Communicates with patients, families, physicians, quality review and insurance companies to obtain information and insurance verification to assure quality patient care and payment of hospital accounts. Interviews and registers outpatients and inpatients. Performs bed assignments to in-patients (except OB), and assigns physicians as necessary. Provides other registration, clerical and billing support as required.
High school graduation or equivalent. Knowledge of medical terminology preferred.
1 year related experience preferred.
No special certification, registration or license required.
Knowledge, Skills & Abilities
Working knowledge of various computer software applications. Ability to operate standard office equipment. Customer service experience required. Verbal and written communication skills. Basic computer skills preferred.
Primary Duties and Responsibilities
Confirms insurance coverage. Obtains authorizations by utilizing online electronic verification system, or other resources, such as, HDX, EVS or Blueline.
Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations.
Ensures that all necessary questionnaires and specific forms are completed according to predetermined requirements by government or regulatory agencies.
Explains regulatory financial requirements to the patient or responsible party and collects deposits or deductible amounts as required.
Interviews patients, families, or outside sources to obtain complete and accurate demographic and financial information and inputs data into system for registration, billing, and patient tracking.
Maintains flexibility in Admitting, such as: bed control, clerical support, ASC, projections, POP, oncology, inpatients, and lab compliance.
Participates in meetings and on committees and represents the department and hospital in community outreach efforts as required.
Participates in multidisciplinary quality and service improvement teams.
Performs Bed Control functions, when assigned, following hospital guidelines. Assigns physicians to patients, and maintains doctors' cards. Checks administrative action list for physicians on Medical Records' MedStar Health Page 1 of 2 suspension. Maintains transfer, discharge and admission list, as needed.
Performs other duties as assigned.