Representative - Admissions Services
About The Position
Admits clients to the hospital, which includes collecting information and deposits, completing forms and obtaining signatures, scanning ID cards/documents, and updating ADT systems. Ensures all patients are efficiently and accurately registered and prioritizes patients during periods of high volume. Greets patients and the public, providing necessary information in a courteous and professional manner while supporting HIPAA regulations and HonorHealth confidentiality standards. Ensures a positive patient experience by addressing patient questions and concerns in an empathetic and professional manner.
Requirements
- High School Diploma or GED Required
- 6 months medical office, hospital registration/business/banking/medical insurance office/customer service experience. Required
Nice To Haves
- 1 year experience at a medical office or other hospital/ nursing home facility. Preferred
Responsibilities
- Processes pre-registered accounts, completes registration and admissions information by obtaining patient demographic, insurance, financial and medical information in accordance to revenue cycle criteria.
- Obtains required signatures on all medical, financial and compliance documents.
- Prepares supportive paperwork, including patient identification band to assure accurate patient identification in accordance with Red Rule Policies.
- Scans all appropriate documents into the electronic medical and financial record, including patient identification, insurances cards, patient advanced directives, Conditions of Admissions, Financial Agreements, physician orders/scripts and any other pertinent paperwork.
- Responsible for adhering to all third party payer requirements including Medicare, Medicaid, managed care, Blue Cross and commercial plans.
- Verifies insurance eligibility and coverage and executes appropriate insurance notification procedures.
- Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the patient, hospital and physician(s).
- Initiates notifications to insurances as required.
- Checks for medical necessity and follows appropriate procedures depending on results.
- Keeps supervisor and/or lead informed of all unique situations and problem accounts.
- Requests and accepts payments for balances due on accounts upon admission or at the time of discharge, including patient co-payment, deductible, and co-insurance responsibilities and pre-payments for uninsured or underinsured patients.
- Collaborates within the multi-disciplinary health care team to facilitate and ensure patient satisfaction and maximization of reimbursement.
- Helps with department training when needed.
Benefits
- Nine acute-care hospitals
- Over 200 primary, specialty and urgent care centers
- More than 17,000 team members and 4,000 medical staff
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
