Overview

Admitting Representative Job at Lancaster, CA in Lancaster, CA

Job Description

Under the direction of the Department Supervisor or other designee provides a variety of patient welcoming and access services in support of the Admitting/Registration areas. Pre-registers and registers patients presenting at the hospital for inpatient, outpatient and emergency services. Conducts patient/guarantor interviews, explains hospital policies, patient financial responsibilities and patient’s bill of rights. Facilitates the patient registration/admission flow, including activities such as: patient identification, identification of accurate demographic and insurance information, and collection of required signatures and documents. Responsible for the verification of insurance benefits on all inpatient and outpatient accounts through electronic verification system or through contact with third party payors, in order to obtain accurate and prompt reimbursement. Checks eligibility, benefits, authorization requirements, PCP approval requirements, and billing requirements, as appropriate. Submits notice of admission to payors, as needed. Collects co-payments, and other patient liabilities. Enters the financial and admissions data into the hospital information computer systems.



Duties and Responsibilities:
Registration/Pre-registration

Obtain, verify and correct demographic information, select correct guarantor and emergency contacts on all registrations/pre-admissions

Chooses the correct patient type as indicated by MD order or pre-admit order and the current registration systems

Ensures that all required insurance authorizations are obtained at the time of registration/pre-registration

Ensures that all insurance verifications are obtained at the time of registration/pre-registration

Collects all co-pays and deductibles at the time of registration/pre-registration

Uses proper patient identifiers when selecting the patient record into the hospitals ADT systems as outlined in the facilities policies and procedures

Completes Medicare Secondary Payer form correctly

Completes registrations/pre-admissions without creating a duplicate medical record number

Completes registrationspre-registrations with correct Primary Care MD, Admitting MD and Attending MD.

Forms Completion

Explains all admission forms accurately and understandably and direct patient and or responsible party to initial and sign were applicable on all forms

Explains the Medicare Rights form to patients that this form applies

Understands the purpose of the Patient Responsibility form in regards to Core Measures and the timely completion of the form and Smoking Cessation information.

Uses military time on all admission forms

Uses a legal signature on all admission forms

Understands chart placement of all forms

Advance Directives and Patient Information

Explains Advance Directives and direct patients to their MD for completion of form

Provides all required information such as Patient Rights and Responsibilities, Speak up Brochure and use of blood at the time of registration

Provides patients and their families with assorted required documents to assist them during their stay

Organization of daily activities

Monitors and coordinate work daily to achieve maximum productivity and efficiency

Review all work for quality at the end of each shift and make corrections if necessary

Non-Essential Duties:
Other duties as assigned, within skill sets and abilities

Ensures insurance authorizations are received and documented in the patients account as required by insurance carriers

Obtains insurance verification on all required patient accounts as outlined in the department’s policies and procedures

Accepts and carries out all other miscellaneous clerical and/or administrative duties and responsibilities as required for maintaining all services provided by Admitting Services

Knowledge, Skills and Abilities:
Knowledge

Knowledge of medical terminology

Knowledge of HMO, PPO, Commercial, and Workers’ Compensation reimbursement

Knowledge of multiple insurance plans and authorization procedures and processes for obtaining payment

Knowledge of Microsoft Office applications

Knowledge of basic arithmetic

Skills

Use of basic personal computer

Use of the use of a calculator

Proficient in the operation of scanners, copiers, and fax machines

Skilled in usages of computers and programs in a hospital setting

Skilled usage of MS Office applications

Strong communication and organizational skills

Good planning, time management and decision-making skills.

Good analytical and problem-solving skills

Excellent interpersonal skills and strong customer focus

Abilities

Ability to read and understand insurance requirements

Ability to verify and interpret insurance benefits and collect co-pays

Ability to handle stress

Ability to manage a heavy caseload in an organized and efficient manner

Ability to maintain a working relationship with other departments within the organization

Ability to read handwritten and transcribed documents in the medical record, interpret information,

Ability to enter complete and accurate data into the facilities computer systems

Ability to maintain an accuracy rate of 98% or higher relating to all registration/preadmission/bed control activities within the Patient Access departments

Core Competencies: All AVH employees will effectively demonstrate these behaviors:

Accountability

Action Oriented

Customer Focused

Compassion

Effective Communication

Teamwork

Ethics & Values

Integrity & Trust

Education and Experience:
Education

High School graduate or equivalent

Experience

1-year recent experience in an Admitting Department in an acute care setting preferred. Will consider 1-year experience in a medical office or hospital Business Office setting

Previous Commercial, HMO, PPO, and Workers Compensation billing and/or

Insurance follow-up experience in an acute care setting preferred

Required Licensure and/or Certifications:
None

AVH Conduct/Compliance Expectations :
Ability to adhere with AVH Absenteeism and Tardiness Policy

Ability to adhere with AVH Leaves of Absence Policy

Ability to adhere with AVH Paid Time Off (PTO) Policy

Ability to adhere with AVH Recording of Hours Worked Policy

Ability to adhere to the department dress code

Ability to organize work and establish priorities

Ability to expand on own initiative in performance of duties

Skill and ability to follow the telephone etiquette/standards

Conforms to AVH Standards of Excellence

Ability to function effectively under pressure and meet time parameters

Ability to communicate effectively while maintaining good working relationships with co-workers, managers and other hospital staff

Ability to adhere to the normal standards of courtesy and conduct as defined under the rules of hospitality at AVH

Ability to maintain the confidentiality of patient, hospital and department information

Ability to adhere to safety rules and regulations

Safely and effectively uses all equipment necessary to carry out duties

Ability to interpret and function under hospital and department policies and procedures

Conforms with required and appropriate JCAHO requirements

Conforms with and supports hospital quality assurance and improvement guidelines

Ability to participate effectively in department and hospital staff education

Display a willingness to work as a team player

Ability to give and support the highest level of patient/customer satisfaction at all times

Supports and adheres to the values and mission statement established by the AVH Board of Directors

Ability to demonstrate knowledge and understanding of Corporate Compliance rules and regulations, complies with duty to report behavior standard, demonstrates understanding of purpose for Corporate Compliance hotline and importance of seeking guidance from a supervisor when in doubt regarding a possible corporate compliance issue

Ability to follow the Code of Business Conduct (Standards of Business Ethics and Integrity)

Physical Requirements and Working Conditions:
Primarily works in a climate-controlled area

Frequent Sitting and standing for long periods of time

Tolerate repetitive arm and hand movements

A detailed description of the physical requirements of this job is maintained in the Employee Health Department.

Closing Statement

Looking for an opportunity to work in healthcare the way you always dreamed you could? At Antelope Valley Hospital, our employees are at the heart of what we do best – delivering high quality, patient-centered healthcare.

Antelope Valley Hospital, a 420 bed acute care facility, located just 60 miles north of Los Angeles, the Antelope Valley is one of Southern California’s fastest growing communities. We are a Level II Trauma Center and Joint Commission Primary Stroke Center Accredited . Serving the community for over 50 years, our non-profit hospital has grown to be the preeminent healthcare facility for our district’s nearly 1.2 million residents.

An Equal Opportunity Employer.

About Company

Company: Lancaster, CA

Company Location:  Lancaster, CA

About Lancaster, CA