Admitting - Patient Access Rep

Admitting
- Patient Access Rep I
- Full Time with Benefits - 1121

HI:

Big Island:

Kealakekua:

KONA COMMUNITY HOSPITAL | Clerical, Administrative and Support | Permanent/Full-time

43,272 - 51,576 USD per year

Posted a week ago

POSITION STATUS : 1.00 | Permanent

SALARY RANGE :BU03 | SR11

SALARY RATE: $43,272 (Annual Salary) based on the FTE

SHORTAGE DIFFERENTIAL
: $692/month

• 1. Reviews patient demographic information collected through the preadmission, admission, or registration process for accuracy.
• 2. Contacts insurance carriers to obtain benefits and eligibility for the specific insurance plans.
• 3. Utilizes electronic media for validating insurance plan codes, certificate numbers and expirations of coverage.
• 4. Validates the certificate numbers for each insurer/subscriber.
• 5. Enters the subscriber verification information in the IBAX hospital patient data base system.
• 6. Updates patient record with specific changes required prior to bill production.
• 7. Conducts precertification when necessary, in order to ensure coverage for services.
• 8. Refers continued stay certification to the Utilization Review Coordinator when information is needed beyond what the Patient Access Department can provide.

• 1. Interviews patients or their representatives and obtains demographic and primary and secondary insurance information.
• 2. Updates previous records within the information system OR enters information to create a new file.
• 3. Notifies appropriate hospital personnel of new registrations so that admitting orders can be obtained.
• 4. Explains hospital policies regarding room accommodations and visitors.
• 5. Discuss and determine method of payment with the patient and/or responsible party, collects deposits, and acquires signatures on all pertinent forms.
• 6. Initiates and accurately completes all necessary admitting forms.
• 7. Prepares an addressograph plate showing pertinent patient information by utilizing an electric plastic plate embosser.
• 8. Prepares a patient wristband and attaches the wristband to the patient.
• 9. Assigns the patient a bed taking into consideration the needs of the patient, special orders written by the admitting physician, and unit availability.
• 10. Directs the patient to the assigned nursing unit and forwards all pertinent documents with the patient or escorts patients in need of assistance.
• 11. Inputs additional information into the system as directed.
• 12. Complies with rules, regulations, rights and statutes of State, Federal, hospital and hospital regulatory agencies.
• 13. Calculate, obtain and process advance cash and credit deposits.
• 14. Works closely with billing department to resolve all billing/collections issues.

• 1. Answers and refers incoming calls to the proper department of person.
• 2. Maintains a record of all toll calls and places emergency calls for the medical staff or nursing. Main information clerk for entire hospital and/or receptionist for Patient Access.
• 3. Makes special announcements over the PA system/Radio and pages the medical staff and hospital personnel as needed.
• 4. Announces fires, disasters, or drills to all hospital personnel over the PA system.
• 5. Refers to disaster procedures and promptly notifying key hospital personnel of an anticipated/actual disaster.
• 6. Participates in County Civil Defense exercises and dry-runs.
• 7. Refers employee sick calls to the respective department head.
• 8. Assists in the notification of on-call personnel.
• 9. Maintains a daily sign in/out sheet of on call personnel that are on property.
• 10. Monitors emergency systems (fire, nitrogen, oxygen, lifeline) and serves as communications control.

• 1. Distributes the precensus and census daily for update by nursing personnel.
• 2. Updates the hospital patient data base system to reflect transfers, bed swaps, and discharges at the direction of the nursing units.
• 3. Assists in computing and maintaining admitting and census statistics as required for various agencies such as the Department of Human Services and Medicare and for hospital administration on a monthly basis.
• 4. Distributes copies of admission summaries to departments and physicians.
• 5. Assists in the training of new employees on all functions.
• 6. Process and distribute incoming/outgoing mail. Receives courier deliveries when Storeroom is closed. Receives all returned patient statements, obtains correct mailing…