service. Other duties as assigned.


Service Consistently supports and communicates the Mission, Vision, and Values of St. Joseph Medical Center.

Follows the St. Joseph Medical Center Guidelines related to the health Insurance Portability and Accountability Act (HIPAA),

Designed to present or detect unauthorized disclosure of Protected Health Information (PHI)

Upholds the Standards of Conduct and Corporate Compliance.

People Consistently follows facility guidelines and procedures in performance.

Greets patient immediately upon his/her arrival in the registration area, utilizing the appropriate Registration Tracker (ED and non-

ED) to date/time stamp patient arrival in the registration begin and end times, delay reasons, and other pertinent registration throughput date elements.

Notifies the appropriate clinical department if the patient has arrived too early or late for their appointment; coordinates the

registrations 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 registration in the ED; in full compliance with EMTALA rules and regulations.

Utilizes Quick Registration routine as instructed to ensure timely and appropriate delivery of clinical care (ED services and direct/Urgent/Stat orders).

Performs and documents pre-certification/authorization 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-certification/authorization

and or referral form requirements so that facility authorization can be obtained without delay.

Utilizes payer websites and/or eligibility vendor to obtain real time eligibility and benefits detail; printing and/or cut-n-pasting detail to ensure availability for revenue cycle reference.

Completes Medicare Secondary Payer Questionnaire to determine primary payer.

Explains 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 guidelines.

Communicates with hospital case management as needed to ensure clinical detail is provided to the payer in a timely manner.

Utilizes registration system notes to document important information related to the registration process, insurance verification, pre-certification and upfront collection activities.

Follows system downtime procedures when necessary.


Completes annual education requirements.

Promotes of a culture of patient safety for patients and employees through proper identification, proper reporting, documentation and prevention of medical errors in a non-punitive environment.

Researches scheduled appointment log and/or secures a copy of the physicians order to ensure registration to the correct patient type and status with appropriate routing.

Researches patient visit history to avoid account and/or medical record duplications and ensure compliance with Medicare

Payment Window Rules.

Achieves targeted registration turn-around-times.

Growth: Enhances the patient experience by fostering a positive relationship with customers.

Meets/exceeds performance standards for customer service, registration turn-around-times, productivity and upfront collection goals.Contributes to improving patient satisfaction results.

Finance: Promotes stewardship of hospital resources while ensuring quality patient care.

Assigns accurate and appropriate sequenced payer codes/Insurance plans

Calculates patient cost share and performs point of service

collection in accordance with upfront collection policy and procedure.


High School Diploma or GED required

2-3 years of registration or comparable work experience required.

Technical, critical thinking, and interpersonal skills relevant to area in order to effectively communicate with physicians, health team members, patients and families

Ability to prioritize work with minimal supervision, in order to independently carry out the duties of the position.

Basic computer knowledge. Other certification requirements as defined by the certification policy.

Able to communicate effectively in English, both verbally and in writing.

PREFERRED Bi or Multilingual.

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