Admitting Representative - Admitting Services - Part Time/Days - Req# 2097465684

Brief DescriptionJob Objective:Under the direction of the Department Supervisor or other designee provides a variety of patient welcoming and access services in support of the Admitting/Registration areas. Pre-registers and registers patients presenting at the hospital for inpatient, outpatient and emergency services. Conducts patient/guarantor interviews, explains hospital policies, patient financial responsibilities and patient's bill of rights. Facilitates the patient registration/admission flow, including activities such as: patient identification, identification of accurate demographic and insurance information, and collection of required signatures and documents. Responsible for the verification of insurance benefits on all inpatient and outpatient accounts through electronic verification system or through contact with third party payors, in order to obtain accurate and prompt reimbursement. Checks eligibility, benefits, authorization requirements, PCP approval requirements, and billing requirements, as appropriate. Submits notice of admission to payors, as needed. Collects co-payments, and other patient liabilities. Enters the financial and admissions data into the hospital information computer systems.Duties and Responsibilities: Registration/Pre-registrationObtain, verify and correct demographic information, select correct guarantor and emergency contacts on all registrations/pre-admissionsChooses the correct patient type as indicated by MD order or pre-admit order and the current registration systemsEnsures that all required insurance authorizations are obtained at the time of registration/pre-registrationEnsures that all insurance verifications are obtained at the time of registration/pre-registrationCollects all co-pays and deductibles at the time of registration/pre-registration Uses proper patient identifiers when selecting the patient record into the hospitals ADT systems as outlined in the facilities policies and proceduresCompletes Medicare Secondary Payer form correctlyCompletes registrations/pre-admissions without creating a duplicate medical record numberCompletes registrations\pre-registrations with correct Primary Care MD, Admitting MD and Attending MD. Forms CompletionExplains all admission forms accurately and understandably and direct patient and or responsible party to initial and sign were applicable on all formsExplains the Medicare Rights form to patients that this form appliesUnderstands the purpose of the Patient Responsibility form in regards to Core Measures and the timely completion of the form and Smoking Cessation information.Uses military time on all admission formsUses a legal signature on all admission formsUnderstands chart placement of all forms Advance Directives and Patient InformationExplains Advance Directives and direct patients to their MD for completion of formProvides all required information such as Patient Rights and Responsibilities, Speak up Brochure and use of blood at the time of registrationProvides patients and their families with assorted required documents to assist them during their stay Organization of daily activitiesMonitors and coordinate work daily to achieve maximum productivity and efficiencyReview all work for quality at the end of each shift and make corrections if necessary Non-Essential Duties:Other duties as assigned, within skill sets and abilitiesEnsures insurance authorizations are received and documented in the patients account as required by insurance carriersObtains insurance verification on all required patient accounts as outlined in the department’s policies and proceduresAccepts and carries out all other miscellaneous clerical and/or administrative duties and responsibilities as required for maintaining all services provided by Admitting Services Knowledge, Skills and Abilities: KnowledgeKnowledge of medical terminologyKnowledge of HMO, PPO, Commercial, and Workers’ Compensation reimbursementKnowledge of multiple insurance plans and authorization procedures and processes for obtaining paymentKnowledge of Microsoft Office applicationsKnowledge of basic arithmeticSkillsUse of basic personal computerUse of the use of a calculatorProficient in the operation of scanners, copiers, and fax machinesSkilled in usages of computers and programs in a hospital settingSkilled usage of MS Office applicationsStrong communication and organizational skillsGood planning, time management and decision-making skills.Good analytical and problem-solving skillsExcellent interpersonal skills and strong customer focusAbilitiesAbility to read and understand insurance requirementsAbility to verify and interpret insurance benefits and collect co-paysAbility to handle stressAbility to manage a heavy caseload in an organized and efficient mannerAbility to maintain a working relationship with other departments within the organizationAbility to read handwritten and transcribed documents in the medical record, interpret information,Ability to enter complete and accurate data into the facilities computer systemsAbility to maintain an accuracy rate of 98% or higher relating to all registration/preadmission/bed control activities within the Patient Access departmentsEducation and Experience:EducationHigh School graduate or equivalentExperience1-year recent experience in an Admitting Department in an acute care setting preferred. Will consider 1-year experience in a medical office or hospital Business Office settingPrevious Commercial, HMO, PPO, and Workers Compensation billing and/or insurance follow-up experience in an acute care setting preferred Required Licensure and/or Certifications:NonePhysical Requirements and Working Conditions:Primarily works in a climate-controlled areaFrequent Sitting and standing for long periods of timeTolerate repetitive arm and hand movementsA detailed description of the physical requirements of this job is maintained in the Employee Health Department.RequirementsEducation and Experience:EducationHigh School graduate or equivalentExperience1-year recent experience in an Admitting Department in an acute care setting preferred. Will consider 1-year experience in a medical office or hospital Business Office settingPrevious Commercial, HMO, PPO, and Workers Compensation billing and/or insurance follow-up experience in an acute care setting preferred Required Licensure and/or Certifications:NonePhysical Requirements and Working Conditions:Primarily works in a climate-controlled areaFrequent Sitting and standing for long periods of timeTolerate repetitive arm and hand movements