Admissions Specialist 2

Rush University Medical Center•Chicago, IL

32d•$19 - $30•Onsite

About The Position

The Admissions Registration Specialist II is responsible for reviewing patient registration for all types of admissions and elective procedures to ensure patient and guarantor demographic and insurance information is complete and current with each patient visit. The Admissions Registration Specialist II is responsible for the orientation to standard works of principle responsibilities of new staff. The Admissions Registration Specialist II will perform all functions in a courteous and respectful manner, advocating for the patient's best interest and wellbeing. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.

Requirements

High school graduate or equivalent.
1-2 years of relevant experience
Experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service.
Must have a basic understanding of the core Microsoft suite offerings (Word, PowerPoint, Excel).
Excellent communication and outstanding customer service and listing skills.
Basic keyboarding skills
Ability to analyze and interpret data
Critical thinking, sound judgment and strong problem-solving skills essential
Team oriented, open minded, flexible, and willing to learn
Strong attention to detail and accuracy required
Ability to prioritize and function effectively, efficiently, and accurately in a multi-tasking complex, fast paced and challenging department.
Ability to follow oral and written instructions and established procedures
Ability to function independently and manage own time and work tasks
Ability to maintain accuracy and consistency
Ability to maintain confidentiality

Nice To Haves

Associates Degree in Accounting or Business Administration
Knowledge of insurance and governmental programs, regulations, and billing processes e.g., Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc., managed care contracts and coordination of benefits is highly desired.
Working knowledge of medical terminology and anatomy and physiology is preferable.

Responsibilities

With a high degree of accuracy collects, verifies and enters into Epic the patient's demographic, employer, financial, emergency contact, insurance, subscriber and case-specific information, such as referring physician and diagnosis.
Consistently has patient sign and scan all necessary documents for completion of the admission process; consent, ID, insurance card, MIMS, OBS, COB, etc.
Consistently and accurately obtains and interpret the patient's insurance benefits and possess the ability to communicate this information accurately to the patient and co-workers.
Has the ability to determine the patient's financial obligation and communicate this information accurately and with respect to the patient.
Performs registration functions consistent with Federal, State and Local regulatory agencies and payer requirements, and organizational policies and procedures, including HIPAA privacy and security Regulations, as well as JACHO.
Understands and is able to communicate coverage-related concepts to the patients, i.e. pre-certification and out-of-network.
Proficient in navigating their own EPIC WQs, as well as assisting in other team members WQs in order to maximize department's ability to move performance of registration duties.
Ability to function as a preceptor for new hire orientation by assisting the supervisors in monitoring the new hire's ability to perform the SOW of their job. Acts as a resource to new staff by answering questions, assistance of daily job functions and corrections of errors.
Upon decision of patient's admission, has the knowledge and skill to perform the admission notification (NOA) process which is a required communication with the patient's payer to ensure that the payment for patient's inpatient stay is secured.
Appropriately informs the patients of hospital policies that govern the revenue cycle. Minimizes the potential financial risk of patients accounts by discussing with the patient and/or guarantor their financial responsibility for upcoming visits/procedures, past due balances and referral requirements. Offers options and negotiates acceptable resolution of estimated patient balance.
Receives and properly responds to, or directs telephone inquiries from patients, payers, physicians and their staff, internal department and other persons and entities.
Ability to exercise good customer service skills when communicating with both our patients as well as our internal customers. Able to find resolution within the phone interaction satisfactory to the caller and/or having the knowledge when to escalate to their supervisor.
Interacts and collaborates with numerous departments to resolve issues while also analyzing necessary information that will ensure hospital reimbursement.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Rush University Medical Center's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior. Guards to assure that HIPAA confidential medical information is protected
Attends regular EPIC training sessions or other sessions conducted for the benefit of associates involved in the Admitting functions.
Other duties as needed and assigned by the supervisor/manager.