-
Job Objective: A brief overview of the position.
-
As a working Lead-Patient Admitting Specialist, acts as subject matter expert for Patient Admitting Specialists and front office team for general questions and training
-
The position is responsible for ensuring that all patients have an accurate and comprehensive scheduling, and registration experience in the office
-
Customer Service – Ensures that all patients have a satisfying registration experience and are provided with choices, option and counseling to assist them in making their healthcare decisions
-
Accurate Registrations – Ensures accurate, comprehensive registrations of patients
-
Accurate Insurance – Ensures accurate patient insurance information is recorded including verification of eligibility and benefits
-
Point of Service Collections – Ensures that patient financial responsibility (co-pays, deductibles) is collected at or before the time of service
-
-
Reports to
-
Supervisor, Manager, Director, CAO
-
-
Supervises
-
N/A
-
-
Ages of Patients
-
Neonate/ Infant (as appropriate for department)
-
Pediatric (as appropriate for department)
-
Adolescent (as appropriate for department)
-
Adult
-
Geriatric
-
-
Blood Borne Pathogens
-
Minimal/ No Potential
-
-
Qualifications
-
Education
-
Preferred: High School Diploma/GED or equivalent work experience
-
-
Licensure/Certification
-
N/A
-
-
Experience
-
Required: Minimum 1 year in patient admitting/registration in hospital or physician office
-
Preferred: Medical terminology, payment processing, Hospital based Federal Rules, Regulations and procedures, safety practices
-
-
-
Essential Responsibilities
-
Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
-
Trains new staff and provides on-going training to existing staff.
-
Resolves escalated patient/customer concerns, complaints and issues and escalates to leader, as appropriate.
-
Acts as subject matter expert for front desk operations.
-
Works with leadership on process improvement to ensure efficient and effective process flow, protocols, and training tools.
-
May be responsible for maintaining and revising provider schedules.
-
May be responsible for ensuring all visits are prior authorized, as appropriate.
-
Properly greets patients.
-
Properly identifies patients by using two patient identifiers and proper method of retrieving patient history/information, avoiding creation of duplicate Medical Records for additional patient visits.
-
Registers patients following standard work and maintains compliance according to departmental benchmark guidelines. Verifies and accurately enters and updates patient information while registering as per departmental guidelines.
-
Coordinates and assists other staff in ensuring that all patients are registered in a timely manner.
-
Properly completes check in process and/or verifies e-Check in is complete.
-
Confirm all insurance information is accurate and up to date.
-
Scan photo ID and insurance card.
-
Prepares all appropriate Medicare Advanced Beneficiary Notice (ABN) and (LMRP) program requirements and completion, including patient notification and signature requirements at time of service.
-
Completes the Medicare Screening Form for all Medicare patients and adheres to completion per Medicare requirements.
-
Ensures all patient access paperwork per policy, including regulatory forms, insurance verifications and signatures required to perform service are collected and complete.
-
Collects co-pay/deductible/form fees or any appropriate estimates and provide patient with receipt of payment.
-
Answers and properly routes all incoming calls in an appropriate and timely manner, ensuring a high level of customer service is provided at all times.
-
Responsible for collecting and routing incoming faxes and messages, per specific clinic guidelines.
-
Performs daily cash balancing per department guidelines.
-
Maintains registration error accuracy rate of 97% or higher, signaling a proper and complete registration. Demonstrates and maintain all other departmental accuracy and productivity standards.
-
Ensures that all patient complaints or concerns are handled using the appropriate chain of command.
-
Ensures compliance with department specific guidelines and competencies.
-
Successfully completes all required training, orientation, and competency courses on timely basis.
-
Demonstrates a basic knowledge of insurances, including eligibility and benefit coverage, and other relevant information.
-
Provides accurate cash price/quote to self-pay patients.
-
Follows the identified dress code and safety protocols to ensure patient and employee safety.
-
Maintains and practices professional boundaries with all patient interactions.
- Performs other duties as assigned.
-
Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.
