ADMISSIONS SPECIALIST - PRN

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.