Admissions Specialist - Prn

About the role

• 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.

Responsibilities

• Collects 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

• Insurance pre notifications
• Audit registrations
• Answer multi-line telephone
• Interview patients
• 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.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.