Admitting Representative

Kaiser Permanente-posted 7 months ago
Full-time • Entry Level
Modesto, CA
Ambulatory Health Care Services
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Under the direct supervision of the Admitting Manager/Supervisor/Designee, the Admitting Representative is a patient service professional responsible for coordinating and completing every phase of the admission function including admissions, pre-admissions, interviews for financial and demographic information, obtains and processes advance directives, obtains patient/agent signatures, may initiate valuables collection and distribution, document preparation for all elective, direct and/or emergency admissions, revenue collection in all settings, and data retrieval. Assures confidential treatment of all communications written and verbal. Will initiate and maintain patient room assignments and status until discharge. Acts as a primary informational resource and provides assistance to both internal and external customers. The Admitting Representative must be capable of making decisions and working independently to achieve all departmental functions, as well as maintain an in-depth understanding of job duties and changes as admitting decisions have significant financial and medical implications.

  • Instruct and review with patient, information concerning hospitalization.
  • Ascertain health plan status, research eligibility and collect and copy non-KP insurance information.
  • Identify all uninsured or under-insured patients admitted to facility; refer to Financial Counselors for further action.
  • Obtain verification and necessary pending authorizations from non-KP insurers (including Medicare, Medi-Cal and COB) on members and non-members when Financial Counselor is not available.
  • Discuss the need to obtain authorizations from non-KP insurers when Financial Counselor is available.
  • Promote patient satisfaction and retention through the successful facilitation of the revenue collection process.
  • Calculate member liability based on benefit plan and inform patient/agent.
  • Notify patient and when possible, collect financial liability for elective procedures.
  • Document all interactions with patients regarding financial liabilities.
  • Contact all discharged patients to attempt collection of financial liability.
  • Research payment records of all non-paying patients with liabilities.
  • Analyze revenue data to determine obstacles in cost share collections.
  • Collect all information necessary to bill second-party payers.
  • Interview patients for pre-admission or admission to the hospital.
  • Enter complete data into the KP information systems and review for accuracy.
  • Affix identification bracelet to the patients wrist per local policy.
  • Provide up-to-date information concerning admission and hospital practices.
  • Evaluate and attempt to resolve/refer public and patient concerns.
  • Facilitate the timely admission of patients throughout the hospital.
  • Maintain accurate record of cost share status of all patients with liabilities.
  • Obtain appropriate signatures on permits and consents.
  • Prepare related admission paperwork in advance.
  • Assemble and coordinate admission materials to create a comprehensive admission package.
  • Distribute relevant brochures/letters to patient/agent.
  • Receive, document, secure and release patient valuables according to Standard Procedure.
  • Initiate membership records on all newborns per local policy.
  • Participate in problem-solving to assure organizational revenue targets and customer satisfaction.
  • Escort or arrange for patient escort to assigned room or area.
  • Answer phones in a professional, courteous and positive manner.
  • Work in a team environment continually enhancing required skills.
  • Minimum six (6) months work experience required.
  • High school diploma or equivalent.
  • Basic knowledge and use of computer and computer keyboard.
  • Professional customer service skills.
  • Ability to read, write, understand and follow oral and written instructions.
  • Ability to effectively present information in one-on-one and small group situations.
  • Ability to use basic math.
  • Ability to work rapidly and accurately with phone, personnel and patient interruptions.
  • Ability to multitask, organize and prioritize and work independently with minimal supervision.
  • Proficient in admitting medical terminology.
  • Hospital/clerical setting or medical office preferred.
  • Revenue collection experience preferred.
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