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Rancho Mirage

    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.
      • 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 to
      • Physical /Occupational Therapy Supervisor/Rehabilitation Services Director
    • Supervises
      • Rehabilitation Services Volunteers
    • Ages of Patients
      • Pediatric
      • Adolescent
      • Adult
      • Geriatric
    • Blood Borne Pathogens
      • Minimal/ No Potential
    • Qualifications
      • Education
        • Required: High School diploma or equivalent
      • Licensure/Certification
        • N/A
      • Experience
        • Preferred: Previous experience in Healthcare setting and prior Customer Service Experience
    • Essential Responsibilities
      • Demonstrates 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 appropriate
        • Updating scheduling status
        • Documenting authorizations timely and accurately including visits authorized, authorization number, authorization expiration date and any other pertinent authorization information
        • Notes appropriate to scheduling status, authorizations and transfer of care
      • Accurately and timely transcribes all referrals including:
        • Identification of correct patient
        • Accurately entering referring provider based on ability to sign Plan of Care reports
        • Entering of order(s)
        • Ensuring routing to correct department based on diagnosis/specialty
        • Addition of correct working diagnosis
        • Addition of providers outside the Eisenhower network
      • Accurately and timely completes patient registrations including:
        • Correct patient identification using two identifiers
        • Patient demographics
        • Required information included (Patient, physician, insurance and authorization, SMS preference)
        • Ensuring orders and diagnosis are valid
        • Ensuring correct scanning of insurance cards upon arrival
        • Accurately completing all consents ensuring signatures are obtained at least annually
        • Verification of insurance coverage upon arrival
        • Completion of necessary paperwork (OP Interview, Functional Outcomes) prior to seeing the provider
        • Correct therapy scheduling within therapist and payer limitations
      • Maintains 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.
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