Admitting Representative

Summary

The Admitting Representative is responsible to greet, interview and gather information from each patient providing high level customer service while facilitating accurate and timely completion of registration and preparing all patient accounts for inpatient and outpatient billing to maximize payment for Hospital and Clinic services. Representative must verify insurance, benefits, coverage & eligibility. May obtain or verify insurance authorizations for scheduled & unscheduled services. Acquires necessary signatures on financial agreements, consents and admission agreements, generate appropriate paperwork and place hospital identification bands on patients according to procedure. Responsible for entering complete and accurate data utilizing computer technology. Acts as liaison between patients, financial counselors and hospital patient accounting; insures that all state, federal, CMS, and MyMichigan Health policies and procedures are followed. A primary function of this position will be to perform point-of-service collections of co-pay and deductible amounts from patients in a diplomatic and customer focused manner. This position must be able to work in a team atmosphere and have good communication skills.

Responsibilities

(70%)* Schedules/Registers/Pre-Registers patients accurately and completely

(15%)* Works assigned reports/work queues

(10%)* Obtains required pre-authorization information when needed/required

(5%)* Interfaces with patient care departments to provide information regarding Patient Access

OTHER DUTIES AND RESPONSIBILITIES:
Perform inpatient admission functions, including direct admits and emergency department admissions. May include Switchboard, central scheduling, or surgical boarding clerk cross training and duties.

Collects patient demographics to complete a registration accurately including documentation of MSPQ information for Medicare patients.

Uses available tools to verify patient identification and insurance eligibility.

Carries our special projects as assigned by Supervisor.

All other duties as assigned.

Certifications and Licensures

n/a

Required Education

Education: HIGHSCHOOL DIPLOMA or GED

Other Information

EXPERIENCE, TRAINING AND SKILLS:
Preferred Associates degree or Certified Healthcare Access Associate (CHAA) certification through National Association of Healthcare Access Management (NAHAM).

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:
Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

Overall vision and hearing is necessary with or without assisted device(s).

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.

Physical Demand Level: Sedentary. Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.

Equivalent Experience and Other Comments (Education)

Education: HIGHSCHOOL DIPLOMA or GED