Admitting Representative, Emergency Department – Full Time, Day Shift (Open)

Guidehouse•Ventura, CA

16h•$38,000 - $63,000•Onsite

About The Position

The Admitting Representative is ONSITE at Community Memorial Hospital in Ventura, CA. Provides excellent customer service to all individuals. Perform accurate registration, arrival, and check-in functions upon a patient presenting themselves for service. Collect all necessary patient, demographic, and insurance information/documentation to ensure a patient is completely registered within the patient registration systems. Obtain all necessary patient signatures and information at time of arrival. Escalates any advanced or complex registrations to a more experienced team member. Perform real-time insurance eligibility and benefits verification for all patients. Verifies insurance benefits; explain financial requirements to the patient or patient representative and collects any outstanding patient portion at the point of service. Perform collections and cashiering functions and refer patients to Financial Counseling where appropriate. Ensure that all activities related to hospital collection activities meet department requirements. Works assigned shifts at hospital Emergency Admitting departments; 12-hour shifts, 8-hour shifts, 1st, 2nd and 3rd shift as assigned. Rotating holiday and weekend work. Serve as preceptors/trainers to orientee. Serves as a mentor to new associates and assist in new employee orientation. Performs Inpatient Admission Admitting duties that include determining in and out of network benefits, review of the EMR Inpatient status tracking feature and the attainment of Important Message for Medicare patient signatures. Performs carve outs as it relates to observation admission services, determines in and out of network benefits as it relates to observation stays, review of the EMR Observation status tracking feature and the attainment of patient signatures as they relate to observation patient stays. Consistently exceeds weekly individual goals and standards. Performs other duties as assigned. Shift: Day Shift 12 HOURS (ex: 07:00AM- 07:30PM, 3:00pm-3:30am) with rotating weekends, on call, and holidays.

Requirements

High School graduate or equivalent (GED)
0-2 (zero to two) years of experience working in a hospital, medical, clinical OR customer service environment.

Nice To Haves

One (1) year of hospital Patient Access experience.
Data Entry experience.
Familiarity with health plans/insurances.
Bilingual in English & Spanish

Responsibilities

Provides excellent customer service to all individuals.
Perform accurate registration, arrival, and check-in functions upon a patient presenting themselves for service.
Collect all necessary patient, demographic, and insurance information/documentation to ensure a patient is completely registered within the patient registration systems.
Obtain all necessary patient signatures and information at time of arrival.
Escalates any advanced or complex registrations to a more experienced team member.
Perform real-time insurance eligibility and benefits verification for all patients.
Verifies insurance benefits; explain financial requirements to the patient or patient representative and collects any outstanding patient portion at the point of service.
Perform collections and cashiering functions and refer patients to Financial Counseling where appropriate.
Ensure that all activities related to hospital collection activities meet department requirements.
Works assigned shifts at hospital Emergency Admitting departments; 12-hour shifts, 8-hour shifts, 1st, 2nd and 3rd shift as assigned. Rotating holiday and weekend work.
Serve as preceptors/trainers to orientee.
Serves as a mentor to new associates and assist in new employee orientation.
Performs Inpatient Admission Admitting duties that include determining in and out of network benefits, review of the EMR Inpatient status tracking feature and the attainment of Important Message for Medicare patient signatures.
Performs carve outs as it relates to observation admission services, determines in and out of network benefits as it relates to observation stays, review of the EMR Observation status tracking feature and the attainment of patient signatures as they relate to observation patient stays.
Consistently exceeds weekly individual goals and standards.
Performs other duties as assigned.

Benefits

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program