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Admitting Representative - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | ballwin, Missouri |
About this job
Overview:
Overview
The Admitting Representative is often the first point of contact for our patients and therefore must represent Mercy with the highest standard of customer service, compassion and perform all duties in a manner consistent with our mission, values and Mercy service standards. The Admitting Representative will facilitate all components of the patients' entrance in to any Mercy facility. This may include scheduling, registration, benefit verification, pre-certification and financial clearance. The Admitting Representative will be responsible for ensuring that the most accurate patient data is obtained and populated in to the patient record. This co-worker must have an exceptional attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal, state and Joint Commission requirements.
*** This is a full- time day position: Mon-Thurs 9:30am-6pm; Friday 8am-4pm
Responsibilities:
Responsibilities
1. Greets every individual on the phone or in person with a smile and a warm, professional greeting. Provides outstanding customer service to all internal and external customers including our patients, visitors, co-workers, physicians, and insurance companies. Keeps all wait times to a minimum.
2. Maintains good human relations by interacting appropriately and professionally during conflict or stressful situations in a manner that facilitates constructive resolutions. Works in a professional manner with other departments to ensure the best possible service for our patients.
3. Respects at all times the confidentiality of patient records and uses complete discretion when discussing patient matters. Ensures all patient information is secured and all paperwork is disposed of in appropriate confidential trash receptacles.
4. Demonstrates an open attitude toward change and participates in the change process. Handles variance in job duties, making necessary adaptations.
5. Adheres to Mercy policies and procedures including attendance, dress code and safety and disaster plans.
6. Accurately identifies patient record using a minimum of two patient identifiers (name, DOB, SSN). Ensuring that the correct patient is always selected and minimizing duplicate MRN errors.
7. Accurately inputs all patient demographics and insurance information into the patient record in Epic (or applicable health information system).
8. As part of the scheduling process ensures that all scheduling directions are followed and communicated as appropriate to the patient.
9. Schedules appointments accurately selecting the appropriate location, service, diagnosis and provider.
10. Ensures maximum reimbursement of all accounts by correctly identifying insurance carriers and plans, and obtaining complete insurance information.
11. Follows all policies and procedures pertaining to insurance verification, eligibility, appropriate pre-certification requirements.
12. Obtains all required clinical information including paper requisitions as needed to ensure appropriate pre-certification and follow up can be obtained. Work with the physician's office when necessary to obtain missing clinical information or authorizations.
13. Completes all required fields within the referral including all required smart phrases and notes.
14. Obtains all required data to meet various Health System standards and regulatory requirements (e.g. Joint Commission, Medicare Compliance, EMTALA, HIPAA, etc.). Obtains legal signatures on appropriate ABNs, Important Message from Medicare, consent, and financial forms. Documents appropriately when unable to obtain signatures.
15. Demonstrates knowledge of the necessary computer applications. Knowledgeable of computer down time procedures, notifying all parties involved, and utilizing manual processes appropriately.
16. Actively seeks new knowledge and skills for personal and job development. Participates in professional continuing education opportunities.
17. Refers patients for financial assistance or to the Medicaid Eligibility team when appropriate.
18. Ensures all out of pocket financial responsibility is documented on appointments/admissions and is communicated as appropriate. All out of pocket responsibility is requested prior to and/or at the time of service.
19. Accurately posts patient payments and balances cash drawer as per the departmental policy.
Qualifications:
Qualifications
Education: High School diploma required some college helpful.
Other: 1. Ability to communicate effectively both orally and in writing, excellent telephone etiquette required. 2. Ability to establish and maintain effective working relationships with patients, physicians, clinical and non-clinical hospital staff and insurance companies. 3. Strong interpersonal skills 4. Strong organizational skills; attention to detail. 5. Ability to work under stress, meet deadlines and perform all daily assignments with consistent accuracy.
Preferred Experience: Experience with medical terminology and insurance plans preferred.
Options:
Overview
The Admitting Representative is often the first point of contact for our patients and therefore must represent Mercy with the highest standard of customer service, compassion and perform all duties in a manner consistent with our mission, values and Mercy service standards. The Admitting Representative will facilitate all components of the patients' entrance in to any Mercy facility. This may include scheduling, registration, benefit verification, pre-certification and financial clearance. The Admitting Representative will be responsible for ensuring that the most accurate patient data is obtained and populated in to the patient record. This co-worker must have an exceptional attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal, state and Joint Commission requirements.
*** This is a full- time day position: Mon-Thurs 9:30am-6pm; Friday 8am-4pm
Responsibilities:
Responsibilities
1. Greets every individual on the phone or in person with a smile and a warm, professional greeting. Provides outstanding customer service to all internal and external customers including our patients, visitors, co-workers, physicians, and insurance companies. Keeps all wait times to a minimum.
2. Maintains good human relations by interacting appropriately and professionally during conflict or stressful situations in a manner that facilitates constructive resolutions. Works in a professional manner with other departments to ensure the best possible service for our patients.
3. Respects at all times the confidentiality of patient records and uses complete discretion when discussing patient matters. Ensures all patient information is secured and all paperwork is disposed of in appropriate confidential trash receptacles.
4. Demonstrates an open attitude toward change and participates in the change process. Handles variance in job duties, making necessary adaptations.
5. Adheres to Mercy policies and procedures including attendance, dress code and safety and disaster plans.
6. Accurately identifies patient record using a minimum of two patient identifiers (name, DOB, SSN). Ensuring that the correct patient is always selected and minimizing duplicate MRN errors.
7. Accurately inputs all patient demographics and insurance information into the patient record in Epic (or applicable health information system).
8. As part of the scheduling process ensures that all scheduling directions are followed and communicated as appropriate to the patient.
9. Schedules appointments accurately selecting the appropriate location, service, diagnosis and provider.
10. Ensures maximum reimbursement of all accounts by correctly identifying insurance carriers and plans, and obtaining complete insurance information.
11. Follows all policies and procedures pertaining to insurance verification, eligibility, appropriate pre-certification requirements.
12. Obtains all required clinical information including paper requisitions as needed to ensure appropriate pre-certification and follow up can be obtained. Work with the physician's office when necessary to obtain missing clinical information or authorizations.
13. Completes all required fields within the referral including all required smart phrases and notes.
14. Obtains all required data to meet various Health System standards and regulatory requirements (e.g. Joint Commission, Medicare Compliance, EMTALA, HIPAA, etc.). Obtains legal signatures on appropriate ABNs, Important Message from Medicare, consent, and financial forms. Documents appropriately when unable to obtain signatures.
15. Demonstrates knowledge of the necessary computer applications. Knowledgeable of computer down time procedures, notifying all parties involved, and utilizing manual processes appropriately.
16. Actively seeks new knowledge and skills for personal and job development. Participates in professional continuing education opportunities.
17. Refers patients for financial assistance or to the Medicaid Eligibility team when appropriate.
18. Ensures all out of pocket financial responsibility is documented on appointments/admissions and is communicated as appropriate. All out of pocket responsibility is requested prior to and/or at the time of service.
19. Accurately posts patient payments and balances cash drawer as per the departmental policy.
Qualifications:
Qualifications
Education: High School diploma required some college helpful.
Other: 1. Ability to communicate effectively both orally and in writing, excellent telephone etiquette required. 2. Ability to establish and maintain effective working relationships with patients, physicians, clinical and non-clinical hospital staff and insurance companies. 3. Strong interpersonal skills 4. Strong organizational skills; attention to detail. 5. Ability to work under stress, meet deadlines and perform all daily assignments with consistent accuracy.
Preferred Experience: Experience with medical terminology and insurance plans preferred.
Options:
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