Admitting Representative - Admitting Services - Part Time​/Days - Req# 2097465684

Under the direction of the Department Supervisor or other designee, provides a variety of patient welcoming and access services in support of the Admitting/Registration areas. Pre‑registers and registers patients presenting at the hospital for inpatient, outpatient and emergency services. Conducts patient/guarantor interviews, explains hospital policies, patient financial responsibilities and patient’s bill of rights. Facilitates the patient registration/admission flow, including activities such as: patient identification, demographic and insurance information verification, and collection of required signatures and documents.

Responsible for the verification of insurance benefits on all inpatient and outpatient accounts through electronic verification system or via contact with third‑party payors to obtain accurate and prompt reimbursement. Checks eligibility, benefits, authorization requirements, PCP approval requirements, and billing requirements as appropriate. Submits notice of admission to payors, as needed. Collects co‑payments and other patient liabilities. Enters the financial and admissions data into the hospital information computer systems.

• Registration/Pre‑registration
  • Obtain, verify and correct demographic information, select correct guarantor and emergency contacts on all registrations/pre‑admissions
  • Choose the correct patient type as indicated by MD order or pre‑admit order and the current registration systems
  • Ensure that all required insurance authorizations are obtained at the time of registration/pre‑registration
  • Ensure that all insurance verifications are obtained at the time of registration/pre‑registration
  • Collect all co‑pays and deductibles at the time of registration/pre‑registration
  • Use proper patient identifiers when selecting the patient record into the hospital’s ADT systems as outlined in the facility policies and procedures
  • Complete Medicare Secondary Payer form correctly
  • Complete registrations/pre‑admissions without creating a duplicate medical record number
  • Complete registrations/pre‑registrations with correct Primary Care MD, Admitting MD and Attending MD
• Forms Completion
  • Explain all admission forms accurately and understandably and direct patient and/or responsible party to initial sign where applicable on all forms
  • Explain the Medicare Rights form to patients that this form applies
  • Understand the purpose of the Patient Responsibility form in regards to Core Measures and the timely completion of the form and Smoking Cessation information
  • Use military time on all admission forms
  • Use a legal signature on all admission forms
  • Understand chart placement of all forms
• Advance Directives and Patient Information
  • Explain Advance Directives and direct patients to their MD for completion of form
  • Provide all required information such as Patient Rights and Responsibilities, Speak Up Brochure and use of blood at the time of registration
  • Provide patients and their families with assorted required documents to assist them during their stay
• Organization of daily activities
  • Monitor and coordinate work daily to achieve maximum productivity and efficiency
  • Review all work for quality at the end of each shift and make corrections if necessary

• Other duties as assigned, within skill sets and abilities
• Ensure insurance authorizations are received and documented in the patient’s account as required by insurance carriers
• Obtain insurance verification on all required patient accounts as outlined in the department’s policies and procedures
• Accept and carry out all other miscellaneous clerical and/or administrative duties and responsibilities as required for maintaining all services provided by Admitting Services

• Knowledge
  • Medical terminology
  • HMO, PPO, Commercial and Workers’ Compensation reimbursement
  • Multiple insurance plans and authorization procedures for obtaining payment
  • Microsoft Office applications
  • Basic arithmetic
• Skills
  • Use of basic personal computer
  • Use of a calculator
  • Proficiency in the operation of scanners, copiers and fax machines
  • Skill in using computers and programs in a hospital setting
  • Skillful use of MS Office applications
  • Strong…