Patient Admitting Specialist - Rancho Mirage, United States - Eisenhower Health

Description

Job Objective:
A brief overview of the position.

Rehabilitation services Patient Admitting Specialist performs or coordinates/delegates the performance of clerical/support activities (including phones and acknowledging patients), maintains the department patient schedule, facilitates communication and customer relations.

Organizes work flow/processes to support the administration of Rehabilitation Services.

Reports toPhysical /Occupational Therapy Supervisor/Rehabilitation Services DirectorSupervisesRehabilitation Services VolunteersAges of PatientsPediatricAdolescentAdultGeriatricBlood Borne PathogensMinimal/ No PotentialQualifications EducationRequired:
High School diploma or equivalentLicensure/CertificationN/A

Experience Preferred:

Previous experience in Healthcare setting and prior Customer Service ExperienceEssential ResponsibilitiesDemonstrates compliance with code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and reports suspected violations.

Maintains a cheerful, professional image at all times, including appearance of self, work area, waiting room and the use of appropriate scripting.

Manages daily schedules to ensure efficiency and productivity, including scheduling back to back appointments, checking Well Health and cancelling and moving appointments as appropriate ensuring full schedules; verifying work days, ensuring appropriate blocks, call offs if necessary and reporting scheduling needs to manager/supervisor.

Answers phones in a timely fashion (within 3 rings if possible) and timely addresses all patient communication (via phone, Well Health, In-Basket, etc.) same day.

Manages department work queues including:
Ensure timely patient notification (within 72 hours of receipt of referral)

Verifying necessary authorizations and updating referral status as appropriateUpdating scheduling statusDocumenting authorizations timely and accurately including visits authorized, authorization number, authorization expiration date and any other pertinent authorization informationNotes appropriate to scheduling status, authorizations and transfer of careAccurately and timely transcribes all referrals including:
Identification of correct patientAccurately entering referring provider based on ability to sign Plan of Care reportsEntering of order(s)

Ensuring routing to correct department based on diagnosis/specialtyAddition of correct working diagnosisAddition of providers outside the Eisenhower networkAccurately and timely completes patient registrations including:

Correct patient identification using two identifiersPatient demographicsRequired information included (Patient, physician, insurance and authorization, SMS preference)Ensuring orders and diagnosis are validEnsuring correct scanning of insurance cards upon arrivalAccurately completing all consents ensuring signatures are obtained at least annuallyVerification of insurance coverage upon arrivalCompletion of necessary paperwork (OP Interview, Functional Outcomes) prior to seeing the providerCorrect therapy scheduling within therapist and payer limitationsMaintains a good working relationship with payer sources necessary to obtain timely authorizations are in place and documented prior to scheduling of initial and/or return patient appointments.

Meets expectation on timeliness and quality performance indicators as identified.
Maintains competency in all office applications in current available systems.
Accurately manages report processing, acting on information as appropriate to ensure regulatory compliance and department efficiency.
Accurately and timely discharges appointments, that have been discharged by the provider, per rehab process.
Appropriately and timely handles patient charges including cash pay, co-payments and any other necessary patient collections.
Performs daily cash balancing per department guidelines.
Maintains adequate supply of all office forms and supplies.
Performs other duties as assigned.