Hospital Admissions Rep - Varied Night Shift, Part Time, Onsite

Guidehouse•Los Angeles, CA

3d•$38,000 - $63,000•Onsite

About The Position

The Hospital Admissions Representative obtains and verifies patient demographic information, insurance benefits, and eligibility, and assigns the correct medical record and account numbers to support accurate billing and clinical information. This part-time, onsite role follows a set varied night-shift schedule that includes three weekends per month and rotating holidays. The schedule may be adjusted according to business needs and patient census. The representative collects information from patients and other sources, obtains required signatures, performs pre-certification and related financial processes, enters and documents information in computer systems, and communicates insurance coverage and payment requirements. The role also reviews physician orders, completes Medicare compliance tasks, answers calls, provides customer service, completes shift duties, and complies with applicable safety requirements.

Requirements

High school diploma or equivalent.
Zero to two years of experience in a medical setting or a high-volume customer service environment using data-entry skills, insurance or other online websites, and various software applications; volunteer work may count.
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 Emergency Department Admitting experience.
Ability to type at least 35 WPM.
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 complete and accurate demographic and financial information from patients, physician offices, in-house departments, and other sources.
Obtain required signatures on legal consents and insurance forms.
Perform required pre-certification, credit referral, or deposit collection; enter data 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 required co-payments, deductibles, or deposits and document the information in the computer system.
Review physician orders for completion and ensure required information is listed.
Complete Medicare compliance tasks and obtain an ABN when necessary.
Maintain knowledge of applicable federal, state, and local laws concerning insurance rules and regulations.
Maintain multiple computer systems.
Provide positive customer service and refer unresolved issues to the appropriate supervisor.
Answer telephone calls, follow the established script, and assist callers.
Complete shift duties in a timely and accurate manner.
Comply with the customer's safety regulations, policies, and procedures.