Admitting Representative

About the Role

Under direct supervision, performs pre-admits and admits based on doctors' orders. Directs visitors and patients to the appropriate area, answers phones, and interviews patients and/or their representatives to obtain demographic and financial information. Identifies available payer sources and records information required for admission and/or registration.

Responsibilities

• Interviews patient and/or representative to collect and record all required financial and 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 cost shares due, including copayments, deposits, share of cost (SOC), and deductibles.
• Reviews all required documentation with patients, ensures completion, and obtains necessary signatures.
• Accurately documents all requisite information related to the admission and collection processes in KPHC and other systems.
• Refers patients to financial counselors when necessary.
• Explains the admission process, hospital regulations, policies, and procedures; contacts physicians if additional information is needed.
• Prepares patient armbands and creates patient files with all necessary documentation for bill completion.
• Generates and distributes appropriate registration/admission documents.
• Secures and releases patient valuables for admitted patients; escorts or arranges escort of patients to assigned rooms or areas.
• Performs pre-admission functions, including inputting required data for anticipated admit lists and ensuring accuracy and completeness.
• Collaborates with physicians, nursing, and other departments to facilitate admission and transfer.
• Handles proper monetary transactions related to assigned cash drawer, including preparing bank deposit slips and balancing cash drawers.
• Researches and reconciles cash drawer issues; distributes related monetary documents and maintains petty cash fund.
• Performs hospital cashiering functions, including deposits, exchange and change fund functions, and web declarations.
• Manually estimates Maximum Out-of-Pocket (MOOP) expenses and submits refund requests if necessary.
• Reviews and maintains hospital exchange fund and petty cash transactions; totals and reconciles credit charges and payments.
• Reviews and completes accounts in work queues; notifies management of any copay discrepancies.
• Consolidates or corrects duplicate accounts using appropriate system functions; enters account notes on patient cases.
• Performs clerical duties, including filing, faxing, scanning, processing mail, managing supplies, printing, and answering phones.
• Reviews various reports (e.g., census, unbilled) and provides front-end coverage to other admitting functional areas.
• Provides patients with documentation and information for the Medical Financial Assistance Program (MFAP).
• Assists in quality improvement monitoring and performs reception duties, including answering phones and greeting members.
• Works with financial counselors regarding patient financial ability and maintains courteous relations with personnel, members, and the public.
• Performs other duties as assigned by management or lead admitting clerk.

Requirements

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

Preferred Qualifications

• Demonstrated ability to work rapidly and accurately with phones, personnel, and patients.
• Excellent mathematical skills and cash collection abilities.
• Associate’s or Bachelor’s degree preferred.

Schedule

• Scheduled weekly hours: 20.
• Shift: Variable (including nights and weekends).
• Workdays: Monday, Tuesday, Wednesday, Thursday, Friday, Saturday, Sunday.
• Working hours: 12:01 AM – 11:59 PM.
• Job schedule: Call-in/On-Call.

Pay

Pay range: $27.24 - $30.05 per hour.