Patient Admitting Specialist

Eisenhower Health•Rancho Mirage, CA

5d•Onsite

About The Position

Ensures all patients have a satisfying registration experience that includes accurate and comprehensive scheduling and registration. This role involves interacting with patients of all age groups, from neonates to geriatrics, and requires a high level of accuracy in data entry and verification. The Patient Admitting Specialist is responsible for managing patient information, verifying insurance eligibility, collecting co-pays, and ensuring all necessary paperwork is completed according to organizational policies and regulatory requirements, including HIPAA and Medicare guidelines. The position also involves assisting with patient scheduling, handling incoming calls and faxes, and maintaining high standards of accuracy and productivity.

Requirements

High school diploma, GED or higher level degree if hired after March 1, 2025
Ability to create a welcoming environment for patients and visitors, demonstrating empathy and respect in all interactions
Ability to effectively communicate in a positive and professional manner
Ability to handle difficult and stressful situations in a calm and professional manner
Ability to operate general office equipment (i.e., computer, printer, scanner, telephone, etc.)
Ability to successfully complete training orientation program(s) and competencies
Ability to use Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and other relevant software applications
Basic knowledge of insurances, including eligibility and benefit coverage, and other relevant information
Written and verbal communication skills

Nice To Haves

Healthcare or customer service experience

Responsibilities

Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
Identifies patients by using proper method of retrieving patient history/information, avoiding creation of duplicate Medical Records for additional patient visits.
Registers patients and maintains compliance according to departmental benchmark guidelines; verifies, accurately enters and updates patient information while registering as per departmental guidelines.
Reviews insurance eligibility, updates medical record with accurate information obtained from the health plan and releases the insurance based upon verification process; ensures valid prior authorization, if applicable.
Identifies and collects co-pays/deductibles based on insurance eligibility information and/or EMC uninsured cash discount quotes for emergency and outpatient services; provides patient with receipt of payment, if applicable.
Ensures that all paperwork, as per organizational policies, including patient HIPAA regulation information, patient required signatures and forms that are necessary for the appropriate department services are completed.
Performs daily cash balancing per department guidelines, if applicable.
Prepares and completes all appropriate Medicare Advanced Beneficiary Notice (ABN) and (LMRP) program requirements, including patient notification and signature requirements at time of service.
Requests and scans insurance cards and other necessary forms of identification.
Completes Medicare Screening Form for all Medicare patients per Medicare requirements.
Coordinates and assists other staff in ensuring that all patients are registered in a timely manner.
Maintains completion of patient pre-registration at department standard.
Maintains registration error accuracy rate of 97% or higher; maintains all other departmental accuracy and productivity standards.
Provides accurate cash price/quote to self-pay patients; provides patients who qualify for uninsured discount with cash quotes, if applicable.
Ensures that all patient complaints or concerns are processed using the appropriate chain of command.
Assists with patient scheduling, if applicable.
Answers and routes all incoming calls in a timely manner, if applicable.
Collects and routes incoming faxes and messages, if applicable.
Attends and participates in all staff meetings.
Performs other duties as assigned.