Admitting Representative - Lancaster, United States - ANTELOPE VALLEY HEALTHCARE DISTRICT

ANTELOPE VALLEY HEALTHCARE DISTRICT

Verified Company

Lancaster, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Job 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/Preregistration
Obtain, verify and correct demographic information, select correct guarantor and emergency contacts on all registrations/preadmissions
Chooses the correct patient type as indicated by MD order or preadmit order and the current registration systems
Ensures that all required insurance authorizations are obtained at the time of registration/preregistration
Ensures that all insurance verifications are obtained at the time of registration/preregistration
Collects all copays and deductibles at the time of registration/preregistration
Uses proper patient identifiers when selecting the patient record into the hospitals ADT systems as outlined in the facilities policies and procedures
Completes Medicare Secondary Payer form correctly
Completes registrations/preadmissions without creating a duplicate medical record number
Completes registrations\preregistrations with correct Primary Care MD, Admitting MD and Attending MD.
Forms Completion
Explains all admission forms accurately and understandably and direct patient and or responsible party to initial and sign were applicable on all forms
Explains the Medicare Rights form to patients that this form applies
Understands 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 forms
Uses a legal signature on all admission forms
Understands chart placement of all forms
Advance Directives and Patient Information
Explains Advance Directives and direct patients to their MD for completion of form
Provides all required information such as Patient Rights and Responsibilities, Speak up Brochure and use of blood at the time of registration
Provides patients and their families with assorted required documents to assist them during their stay
Organization of daily activities
Monitors and coordinate work daily to achieve maximum productivity and efficiency
Review 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 abilities
Ensures insurance authorizations are received and documented in the patients account as required by insurance carriers
Obtains insurance verification on all required patient accounts as outlined in the department's policies and procedures
Accepts 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:

Knowledge

Knowledge of medical terminology
Knowledge of HMO, PPO, Commercial, and Workers' Compensation reimbursement
Knowledge of multiple insurance plans and authorization procedures and processes for obtaining payment
Knowledge of basic arithmetic

Skills:

Use of basic personal computer
Use of the use of a calculator
Proficient in the operation of scanners, copiers, and fax machines
Skilled in usages of computers and programs in a hospital setting
Strong communication and organizational skills
Good planning, time management and decisionmaking skills.
Good analytical and problemsolving skills
Excellent interpersonal skills and strong customer focus

Abilities

Ability to read and understand insurance requirements
Ability to verify and interpret insurance benefits and collect copays
Ability to handle stress
Ability to manage a heavy caseload in an organized and efficient manner
Ability to maintain a working relationship with other departments within the organization
Ability to read handwritten and transcribed documents in