ADMISSIONS SPECIALIST - PRN

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

• •Collects and enters accurate demographic and financial data for patient registrations.
• •Tears down charts, makes required copies, and distributes.
• •Advance understanding of Insurance payors.
• •Verifies Medicaid coverage and assigns PCP, if necessary.
• •Accurately completes procedures for discharges and transfers.
• •Checks insurance cards for requirements regarding physician referrals and precertification.
• •Pre notification of inpatient stays with insurance.
• •Assignment of ICD-10 CM and CPT codes for initial authorization of Inpatient and Observation stays.
• •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.
• •Reviews and makes corrections to patient charts.
• •Answers multi-line department telephone. Transferring calls to the appropriate location and relaying verbal and written messages accurately and promptly.
• •Answers main telephone, when necessary, when that area is not manned.
• •Operates the public address system
• •Gives instructions to visitors and patients.
• •Uses the computer to post walk-in payments and prints receipts. Write receipts for General Ledger payments.
• •Reconciles cash drawer with receipts and forwards payments to cashier.
• •Knows how to operate and maintain departmental equipment.
• •Logs patient valuables in and out of the hospital safe.
• •Deals with the public utilizing guest relation skills.
• •Participates in educational programs and in-service meetings.
• •Follows hospital policy on confidentiality.
• •Rotates holidays and fills in on weekends, when needed.
• •Performs other related duties as assigned or requested.

Requirements

JOB SPECIFICATIONS

Minimum education:

High school or equivalent. Bachelor’s degree preferred.

Minimum experience

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:

Insurance pre notifications, audit registrations, answer multi-line telephone, interview patients.

Skills, Machine:

Telephone, computer, fax, copier, calculator.

Working conditions

• •Subject to many interruptions.
• •Occasional pressure due to multiple inquiries.
• •May be exposed to infections and contagious diseases.

Physical demands:

• •Light physical effort, mostly sedentary work.
• •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.