AHD Admitting Clerk Job Alameda area,California USA,Healthcare

SUMMARY

The AHD Admitting Clerk interviews incoming patient or representative and enters information required for admission into computer. Performs related duties as required.

DUTIES & ESSENTIAL JOB FUNCTIONS

NOTE:

Following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.

Interviews patient or representative to obtain and record name, address, age, religion, persons to notify in case of emergency, attending Physician, and individual or insurance company responsible for payment of bill. Explains hospital regulations such as visiting hours, payment of accounts, and schedule of charges. Provides training to other staff for the purposes of registration and eligibility. Registers and interviews patients to obtain demographic and financial information necessary for patient identification, billing and collection of accounts.

Escort patient or arrange for escort to assigned room or ward. Store patient's valuables. Receive payments on accounts.

Enter patient admitting information into computer and route printed copy to designated department. Obtain signed statement from patient to protect hospital's interests. Maintain confidentiality in maintaining all patient records. Review and investigate health care coverage and policy limitations to update patient information for long-term care, short-term treatment and/or programs such as Charity, County Medical Services Program (CMSP), Medi-Cal, Family P.A.C.T., Child Health and Disability Program (CHDP), ADAP, and all other related programs.

Advise patient/guarantor of financial obligations; collect and process deposits, copayments and pre-payments for services. Assist patients in resolving issues with billing and collection of their hospital account(s). Review and analyze patient account information, payment history, verification and collection of insurance or other coverage information and/or assist patient in submitting needed information to billing or setting up payment arrangements.

Contact and consult with patient, guarantor, or other representative, as well as with various County, State, Federal or other outside agencies regarding patient matters related to eligibility for healthcare services. Interpret the laws and regulations of Federal, State and County programs and advise patients of eligibility requirements, as well as their rights and obligations in receiving financial services from these programs.

Assist patients in completing applications and forms when necessary and review for accuracy and completion. Inform and advise medical providers of patients' financial status and maintain open communication with Physicians and clinical staff to ensure timely notification of any health conditions or diagnosis that could qualify patients for programs to assist them with their healthcare costs.

Determine eligibility for a third-party payment source according to established policies and procedures including private health plans, Victims of Crimes, Workers' Compensation and lawsuit settlements. Review difficult or unusual cases with the Supervisor or Lead Worker for clarification and to ensure accuracy in assessing patient financial circumstances and eligibility determinations. Stay informed of both internal and external programs. Research, review, interpret, and follow all relevant policies, procedures, regulations, guidelines and laws and attend mandatory training.

Work independently with minimal supervision.

Immediately update all patient financial information in the hospital/clinic information system and enroll all applications and supporting documentation to the appropriate agencies and/or departments within prescribed timelines, to ensure timely and accurate submission of claims needed to maximize reimbursement to the Medical Center.

Plan, organize, and prioritize workload and process information at a speed necessary for successful job performance. Assist with special projects and perform related clerical and administrative duties as required.

MINIMAL QUALIFICATIONS

Education: High school diploma or GED.
Education: Successful completion of the Eligibility Academy/Training Programs and respective examination offered through AHS.
Minimum Experience: Six to twelve months in a customer service field.
Minimum Experience: Bilingual, where necessary.
Pay range: $31.6604/hr - $34.1508/hr.

The pay range for this position reflects the base pay scale for the role at Alameda Health System. Final compensation will be determined based on several factors, including but not limited to a candidate’s experience, education, skills, licenses and certifications, departmental equity, applicable collective bargaining agreements, and the operational needs of the organization. Alameda Health System also offers eligible positions a generous, comprehensive benefits program.

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