Patient Admitting Specialist - Eisenhower Medical Center

• Job Objective: A brief overview of the position.
  • Customer Service - Ensures that all patients have a satisfying registration experience and are provided with choices, options and counseling to assist them in making their healthcare decisions.
  • Accurate Registrations - Ensures accurate, comprehensive registrations of patients.
  • Accurate Insurance – Ensures accurate patient insurance information is recorded including verification of eligibility and benefits.
  • Point of Service Collections – Ensures that patient financial responsibility (co-pays, deductibles) is collected at or before the time of service.
• Reports to
  • Supervisor, Manager, Director
• Supervises
  • N/A
• Ages of Patients
  • Neonate/ Infant
  • Pediatric
  • Adolescent
  • Adult
  • Geriatric
• Blood Borne Pathogens
  • Minimal/ No Potential
• Qualifications
  • Education
    • Required: High School Diploma or GED
  • Licensure/Certification
    • N/A
  • Experience
    • Preferred: Previous experience in Healthcare setting and/or Customer Service Experience
    • Preferred: Medical terminology, payment processing, Hospital based Federal Rules, Regulations and procedures, safety practices
• Essential Responsibilities
  • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
  • Properly 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 and accurately enters and updates patient information while registering as per departmental guidelines.
  • Reviews insurance eligibility, updates with accurate information obtained from the health plan and releases the insurance based upon verification process.
  • 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.
  • Ensure that all patient access paperwork, as per organizational policies, including patient HIPAA regulation information, patient required signatures and forms that are necessary for the appropriate department services to be completed.
  • Participates in the rotation of the Daily Cash Change Drawer Custodian process, as requested.
  • Prepares all appropriate Medicare Advanced Beneficiary Notice (ABN) and (LMRP) program requirements and completion, including patient notification and signature requirements at time of service.
  • Requests and scans Insurance cards and other necessary forms of identification.
  • Completes the Medicare Screening Form for all Medicare patients and adheres to completion per Medicare requirements.
  • Displays knowledge of and adheres to Admitting department Policy and Procedures.
  • Attends and participates in all staff meetings.
  • Coordinates and assists other staff in ensuring that all patients are registered in a timely manner.
  • Successfully completes Admitting training orientation program(s).
  • Maintains registration error accuracy rate of 97% or higher. Demonstrates and maintain all other departmental accuracy and productivity standards.
  • Successfully completes all required training courses.
  • Demonstrates a basic knowledge of insurances, including eligibility and benefit coverage, and other relevant information.
  • Provides patients who qualify for uninsured discount with cash quotes.
    

PI240719046