Admissions Specialist - Prn

POSITION SUMMARY

Interviews patient or representative and enters patient’s demographic information in the computer. Obtains insurance precertification, if required, for inpatients and observations. Preadmits patients. Answers multi-line telephone. Greets the public, patients, and visitors and directs them to the proper location.

POSITION ACCOUNTABILITIES

• Collections and enters accurate demographic and financial data for patient registrations.
• Tears down charts, makes required copies, and distributes.
• Advance understanding of Insurance payors.
• Verifies Medicaid coverage and assigns PCP, if necessary.
• Accurately completes procedures for discharges and transfers.
• Checks insurance cards for requirements regarding physician referrals and precertification.
• Pre notification of inpatient stays with insurance.
• Assignment of ICD-10 CM and CPT codes for initial authorization of Inpatient and Observation stays.
• Pre-registers patients for scheduled admissions and outpatient services, verifying that prior authorization and physician referrals are in place, if required by their insurance company.
• Reviews and makes corrections to patient charts.
• Answers multi-line department telephone. Transferring calls to the appropriate location and relaying verbal and written messages accurately and promptly.
• Answers main telephone, when necessary, when that area is not manned.
• Operates the public address system
• Gives instructions to visitors and patients.
• Uses the computer to post walk-in payments and prints receipts. Write receipts for General Ledger payments.
• Reconciles cash drawer with receipts and forwards payments to cashier.
• Knows how to operate and maintain departmental equipment.
• Logs patient valuables in and out of the hospital safe.
• Deals with the public utilizing guest relation skills.
• Participates in educational programs and in-service meetings.
• Follows hospital policy on confidentiality.
• Rotates holidays and fills in on weekends, when needed.
• Performs other related duties as assigned or requested.

REQUIREMENTS

• Minimum education: High school or equivalent. Bachelor’s degree preferred.
• Minimum experience: Two or three years' experience in patient registration desired. One year experience in ICD-10CM and CPT coding experience. Insurance notification experience. Excellent organization skills.
• Skills, Administrative: Insurance pre notifications, audit registrations, answer multi-line telephone, interview patients.
• Skills, Machine: Telephone, computer, fax, copier, calculator.

WORKING CONDITIONS

Subject to many interruptions. Occasional pressure due to multiple inquiries. May be exposed to infections and contagious diseases.

PHYSICAL DEMANDS

Light physical effort, mostly sedentary work. Occasional standing, walking, and lifting.