Patient Admitting Specialist

• Job Objective : A brief overview of the position.
• The position is responsible for ensuring that all patients have an accurate and comprehensive scheduling, and registration experience in the office
• Customer Service Ensures that all patients have a satisfying registration experience and are provided with choices, option and counseling to assist them in making their healthcare decisions
• Accurate Registrations - Ensures accurate, comprehensive registrations of patients
• Accurate Insurance Ensures accurate patient insurance information is recorded including verification of eligibility and benefits
• Point of Service Collections Ensures that patient financial responsibility (co-pays, deductibles) is collected at or before the time of service
• Reports to
• Supervisor, Manager, Director, CAO
• Supervises
• N / A
• Ages of Patients
• Neonate / Infant (as appropriate for department)
• Pediatric (as appropriate for department)
• Adolescent (as appropriate for department)
• Adult
• Geriatric
• Blood Borne Pathogens
• Minimal / No Potential
• Qualifications
• Education
• Preferred : High School Diploma / GED or equivalent work experience
• Licensure / Certification
• N / A
• Experience
• Preferred : Previous experience in Healthcare setting and / or Customer Service Experience
• Preferred : Medical terminology, payment processing, Hospital based Federal Rules, Regulations and procedures, safety practices
• Essential Responsibilities
• Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
• Properly greets patients.
• Properly identifies patients by using two patient identifiers and proper method of retrieving patient history / information, avoiding creation of duplicate Medical Records for additional patient visits.
• Registers patients following standard work and maintains compliance according to departmental benchmark guidelines. Verifies and accurately enters and updates patient information while registering as per departmental guidelines.
• Coordinates and assists other staff in ensuring that all patients are registered in a timely manner.
• Properly completes check in process and / or verifies e-Check in is complete.
• Confirm all insurance information is accurate and up to date.
• Scan photo ID and insurance card.
• Prepares all appropriate Medicare Advanced Beneficiary Notice (ABN) and (LMRP) program requirements and completion, including patient notification and signature requirements at time of service.
• Completes the Medicare Screening Form for all Medicare patients and adheres to completion per Medicare requirements.
• Ensures all patient access paperwork per policy, including regulatory forms, insurance verifications and signatures required to perform service are collected and complete.
• Collects co-pay / deductible / form fees or any appropriate estimates and provide patient with receipt of payment.
• Answers and properly routes all incoming calls in an appropriate and timely manner, ensuring a high level of customer service is provided at all times.
• Responsible for collecting and routing incoming faxes and messages, per specific clinic guidelines.
• Performs daily cash balancing per department guidelines.
• Maintains registration error accuracy rate of 97% or higher, signaling a proper and complete registration. Demonstrates and maintain all other departmental accuracy and productivity standards.
• Ensures that all patient complaints or concerns are handled using the appropriate chain of command.
• Ensures compliance with department specific guidelines and competencies.
• Successfully completes all required training, orientation, and competency courses on timely basis.
• Demonstrates a basic knowledge of insurances, including eligibility and benefit coverage, and other relevant information.
• Provides accurate cash price / quote to self-pay patients.
• Follows the identified dress code and safety protocols to ensure patient and employee safety.
• Maintains and practices professional boundaries with all patient interactions.
• Performs other duties as assigned.

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