Admitting Representative

MyMichigan Health•Alpena, MI

About The Position

The Patient Access Associate greets and interviews patients, gathers information, and provides high-level customer service while completing accurate and timely registration. The role prepares patient accounts for inpatient and outpatient billing to maximize payment for hospital and clinic services. Responsibilities include verifying insurance, benefits, coverage, and eligibility; obtaining or verifying insurance authorizations; securing required signatures; generating paperwork; and applying hospital identification bands according to procedure. The associate enters complete and accurate information using computer technology and serves as a liaison among patients, financial counselors, and hospital patient accounting. The position follows applicable state, federal, CMS, and MyMichigan Health policies and procedures. A primary function is collecting copayments and deductibles at the point of service in a diplomatic, customer-focused manner. The associate works collaboratively, communicates effectively, and performs related duties as assigned. The position also performs inpatient admission functions, including direct and emergency department admissions, and may include switchboard duties. It involves collecting patient demographics, documenting Medicare MSP information, using available tools to verify patient identity and insurance eligibility, working assigned reports and queues, and completing special projects as assigned. The work may involve stressful situations and public contact, including exposure to trauma, grief, and death. The employee must be able to move around the facility, use personal protective equipment when required, and meet the role’s physical and sensory requirements. The position is classified as sedentary, with occasional lifting or carrying of 0–10 pounds.

Requirements

High school diploma or GED.
Fingerprinting credential.
Typing skills and basic personal computer knowledge for entering patient information.
Basic math proficiency and customer service skills.
Interpersonal and communication skills to interact with individuals and groups at all levels.
Ability to maintain confidentiality of patient information and data.
Competency in Microsoft Windows.
Ability to handle multiple tasks, work independently and with others, maintain regular and predictable attendance, and stay awake.
Ability to move freely about the facility with or without an assistive device and perform the functions of the job.
Overall vision and hearing, with or without assistive devices.
Ability to sit, stand, or walk for long periods and make postural changes such as stooping, kneeling, or crouching.
Dexterity for handling, reaching, grasping, fingering, and feeling, including repeated movements as needed.
Ability to wear personal protective equipment, including latex materials or an appropriate substitute if required.
Ability to occasionally lift or carry 0–10 pounds.
Ability to follow bloodborne pathogen and TB testing requirements.

Nice To Haves

Associate degree.
Certified Healthcare Access Associate (CHAA) certification through the National Association of Healthcare Access Management (NAHAM).
One year of experience working with insurance and patient accounts.
Knowledge of medical terminology and medical office practices, policies, and procedures, typically acquired through experience in a medical center or similar setting.

Responsibilities

Schedule, register, and pre-register patients accurately and completely.
Work assigned reports and work queues.
Obtain required pre-authorizations when needed.
Interface with patient care departments to provide information regarding Patient Access.
Perform inpatient admission functions, including direct admits and emergency department admissions.
Perform switchboard duties as needed.
Collect patient demographics and complete registration, including documentation of Medicare MSP information.
Use available tools to verify patient identification and insurance eligibility.
Carry out special projects assigned by the Manager and perform other duties as assigned.
Collect point-of-service copayments and deductible amounts in a diplomatic, customer-focused manner.
Obtain required signatures, generate paperwork, and apply hospital identification bands according to procedure.
Enter complete and accurate patient information and follow applicable policies and procedures.