Reporting to the Patient Access Supervisor the Admissions Representative is responsible for following Federal, State and Local guidelines and works directly with patients and clinical teams for delivery of services to include but is not limited to: registration, scheduling, verification of insurance, collection of patient payments, the patient experience and communicating with internal departments.
The Admissions Representative is proficient in the application and systems including but not limited to: Affinity, Passport, Chartmaxx, and other supporting information systems. (I.e. RMS, SCM, or Amelior as required). Strives within a team atmosphere has strong customer service expertise, has the ability to multi-task, and proficient computer skills.
Facilitates the arrival process for patients. Creates accounts for initial intake upon presentation to the check-in area. Continues to monitor patient queues to ensure timely registration processing.
Follows established HIPAA protocols for proper patient look-up, completes patient registration.
Ensures insurance eligibility and accurately codes insurance to ensure timely billing.
Assists patients with billing inquiries and insurance questions.
Collects all copayments, coinsurance, and deductible limits.
Obtains required signatures, IDs, and consents for all regulatory requirements (i.e., Photo IDs, COA, MSP, Advanced Directives, etc.).
Confirms and communicates patient registration status, in/out of network status, and maintains service level and to avoid delays in patient care.
In the outpatient settings, can schedule same-day and follow-up appointment and validates physician order, and confirms the accuracy of ordering MD and service codes.
The Emergency Departments follow the Emergency Medical Treatment and Labor Act (EMTALA) guidelines.
Generate task reports to monitor workload and inventory. Seeks assistance when needed to maintain 100% service level targets.
Meets daily productivity expectations in accordance with department standards.
Perform other duties as assigned.
Education, Training, and Experience:
High School diploma or equivalent.
Minimum of 1-year general office experience and/or customer service experience.
Skills or Other Qualifications:
High level of computer keyboarding skills for data input. Able to communicate clearly in English, both written and oral.
Strong attention to detail.
Demonstrated analytical and critical thinking abilities with pro-active decision making and negotiation skills.
Ability to manage multiple tasks simultaneously.
Ability to establish and maintain collaborative and effective working relationships.
Strong customer service skills.
Hoag Memorial Hospital Presbyterian