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Rancho Mirage

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

    Eisenhower Health
    Eisenhower Health Rancho Mirage, United States

    3 weeks ago

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    Description
    • Job Objective: A brief overview of the position.
      • As a working Lead-Patient Admitting Specialist, acts as subject matter expert for Patient Admitting Specialists and front office team for general questions and training
      • The position is responsible for ensuring that all patients have an accurate and comprehensive scheduling, and registration experience in the office
      • Customer Service - Ensures that all patients have a satisfying registration experience and are provided with choices, option and counseling to assist them in making their healthcare decisions
      • Accurate Registrations - Ensures accurate, comprehensive registrations of patients
      • Accurate Insurance - Ensures accurate patient insurance information is recorded including verification of eligibility and benefits
      • Point of Service Collections - Ensures that patient financial responsibility (co-pays, deductibles) is collected at or before the time of service
    • Reports to
      • Supervisor, Manager, Director, CAO
    • Supervises
      • N/A
    • Ages of Patients
      • Neonate/ Infant (as appropriate for department)
      • Pediatric (as appropriate for department)
      • Adolescent (as appropriate for department)
      • Adult
      • Geriatric
    • Blood Borne Pathogens
      • Minimal/ No Potential
    • Qualifications
      • Education
        • Preferred: High School Diploma/GED or equivalent work experience
      • Licensure/Certification
        • N/A
      • Experience
        • Required: Minimum 1 year in patient admitting/registration in hospital or physician office
        • Preferred: Medical terminology, payment processing, Hospital based Federal Rules, Regulations and procedures, safety practices
    • Essential Responsibilities
      • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
      • Trains new staff and provides on-going training to existing staff.
      • Resolves escalated patient/customer concerns, complaints and issues and escalates to leader, as appropriate.
      • Acts as subject matter expert for front desk operations.
      • Works with leadership on process improvement to ensure efficient and effective process flow, protocols, and training tools.
      • May be responsible for maintaining and revising provider schedules.
      • May be responsible for ensuring all visits are prior authorized, as appropriate.
      • Properly greets patients.
      • Properly identifies patients by using two patient identifiers and proper method of retrieving patient history/information, avoiding creation of duplicate Medical Records for additional patient visits.
      • Registers patients following standard work and maintains compliance according to departmental benchmark guidelines. Verifies and accurately enters and updates patient information while registering as per departmental guidelines.
      • Coordinates and assists other staff in ensuring that all patients are registered in a timely manner.
      • Properly completes check in process and/or verifies e-Check in is complete.
      • Confirm all insurance information is accurate and up to date.
      • Scan photo ID and insurance card.
      • Prepares all appropriate Medicare Advanced Beneficiary Notice (ABN) and (LMRP) program requirements and completion, including patient notification and signature requirements at time of service.
      • Completes the Medicare Screening Form for all Medicare patients and adheres to completion per Medicare requirements.
      • Ensures all patient access paperwork per policy, including regulatory forms, insurance verifications and signatures required to perform service are collected and complete.
      • Collects co-pay/deductible/form fees or any appropriate estimates and provide patient with receipt of payment.
      • Answers and properly routes all incoming calls in an appropriate and timely manner, ensuring a high level of customer service is provided at all times.
      • Responsible for collecting and routing incoming faxes and messages, per specific clinic guidelines.
      • Performs daily cash balancing per department guidelines.
      • Maintains registration error accuracy rate of 97% or higher, signaling a proper and complete registration. Demonstrates and maintain all other departmental accuracy and productivity standards.
      • Ensures that all patient complaints or concerns are handled using the appropriate chain of command.
      • Ensures compliance with department specific guidelines and competencies.
      • Successfully completes all required training, orientation, and competency courses on timely basis.
      • Demonstrates a basic knowledge of insurances, including eligibility and benefit coverage, and other relevant information.
      • Provides accurate cash price/quote to self-pay patients.
      • Follows the identified dress code and safety protocols to ensure patient and employee safety.
      • Maintains and practices professional boundaries with all patient interactions.
      • Performs other duties as assigned.
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