ADMITTING REP

About the role

Under the direct supervision, performs pre-admits and admits based on doctors orders. Directs visitors and patients to the appropriate area and answers phones. Interviews patient and/or their representative to obtain demographic and financial information. Identifies available payer sources and records information required for admission and/or registration. Reviews and assists patients to complete all required documents for completeness and appropriate signatures. Verifies insurance eligibility and benefits. Collects any cost shares due to include but not limited to co-payments, deposits, share of cost (SOC) and deductibles. Initiates and collects financial documents in support of all billing activities. Documents KPHC and other systems as appropriate. Assembles accurate and complete records; prepares identification armbands; receives and releases patient valuables. Explains hospital rules and regulations. Generates and distributes documents/reports to appropriate departments. Complies with organizational and departmental policies and procedures.

Responsibilities

• Interviews patient and/or representative, collects/records all required financial demographic information including coordination of benefits (COB), third party liability (TPL) and workers compensation (WC).
• Verifies patient identification and insurance eligibility/benefits.
• Notifies insurance company of admission status.
• Obtains authorization/pre‑certifications and required billing information from all identified payer sources for Medical Office/Hospital Services rendered.
• Coordinates and informs patients of required financial obligations.
• Collects any cost shares due including co‑payments, deposits, share of cost (SOC) and deductibles.
• Reviews all required documentation with patient, ensuring completion and obtaining all necessary signatures.
• Accurately documents all requisite information related to the admission and collection processes in KPHC and other systems as appropriate.
• Refers to Financial Counselors for patients having a financial obligation to Kaiser Permanente as necessary.
• Explains admission process, hospital regulations, policies and procedures.
• Contacts physician if additional information is needed.
• Prepares patient armbands.
• Creates patient file with all necessary documentation for bill completion.
• Generates and distributes appropriate registration/admission documents.
• Secures and releases patient valuables for patients admitted into the hospital.
• Escorts or arranges escort of patients to assigned room or area.
• Performs pre‑admission function including surgery and labor & delivery cases; inputs required data for the anticipated admit list, balancing and checking for accuracy and completeness.
• Collaborates with physicians, nursing and other departments to facilitate admission and transfer.
• Responsible for proper monetary transactions as it relates to assigned cash drawer.
• Prepares bank deposit slip and contacts security for escort to deliver bag containing shift deposits to the designated safe.
• Completes cash drawer transmittal forms, keeps designated dollar amount of money in the cash drawer daily and balances out at the end of the shift.
• Researches and reconciles cash drawer issues.
• Distributes related monetary documents as required and maintains/controls petty cash fund.
• Performs hospital cashiering/cash handling functions including deposits, exchange and change fund functions, web declarations and other assigned hospital cashiering functions.
• Manually estimates MOOP along with submitting refund request if necessary, reviews and maintains hospital exchange fund and petty cash transactions.
• Totals and reconciles credit charges and payments on account with standard processing forms.
• Mails information as required.
• Provides co‑payment history statements.
• Reviews and completes accounts in work queue(s).
• Notifies management of any copay discrepancy.
• Consolidates or corrects duplicate accounts by using appropriate system functions.
• Enters account notes on patient cases.
• Performs clerical duties as assigned, including filing, faxing, scanning, processing of mail, supplies, printing, answering and redirecting calls as needed for the department.
• Reviews various reports (census, unbilled, etc.).
• Provides front‑end coverage to other functional areas within admitting and provides support to ancillary departments as necessary.
• Provides patient with appropriate documentation and information for Medical Financial Assistance Program (MFAP).
• Assists in Quality Improvement monitoring as necessary.
• Performs reception duties as required including answering phones, calling patient family when necessary, greeting members at the Front Desk and relieving other clerks for breaks and lunch as appropriate.
• Works with financial counselor related to patient financial ability.
• Establishes and maintains courteous, cooperative relations when interacting with other personnel, Health Plan members and the public.
• Performs other duties as assigned by management team and/or lead admitting clerk.

Requirements

• One (1) year cash handling experience in hospital admitting, healthcare business office or medical office setting.
• Two (2) years admitting or registration experience.
• High School diploma or GED required.
• Demonstrated knowledge of and utilization of admission/registration system, healthcare billing practices, health plan benefits and insurance requirements.
• Typing 35 wpm.

Qualifications

• Demonstrated ability to work rapidly and accurately with phones, personnel and patients preferred.
• Able to demonstrate excellent mathematical skills and cash collections.
• Associates or Bachelors degree preferred.

Skills

• Cash handling.
• Typing 35 wpm.
• Mathematical skills.
• Knowledge of admission/registration systems.
• Healthcare billing practices.
• Health plan benefits and insurance requirements.
• Ability to work rapidly and accurately with phones, personnel and patients.
• Mathematical accuracy and cash collections.

Pay

$29.02 - $32.