Job Description

Location: St. Joseph Medical Center
Posted Date: 7/29/2022

The Admitting Registrar is responsible for timely and accurate patient registration resulting in seamless hand off to clinical departments. The Admitting Registrar interviews the patient, obtains and records applicable demographic and financial information, ensures insurance eligibility, performs pre-cert/authorization, calculates and collects patient portion at time of service.

  • Greets patient immediately upon his/her arrival in the registration area, utilizing the appropriate
  • Registration Tracker to date/time stamp patient arrival time, registration begin and end times, delay reasons, and other pertinent registration throughput data element
  • Achieves targeted registration turn-around-time
  • 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
  • Notifies the appropriate clinical department if the patient has arrived too early or late for their appointment; coordinates the registration 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)
  • Research patient visit history to avoid account and/or medical record duplication and ensure compliance with Medicare Payment Window Rules
  • Utilizes registration Quick Registration routine as instructed to ensure timely and appropriate delivery of clinical care (services and Direct/Urgent/Stat orders
  • Perform and document pre-cert/auth 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-cert/auth and/or referral form requirements so that facility authorization can be obtained without delay
  • Assigns accurate and appropriately sequenced payer code/Insurance plans
  • Utilizes payer websites and/or eligibility vendor to obtain real time eligibility and benefit 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
  • Distributes and Retains patient registration information for Medical Record and financial purposes as per chart distribution guidelines
  • Calculates patient cost share and performs point of service collection in accordance with upfront collection policy and procedure
  • Communicates with hospital case management as needed to ensure clinical detail is provided to the payer in a timely manner
  • Utilize registration system notes to document important information related to the registration process, insurance verification, pre-cert and upfront collection activities
  • Meet/exceed performance standards for customer service, registration turn-around-times, productivity and upfront collection goals
  • Implements and follows system downtime procedures when necessary
  • Other duties as assigned



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



  • High school diploma or GED 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
  • Able to communicate effectively, both verbally and in writing
  • Additional languages preferred
  • Basic computer knowledge

Additional Information


  • Medical, Dental & Vision
  • Employee Paid Life Insurance
  • 401K w/match after 1 year of service
  • Tuition Reimbursement
  • Up to 20% Employee Cafeteria and Café Discount
  • Discounted Tuition with affiliated University
  • Inexpensive Parking
  • Easy accessibility from Houston Freeways
  • Short and Long-Term Disability
  • Ancillary Insurance

Steward Health Care is an Equal Employment Opportunity (EEO) employer. Steward Health Care does not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic.

Application Instructions

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