Hospital Admissions Rep IV

University of Rochester•City of Rochester, NY

13d•$21 - $28•Onsite

About The Position

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. This role coordinates or manages inpatient and outpatient admissions, including bed assignments and the completion of preliminary paperwork for patients entering the hospital. It involves verifying insurance benefits to determine coverage for hospital admission, and coordinating admissions with medical, nursing, and accounting staff to ensure appropriate patient placement and compliance with third-party payers and regulations. The position also provides guidance to others and focuses on more complex assignments.

Requirements

High School diploma or equivalent and 4 years of relevant experience required
Basic understanding of Central Registration, Health Information Management, Financial Counseling, and Pathology required
Knowledgeable and proficient in the use of the Hospital software i.e. EPIC. required

Nice To Haves

Associate's degree preferred

Responsibilities

Coordinates or manages inpatient and outpatient admissions, including bed assignments and the completion of preliminary paperwork for patients entering the hospital.
Verifies insurance benefits assigned to the hospital to determine if coverage meets the standards of hospital admission.
Coordinates admissions with medical, nursing and accounting staff to ensure appropriate placement of patients and compliance with third-party payers and applicable regulations.
Provides guidance to others and focuses on more complex assignments.
Interprets eligibility for admission/service/treatment plans.
Documents in a timely, accurate manner in the hospital computer system.
Maintains and monitors patients in the system for accurate charges throughout all inpatient stays.
Provides information to Financial Counseling in a timely manner for all urgent admissions.
Marks patients for merge and notifies Health Information Management.
Assigns accommodations and assists with coordination of patient transfers and discharges, exercising tact, initiative and independent judgment based on financial and other pertinent information available.
Understands the complexity of the units that have multiple levels of care and accommodation codes.
Notifies Facilities regarding use of negative pressure rooms to ensure testing is completed before patient is placed in negative pressure.
Books reservations for prospective patients and guests and follows established procedures to ensure a smooth, timely preadmission/preregistration/registration process.
Remains cognizant of the changes that are generated with bed request and assigning patients to beds to facilitate the correct charges number and complexity of the census reconciliation checklist.
Discusses pending admissions/services with physicians and their offices to ensure proper information is received.
Confers with physician regarding postponement of elective admissions/services.
Assists physicians with administrative details relating to decedent affairs, such as autopsy consents, accuracy and completeness of death certificates, and serves as a liaison with the Medical Examiners’ Office.
Notifies attending, referring and PCP when patient has been admitted to an inpatient service.
Exercises independent judgement in application of complex multi-factorial guidelines, such as non-viable live birth and fetal death.
Exercises considerable judgement in patient flow.
Has direct responsibility in expediting patient movement and improving utilization of the hospital resources.
Tracks the completion of a release of OR admission orders to facility movement from the PACU to the patient units.
Screens admit orders for codeable diagnosis and correct attending and services.
Understands the extended number of treatment programs and treatment locations that complicate the admission process.
Audits and reconciles daily bed census or other patient/customer counts.
Acts as a liaison for Funeral Home Director’s and as a resource for staff.
Assists in Transfer Center, taking referrals, nominating films, scanning of face sheets into EMR, complete initial intake for transfers and consults in EMR.
Other duties as assigned.