Job Description

Job Summary 

The Pre-Registration Representative is responsible for pre-registering scheduled patients prior to their appointments, ensuring the accurate collection of demographic, insurance, and financial information. This role supports efficient patient access by verifying insurance coverage, obtaining necessary authorizations, and communicating financial obligations to patients. The Pre-Registration Representative works across multiple registration settings, including the Emergency Department, Outpatient Services, and Admissions, to facilitate smooth check-ins and minimize delays. 

Essential Functions

Pre-registers scheduled patients by obtaining and verifying demographic, insurance, and financial information before their appointment. Ensures accurate collection of patient deductibles, co-payments, and coinsurance following facility guidelines. Verifies insurance eligibility and benefits using electronic verification systems and contacts insurance companies as needed. Uses the electronic registration system to enter and update patient information, ensuring accuracy and compliance. Obtains informed consent and scans required documents, including patient identification, insurance cards, and physician orders. Protects patient health information (PHI) by adhering to HIPAA and facility policies regarding confidentiality. Communicates financial obligations to patients, provides payment plan options, and documents collection activities. Assists in reducing patient wait times by ensuring all pre-registration steps are completed before arrival. Provides professional customer service by greeting patients, addressing inquiries, and directing them as needed. Ensures compliance with state, Joint Commission (TJC), and other regulatory agency requirements. Performs other duties as assigned. Complies with all policies and standards.

Qualifications

0-2 years of experience in a customer service role required 0-2 years of experience in a healthcare setting including patient registration, medical office scheduling, or front desk/admissions required

Knowledge, Skills and Abilities

Proficiency in patient registration systems, insurance verification tools, and financial counseling processes. Strong understanding of medical insurance policies, prior authorization requirements, and payment collection procedures. Excellent communication and customer service skills to interact professionally with patients, families, and healthcare staff. Ability to handle sensitive patient information with a high level of confidentiality and compliance with HIPAA regulations. Strong problem-solving skills to resolve registration and insurance-related issues efficiently. Ability to work in a fast-paced environment while maintaining accuracy and attention to detail. Strong organizational and multitasking skills to manage multiple patient interactions and administrative duties.