Admissions Representative .8 FTE

Waverly Health Center•Waverly, IA

41d•Onsite

About The Position

PRIMARY FUNCTIONS Responsible for identification of patients, registration for hospital services, creation of the electronic medical record and financial data for compliance and accurate billing submission. Directs patients to service areas. Identifies patients in need of financial assistance. Operates hospital switchboard and paging systems. Serves as a resource for patients and visitors to the facility. ESSENTIAL DUTIES AND RESPONSIBILITIES Greet patients/visitors in a professional, friendly manner. Add patient information to Lobby tracking board. Monitor patient wait times and ensure all patients are acknowledged. Correctly verify the identity of the patient. Report or resolve any discrepancies according to procedure. Locate & interpret provider order(s) for appropriate testing & registration criteria. Review for compliance with required order criteria. Identify encounter associated with order or create new encounter if necessary. Presents order(s) to Order Verification Representative to check medical necessity for test(s) being performed; work with Order Verification Representative and scheduling staff to obtain corrected order(s) for patients who present with order(s) that do not meet compliance requirements. Call provider offices to obtain missing orders when necessary. Prepare and explain waivers for patients whose services will not be covered by their insurance and obtain patient signature. Interview and register patients for all types of inpatient and outpatient services. Assist other departments with changes in level of care. Obtain and accurately input all required data elements into the computer database, including patient demographic, financial information, guarantor information, and notes associated with the encounter. Ensure each patient is assigned only one medical record number. Verify current insurance eligibility information for each patient registered using payer websites or electronic verification system. Explain processes and forms to patients prior to securing signatures to ensure compliance with regulations and hospital policies. Scan order, photo ID, insurance cards, Conditions of Admission & other required documents into the electronic medical record. Collect emergency room co-pays or down payments from patients who have received pre-service estimates. Provide patient receipt, document payment info, reconcile cash drawer and submit patient payments to receipting as required. Identify patients who are interested in payment options or may qualify for financial assistance. Provide forms or make referrals to the Patient Financial Counselor of at risk patients. Maintain an acceptable level of quality based on personal scorecard and department measurements. Correct errors in the specified timeframe. Provide understandable and accurate information and way finding instructions to patients, families, & visitors. Perform switchboard duties, receive and transfer incoming calls, and operate hospital paging system demonstrating knowledge of proper business telephone etiquette. Work cooperatively with team members in covering open shifts due to employee absence or open positions to ensure excellent patient care.

Requirements

High school diploma or equivalent
Must demonstrate problem solving abilities and high attention to detail
Excellent typing skills with a strong degree of accuracy
Strong organizational skills
Strong oral and written communication skills
Strong computer knowledge and skills with experience navigating between multiple systems simultaneously
Ability to learn and navigate computer systems including the online training modules, the employee timesheet and the performance appraisal system. Job specific systems are also required
Able to read, speak, and write fluent English
Sitting – Approximately 60% of shift
Standing –Required
Walking – Approximately 40% of shift

Nice To Haves

Previous experience in Patient Registration/Admissions preferred
Knowledge of medical terminology Preferred
Minimum of two years customer service experience preferred
Health insurance knowledge preferred

Responsibilities

identification of patients
registration for hospital services
creation of the electronic medical record and financial data for compliance and accurate billing submission
Directs patients to service areas
Identifies patients in need of financial assistance
Operates hospital switchboard and paging systems
Serves as a resource for patients and visitors to the facility
Greet patients/visitors in a professional, friendly manner
Add patient information to Lobby tracking board
Monitor patient wait times and ensure all patients are acknowledged
Correctly verify the identity of the patient
Report or resolve any discrepancies according to procedure
Locate & interpret provider order(s) for appropriate testing & registration criteria
Review for compliance with required order criteria
Identify encounter associated with order or create new encounter if necessary
Presents order(s) to Order Verification Representative to check medical necessity for test(s) being performed
work with Order Verification Representative and scheduling staff to obtain corrected order(s) for patients who present with order(s) that do not meet compliance requirements
Call provider offices to obtain missing orders when necessary
Prepare and explain waivers for patients whose services will not be covered by their insurance and obtain patient signature
Interview and register patients for all types of inpatient and outpatient services
Assist other departments with changes in level of care
Obtain and accurately input all required data elements into the computer database, including patient demographic, financial information, guarantor information, and notes associated with the encounter
Ensure each patient is assigned only one medical record number
Verify current insurance eligibility information for each patient registered using payer websites or electronic verification system
Explain processes and forms to patients prior to securing signatures to ensure compliance with regulations and hospital policies
Scan order, photo ID, insurance cards, Conditions of Admission & other required documents into the electronic medical record
Collect emergency room co-pays or down payments from patients who have received pre-service estimates
Provide patient receipt, document payment info, reconcile cash drawer and submit patient payments to receipting as required
Identify patients who are interested in payment options or may qualify for financial assistance
Provide forms or make referrals to the Patient Financial Counselor of at risk patients
Maintain an acceptable level of quality based on personal scorecard and department measurements
Correct errors in the specified timeframe
Provide understandable and accurate information and way finding instructions to patients, families, & visitors
Perform switchboard duties, receive and transfer incoming calls, and operate hospital paging system demonstrating knowledge of proper business telephone etiquette
Work cooperatively with team members in covering open shifts due to employee absence or open positions to ensure excellent patient care