HCA, Hospital Corporation of America Registrar Mainland PRN in Texas City, Texas

GENERAL SUMMARY OF DUTIES - 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

  • Abstract patient charts once discharged for the ER and retrieves a patient Medical Record once they present to ER for treatment

  • Attends in-service presentations, and completes mandatory education week, including but not limited to, infection control, patient safety, quality improvements, MSDS and OSHA standards

  • Demonstrates knowledge of occurrence reporting system and utilizes system to report potential patient safety issues

    • Practice and adhere to the “Code of Conduct” philosophy and “ Mission and Value Statement” *
  • Other duties as assigned


  • Communication - communicates clearly and concisely, verbally and in writing

  • Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations

  • Interpersonal skills - able to work effectively with other employees, patients and external parties

  • PC skills - demonstrates proficiency in PC applications as required

  • Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems

  • Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately


  • At least one year of registration experience preferred

Title: Registrar Mainland PRN

Location: Texas-Texas City-Mainland Medical Center - Texas City

Requisition ID: 08948-125557