Hospital Admissions Representative - Full time Onsite

Guidehouse•Los Angeles, CA

3d•$38,000 - $63,000•Onsite

About The Position

The Hospital Admissions Representative obtains and verifies demographic information, insurance benefits, and eligibility, and assigns the correct medical record and account numbers to support accurate billing and clinical information. The role gathers information from patient interviews, physician offices, and in-house departments; obtains required signatures; and performs pre-certification, credit referral, or deposit collection as needed. It enters and documents information in computer systems, updates patient files, and communicates insurance coverage issues and required co-payments, deductibles, or deposits to patients, family members, physicians, and supervisors. The representative reviews physician orders for completeness, completes Medicare compliance steps and obtains an ABN when necessary, maintains multiple computer systems, answers telephone calls using established scripts, and provides positive customer service. The position requires completing shift duties accurately and on time and complying with applicable safety regulations, policies, and procedures. The full-time schedule includes various shifts, every other weekend, and rotating holidays; shifts may be adjusted based on patient census and business needs.

Requirements

High school diploma or equivalent.
Minimum 0–1 year of experience in a medical setting or heavy customer service environment using data entry skills, insurance or other online websites, and various software applications; volunteer work is included.
Current BLS certification from the American Heart Association, or ability to obtain it within 90 days after hire.
Ability to obtain AVADE training offered by MLK Community Hospital within 30 days from the start date.

Nice To Haves

Two years of ED admitting experience.
Ability to type a minimum of 35 CWPM.
Computer skills and proficiency in Microsoft Office software programs.
Knowledge of medical terminology.
Ability to greet and effectively relate to patients, physicians, and staff.
Strong organizational skills and ability to set priorities and manage time effectively.
Strong interpersonal skills and ability to communicate effectively orally and in writing.
Ability to maintain a professional demeanor in a high-stress environment.
Ability to deal with pressure and complaints.
Professional appearance and conduct.

Responsibilities

Obtain and verify complete demographic and financial information from patients, physician offices, and in-house departments.
Obtain required signatures on legal consents and insurance forms.
Perform required pre-certification, credit referral, and deposit collection.
Enter data in computer systems and document incomplete admissions or registrations as prescribed.
Obtain pre-certification, referral, or authorization numbers and update patient files.
Notify patients, family members, physicians, and/or supervisors of insurance coverage issues; inform patients of co-payments, deductibles, or deposits and document the information in the computer system.
Review physician orders for completeness and ensure required information is listed.
Complete Medicare compliance steps and obtain an ABN when necessary.
Maintain multiple computer systems.
Provide positive customer service and refer unresolved issues to the appropriate supervisor.
Answer telephone calls, follow established scripts, and assist callers.
Complete shift duties accurately and in a timely manner.
Comply with safety regulations, policies, and procedures defined by the customer.

Benefits

Medical, prescription, dental, and vision insurance.
Personal and family sick time and company-paid holidays.
Position may be eligible for a discretionary variable incentive bonus.
Parental leave.
401(k) retirement plan.
Basic life and supplemental life insurance.
Health Savings Account and dental/vision and dependent care Flexible Spending Accounts.
Short-term and long-term disability.
Tuition reimbursement, personal development, and learning opportunities.
Skills development and certifications.
Employee referral program.
Corporate-sponsored events and community outreach.
Emergency back-up childcare program.