Patient Admissions Specialist II-Admissions 80hrs Biweekly Eve/Night - Cleveland, OH

Location: METROHEALTH MEDICAL CENTER

Biweekly Hours: 80.00

Shift: 3p-11p/11p-7a Rotating weekends and holidays

The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County's safety-net health system operates four hospitals, four emergency departments and more than 20 health centers.

Summary

As a Patient Admissions Specialist II (PASII), you are an ambassador for our community and patients. Acts as a liaison for our patients, supporting them through their financial journey by collaborating with the providers, and payers. The patients' financial clearance will be achieved by removing obstacles for medical services through engagement, education, and awareness with our patients. Identifies financial opportunities that may be available for healthcare services. Conducts interviews with patients to achieve optimal healthcare coverage for services and care for the under and under-insured is paramount. A proactive single-touch approach promotes a positive patient experience and ensures financial clearance. This includes the process of obtaining complete and accurate patient demographic information, insurance and eligibility, benefits confirmation, and enrollment resolution. Further clearance validation may include payor authorizations, estimates, and actual out-of-pocket expenses and other functions required for financial clearance and patient identification confirmation. Ensures bed reservations, patient admissions, and operating room and hospital procedures are in line with the financial clearance expectations. Adheres to compliance and regulations as it pertains to commercial, governmental, and third-party payers. The uninsured and underinsured are represented by patient interviews and collecting personal financial data to assist in determining eligibility for Medicaid, HealthCare Exchange, and any other financial assistance programs for which a patient may qualify, in accordance with department policies, protocols, and procedures. Acts as a liaison between patient/patient representatives in a culturally diverse population and internal, and external partners fostering open, professional, timely, courteous, and accurate communication. Upholds the mission, vision, values, and customer service standards of The Metro Health System.

Qualifications

• High school graduate or GED equivalent and Possess one of the following: • Associates Degree in a healthcare related field from an accredited institution. • Five years of experience in a healthcare and/or medical office setting with a minimum one-year experience in an admitting department including registration and insurance verification. • Possess a current Certified Healthcare Access Association (CHAA) certification through the National Association of Healthcare Access Management (NAHAM) or obtains within 1 year of starting in position.
• Able to understand/interpret Federal/State rules and regulations governing healthcare benefits, including maintaining current knowledge of: • Joint Commission regulations. • Provisions of the Emergency Medical Treatment and Labor Act (EMTALA). • Compliance elements of the Health Insurance Portability and Accountability Act (HIPAA).
• Ability to demonstrate professionalism, flexibility, organization, and to make sound judgment independently.
• Knowledge of Medical Terminology

Preferred

• Experience executing Admitting and/or Front-End Registration functions in a healthcare facility, including healthcare insurance verification.
• Experience working in a revenue cycle department in a healthcare facility (i.e., Health Information or Patient Accounts).

Physical Requirements: May sit, stand, stoop, bend, and ambulate intermittently during the day. May need to sit or stand for extended periods. See in the normal visual range with or without correction. Hear in the normal audio range with or without correction. Finger dexterity to operate office equipment required. May need to lift to twenty-five (25) pounds on occasion. Ability to communicate in face-to-face, phone, email, and other communications. Ability to see computer monitor and departmental documents.