This Emergency Department Registrar role — Sunday through Wednesday, 6 p.m. to 6 a.m. — is based at Mission Trails Baptist Hospital in San Antonio, TX. The position sits at the front line of patient access, handling full-cycle registration, insurance verification, and patient financial collections in a fast-paced ED environment. The set four-night schedule offers predictability for candidates who prefer overnight shifts and a consistent work week.
Perks and Benefits
- Competitive benefits package included with employment
- Stable, predictable schedule: Sunday–Wednesday nights, 6 p.m.–6 a.m. (three nights on, four nights off)
- Part of a large, established healthcare system with resources and career advancement infrastructure
- Vaccination and screening requirements fulfilled prior to start date (COVID-19, influenza, and any future required screenings)
- Reasonable accommodations provided for qualified individuals with disabilities
Practice Highlights
- Emergency Department setting at Mission Trails Baptist Hospital, San Antonio, TX — a high-volume, fast-paced patient access environment
- Full patient registration at date of service: demographic capture, insurance verification, benefits and eligibility confirmation, and authorization for both scheduled and unscheduled services
- Completion and execution of all required legal and compliance forms: Advance Directives, Conditions of Service, Consent for Treatment, Important Message from Medicare, and EMTALA documentation
- Medical necessity checks and verification in accordance with CMS guidelines; inpatient visit notification to payors
- Patient liability education and compliant financial collections before, during, and after date of service; hospital cash reconciliation and secured payment entry
- Scanning and filing of Protected Health Information; creation of patient information packets for upcoming services
- Assistance with scheduling diagnostic procedures and coordinating post-discharge care as needed
- Cross-functional coverage required in at least two Patient Access service areas, including the Emergency Department
- Collaboration with internal clinical teams and external clients (physician offices, payors) to maintain accuracy and productivity
- Interpretation of physician orders, medical terminology, and insurance cards in accordance with established standards of care
Qualifications
- High School Diploma or GED required; some college coursework preferred
- 0–1 year of customer service experience; 0–1 year of administrative experience in a medical facility, health insurance, or related field preferred
- Minimum typing speed of 35 words per minute
- Demonstrated proficiency with PC, CRT terminal, and printer
- Working knowledge of third-party payor requirements and healthcare compliance standards preferred
- Ability to interpret physician orders, medical terminology, and insurance documentation
- Ability to work in high-volume, fast-paced conditions including exposure to uncooperative patients and life-threatening patient situations
- Physical requirements include extended periods of sitting at a computer terminal, frequent standing and walking, occasional lifting up to 25 lbs., and occasional wheelchair assistance for patients
About the Community
San Antonio is the second-largest city in Texas and one of the fastest-growing metros in the country, offering a low cost of living relative to other major U.S. cities, a warm climate, and a rich cultural heritage rooted in its Spanish colonial history. The city is home to the River Walk, world-class dining, the San Antonio Spurs, and easy access to the Texas Hill Country for outdoor recreation. Mission Trails Baptist sits on the northeast side of the city, a well-established residential corridor with strong schools, accessible highways, and proximity to both downtown San Antonio and the broader metro area.