Description:
Job Title: Admissions Specialist - PRN, shift varies
Reports to: Admissions Director
POSITION SUMMARY
Interviews patient or representative and enters patient’s demographic information in the computer. Obtains insurance precertification, if required, for inpatients and observations. Preadmits patients. Answers multi-line telephone. Greets the public, patients, and visitors and directs them to the proper location.
POSITION ACCOUNTABILITIES
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Collects and enters accurate demographic and financial data for patient registrations.
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Tears down charts, makes required copies, and distributes.
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Advance understanding of Insurance payors.
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Verifies Medicaid coverage and assigns PCP, if necessary.
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Accurately completes procedures for discharges and transfers.
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Checks insurance cards for requirements regarding physician referrals and precertification.
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Pre notification of inpatient stays with insurance.
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Assignment of ICD-10 CM and CPT codes for initial authorization of Inpatient and Observation stays.
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Pre-registers patients for scheduled admissions and outpatient services, verifying that prior authorization and physician referrals are in place, if required by their insurance company.
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Reviews and makes corrections to patient charts.
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Answers multi-line department telephone. Transferring calls to the appropriate location and relaying verbal and written messages accurately and promptly.
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Answers main telephone, when necessary, when that area is not manned.
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Operates the public address system
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Gives instructions to visitors and patients.
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Uses the computer to post walk-in payments and prints receipts. Write receipts for General Ledger payments.
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Reconciles cash drawer with receipts and forwards payments to cashier.
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Knows how to operate and maintain departmental equipment.
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Logs patient valuables in and out of the hospital safe.
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Deals with the public utilizing guest relation skills.
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Participates in educational programs and in-service meetings.
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Follows hospital policy on confidentiality.
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Rotates holidays and fills in on weekends, when needed.
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Performs other related duties as assigned or requested.
Requirements:
JOB SPECIFICATIONS
Minimum education:
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High school or equivalent. Bachelor’s degree preferred.
Minimum experience
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Two or three years' experience in patient registration desired. One year experience in ICD-10CM and CPT coding experience. Insurance notification experience. Excellent organization skills.
Skills, Administrative:
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Insurance pre notifications, audit registrations, answer multi-line telephone, interview patients.
Skills, Machine:
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Telephone, computer, fax, copier, calculator.
Working conditions
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Subject to many interruptions.
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Occasional pressure due to multiple inquiries.
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May be exposed to infections and contagious diseases.
Physical demands:
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Light physical effort, mostly sedentary work.
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Occasional standing, walking, and lifting.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.
