As a compassionate member of the care team, the Admissions Specialist will welcome patients and their families upon arrival, putting them at ease and setting the tone for the rest of their visit. During the patient interaction, they will accurately gather complete demographic information to ensure electronic health record integrity consistent with high reliability organization principles. To ensure a seamless visit, the Admissions Specialist identifies correct network coverage and obtains and/or validates healthcare benefits and/or pre-certification for applicable tests and/or procedures. These efforts maximize reimbursement for services rendered. The Admissions Specialist educates patients and/or families about applicable legal, ethical, and compliance documents, ensuring regulatory consents are signed by the appropriate parties. They engage with patients in understanding their financial obligations based on the financial policy and accurately prepare estimates to collect co-payments, self-pay deposits, and patient balances. The Admissions Specialist ensures all payor and government required elements are completed correctly, particularly the MSPQ, Important Message from Medicare (IMM) and medical necessity checking (ABN and Letter of Non-Coverage). They maintain customer service and/or productivity guidelines set forth by applicable leadership.
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Career Level
Entry Level
Education Level
High school or GED