Patient Admissions Representative

Mary Greeley Medical Center - Ames, IA3.5

Part-time
Position Summary
  • Under general supervision, performs registration of patients before or at the time of service at the medical center. Obtains accurate demographic and insurance information, signatures on required documents and secures insurance authorization or pre-certification. Prepares and supplies patient data to various medical center departments. Ensures all actions of the Registration process is performed accurately and efficiently to support a patient centered care organization.
  • Position Responsibilities

    • Unit Specific Position Responsibilities
      • Secures necessary information during the pre-admission or registration process, calling patients if necessary to obtain insurance information.
      • Obtains registration at patient’s bedside when appropriate.
      • Enters accurate data for patient registration into computer system.
      • Reviews and verifies patient’s demographic and insurance coverage and authorizations requirements.
      • Contacts patient’s insurance company to identify eligibility and to verify that approval has been obtained.
      • Verifies workers’ compensation cases with employers and secures appropriate billing information.
      • Escorts patient to service destination when appropriate.
      • Assembles patient admission chart when applicable.
      • Completes Medicare questionnaires on all Medicare patients.
      • Obtains necessary signatures for treatment consent, HIPPA acknowledgement, IM message, release of information form and other documents as appropriate.
      • Provides Patient Rights and Responsibilities, Privacy Notices, Financial Assistance and billing information to all patients.
      • Collects self-pay funds on cosmetic surgeries, applicable co pays and other funds as needed.
      • Participates in quality improvement by correcting registration mistakes.
      • Performs cash, check and credit card transactions.
      • Ensures the security of all cash, check and credit card transactions.
      • Applies patient identification armbands, ensuring accuracy of information.
      • Maintains ongoing communication with medical staff and utilization review staff regarding the need for second opinion and completions of insurance and/or governmental guidelines.
      • Contacts physician offices to obtain missing diagnosis codes or to inform them of insurance company need for clinical information.
      • Notifies Financial counselors of any upcoming registrations for cosmetic surgery or any other self-paying admissions.
      • Answers questions from patients, hospital staff and the general public regarding admitting procedures, medical center regulations and services, provides directions to other areas within the medical center and, when appropriate, refers inquires to another person or department.
      • Reports any observed or suspected deviation from medical center policies or from Medicare, Medicaid, or other insurance regulations immediately to the department Director or the medical center’s chief compliance officer.
      • Acts as a resource to medial center volunteer staff.
      • Performs other assigned duties.
  • Qualifications, Knowledge & Experience
    • Required Qualifications (Including any licensure, certification, education):
      • High school graduate or equivalent.
      • Two years of higher education or two years of progressively responsible work experience in patient registration, insurance verification or related function such as clerical or office assistant duties.
      • Equivalent combination of education and experience that would demonstrate the capability to perform the duties of the position.
      • Internet usage skill
      • Knowledge of Microsoft related programs such as word, excel and outlook
    • Preferred Qualifications:
      • AA degree as a medical assistant or medical secretary
      • General knowledge of third party reimbursement requirements and their certification needs.
      • Minimum of six months of cash, check or credit card handling experience.
    • Required Knowledge, Skills & Experience:
      • Excellent customer service skills
      • Detail orientated
      • Analyze and interpret information to make decisions within scope of job functions with minimal supervision.
    • Preferred Knowledge, Skills & Experience:
      • None Specified