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McAllen, TX, United States

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SHIFT: Nights (rotating weekends)

SCHEDULE: Full-time

Responsible for timely and accurate patient registration.  Interviews patients for all pertinent account information and verifies insurance coverage.
·         Interview patients at workstation or at bedside to obtain all necessary account information.  Bed-side registration performed utilizing carts/computers on wheels
·         Ensure charts are completed and accurate
·         Verify all insurance and obtain pre-certification/authorization
·         Calculate and collect patient liable amounts
·         Ensure that all necessary signatures are obtained for treatments
·         Answer any questions and explains policies clearly
·         Process patient charts according to paperwork flow needs and established productivity standards
·         Welcome patient and family members in a professional manner.  Contact the nursing staff for emergency medical needs and answer patient and visitor questions
·         Interview incoming patients, his/her relatives, or other responsible individuals to obtain identifying and biographical information with insurance and financial information
·         Assign I-plans accurately and research Patient Visit History to comply with the Medicare 72 hour rule
·         Search MPI completely and assign the correct medical code number.  Notify Medical Records for any duplicate unit numbers
·         Verify insurance benefits and determines pre-certification status.  If pre-certification is needed, call the insurance precert department and initiate review or verify authorization number provided by scheduling staff.  Enter all information and authorization numbers into the registration system.
·         Secure all signatures necessary for treatments, release of medical information, assignment of insurance benefits, and payment of services from legally responsible parties.  Obtain copies of necessary identification and insurance cards.
·         Explain policies regarding services, charges, insurance billing, and payment of account.  Request full or partial payment for services rendered according to collection policies.  Issue a Business Office letter to all patients according to policy
·         Obtain proper authorization for treatment and approval codes from the insurance carrier for patients presenting for treatment insured by an MCO.  Collect co-pays, deposits, and deductibles and documents collection status in the system and chart.  Issue waivers for signatures when appropriate.
·         Inform former patients or their representatives of delinquent accounts and attempt to obtain payment.  Refer delinquent accounts to the Manager/Supervisor for further action
·         Receive and receipt payments from patient for services rendered.  Prepare daily deposits and maintains the integrity of the cash drawer
·         Produce paperwork on each patient for distribution to appropriate departments.  Align pertinent documents for establishing the patient's medical record and financial file
·         Register and admit all patients after the other registration departments are closed.  Route admission documents and forms to appropriate departments
·         Price, key, and detail patient charges.  Burst charts for distribution to physician's billing service, medical records, ancillary departments, and the business office.  Check for double charges on all accounts
·         Work with physician offices and ancillary departments, providing information when necessary or forwarding relevant documents
·         Document complaints received from patients, the medical staff, and ancillary departments on an incident report form and refer to coordinator for follow-up action
·         Acknowledge, file, and send MOX messages via Meditech
·         Check for physician orders and attaches them to the patient medical records to ensure that patients are receiving appropriate tests
·         Escort patient to his/her destination or refers patient to an available escort
·         Activate all pre-registered patients that have reported for services


·         At least one year of registration experience preferred

Rio Grande Regional Hospital
Facility: Rio Grande Regional Hospital
Job ID: 08948-161718
Category: Admitting Registration Clerical and Scheduling
Contract: Full-time
Shift: Nights (rotating weekends)
Job Class: Regular

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