Admitting Representative (ED), Patient Registration, Per Diem, Variable

JOB SUMMARY

:

Coordinates for the efficient and orderly admission of inpatients, the registration of outpatients, and ensures that accurate patient information is collected. Makes certain that patient wait times are minimized, patient satisfaction is high and overall quality is at or above 95%. Also responsible for preparing materials related to these processes and collecting all required deposits, copayments, co-insurances or deductibles. Greets all patients promptly, courteously and directs them to the appropriate areas.

JOB SPECIFICATIONS:

EDUCATION

High School diploma or GED. Associates degree in healthcare or business field preferred.

EXPERIENCE

One or more years of experience working in one of the following areas of an acute care setting; Admitting/Registration, Pre-admission Process, Insurance Verification. or clerical experience in a healthcare setting is preferred. Computer experience required.

PREREQUISITE SKILLS

Working knowledge of overall aspects of the admissions process as it relates to patient admissions, pre admissions, insurance verification and customer service is preferred. Must be able to work tactfully and professionally with patients, family members and all other hospital staff they encounter. Ability to problem solve, multi task efficiently and organize and prioritize tasks. Demonstrated excellent verbal and written communication skills with preference to speaking English, Spanish or other languages. Understanding of the overall diversity of our patient population and treating everyone with respect and courtesy.

LICENSE/REGISTRATION/CERTIFICATION:

BLS-HCP with American Heart Association Certification within 90 days of hire

Management of Assaultive Behavior (MAB) Training within 90 days of hire and maintained annually

DUTIES AND RESPONSIBILITIES:

ESSENTIAL (not modifiable)

PATIENT REGISTRATION PROCESS

• Responsible for timely, accurate and consistent registration of all patients, this could include functions related to Pre-Registration, Prior Authorization or Insurance Verification
• Responsible for the obtainment of timely and accurate information in order to establish a complete Medical Record and proper demographic and financial information. Measured error rates are to be at 5% or less of total registrations performed
• Responsible for processing registration records and distributing this information to hospital departments
• Responsible for the collection of deposits, copayments, deductibles or co- insurance as required
• Maintains strong working knowledge of insurance and billing requirements necessary to assure a complete and accurate registration
• Escorts or arranges escort of patients when necessary, to patient care units by wheelchair or walking
• Demonstrated strength in customer relations’ skills. Greets and provides information to patients and visitors
• Answers telephone in a professional manner and relays information timely
• Maintains effective working relationship with external organizations and agencies as required
• Responsible for maintaining a strong focus on assigned tasks and at all times being a strong team player

INSURANCE VERIFICATION PROCESS

• Responsible for timely and accurate identification of the appropriate insurance for the patient as it relates to the services to be rendered
• Obtains accurate and complete information from the hospital insurance verification system, insurance company representative or carrier website regarding benefits, approvals and other relevant information required for a complete admission
• Communicate with the patient their specific insurance carrier benefits and out of pocket expense. In addition, provide patient and physician any coverage problems and facilitate resolution prior to admission or rendering of services
• Communicate specific Case Management issues with the Case Management department
• Responsible for identifying and resolving problems with insurance companies prior to and/or following admission
• Obtains authorization for all elective or scheduled patients and documents in the system accurate and timely information

GENERAL DUTIES

• Participates actively in the achievement of organizational and departmental goals
• Attends and participates in in-services and staff meetings
• Maintains standards of the organization and department
• Abides by hospital policies on attire, work habits and relationships
• Observes confidentiality and decorum in conversation and behavior
• Assists in the orientation of new employees

SECONDARY (modifiable)

• May be assigned Admitting Shift Lead duties