Hopsital Admitting Specialist

About the role

The Hospital Admitting Specialist accurately schedules patient appointments and procedures and updates demographic and insurance information, completes pre-registration during scheduling of discharge appointments, accurately registers patients for their admission, collects insurance co-pay and procedural pre-pays, and completes insurance verification.

This position also promotes good public relations and stays customer focused at all times to ensure patients and their families' needs are met. They remain positive, cooperative and supportive to patients, families and fellow colleagues.

The Hospital Admitting Specialist follows HIPAA, payer, and other regulations and documents all pertinent information as required in the various essential job functions.

Responsibilities

• Sets up and maintains patient accounts in the EPIC system.
• Collects and records demographic, insurance, financial, and clinical data in the computer system.
• Records and collects necessary patient account documents.
• Covers multiple registration desks, including the Hospital Admitting registration desk, ER admitting desk, and Urgent check-in desk.
• Completes in-room registration and scheduling.
• Visits patient rooms to ensure all necessary registration documents have been signed.
• Creates accounts for new patients and updates accounts for previous patients to ensure accurate services and account processing.
• Interprets physician orders and referrals to determine service needs and schedule patient visits while coordinating appointments with other departments.
• Calculates patients' co-pays, deductibles, and co-insurance and attempts to collect amounts from patients.
• Utilizes appropriate strategies to activate and/or verify the insurance coverage of patients and obtain benefit information such as co-payment and co-insurance amounts.
• Maintains knowledge of and complies with third-party payers' requirements for verifying insurance information, obtaining authorizations/pre-certifications, and completing other activities to ensure services are billed and reimbursed appropriately.
• Reviews Medicare accounts for completed MSPQ.
• Completes bed placement for patients admitted into the hospital.
• Modifies work schedule to meet department goals/deadlines and the needs of the department and patients.
• Performs other duties as assigned or needed to meet the needs of the department/organization.

Requirements

Ensures and adheres to strict confidentiality when handling patient charts, records, and scheduling information.

A minimum of 1 year of related experience is required.

This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.

Qualifications

• Sit: Frequently (34-66%)
• Stand: Occasionally (5-33%)
• Walk: Occasionally (5-33%)
• Stoop/Bend: Occasionally (5-33%)
• Reach: Frequently (34-66%)
• Crawl: Not Applicable
• Squat/Crouch/Kneel: Occasionally (5-33%)
• Twist: Occasionally (5-33%)
• Handle/Finger/Feel: Continuously (67-100%)
• See: Continuously (67-100%)
• Hear: Continuously (67-100%)
• Weight Demands: Lift - Floor to Waist Level: Sedentary (Carry: Sedentary (Push/Pull: Sedentary (Slide/Transfer: Not Applicable)
• Driving Requirement: Infrequent Driver

Skills

• Proficiency in reading, writing, and speaking English
• Knowledge of HIPAA, payer, and other regulations
• Ability to interpret physician orders and referrals
• Ability to calculate patients' co-pays, deductibles, and co-insurance
• Ability to activate and/or verify the insurance coverage of patients
• Ability to maintain knowledge of and comply with third-party payers' requirements
• Ability to review Medicare accounts for completed MSPQ
• Ability to complete bed placement for patients admitted into the hospital
• Ability to modify work schedule to meet department goals/deadlines and the needs of the department and patients

Benefits

Altru offers a comprehensive benefits package to its full- and part-time employees, including an excellent health plan and 401(k) retirement plan, dental plan, vision plan, life and disability insurance, education assistance, and paid time off (PTO).