Patient Admitting Specialist-Outpatient Rehab

Job Description:

Education:

Required: High school diploma, GED or higher level degree if hired after March 1, 2025Required: High school diploma, GED or higher level degree if hired after March 1, 2025 Licensure/Certification: N/A Experience:
Preferred:

Licensure/Certification:

N/A

Experience:

Preferred: Healthcare or customer service experience

Essential Responsibilities:

• Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
• Identifies patients by using proper method of retrieving patient history/information, avoiding creation of duplicate Medical Records for additional patient visits.
• Registers patients and maintains compliance according to departmental benchmark guidelines; verifies, accurately enters and updates patient information while registering as per departmental guidelines.
• Reviews insurance eligibility, updates medical record with accurate information obtained from the health plan and releases the insurance based upon verification process; ensures valid prior authorization, if applicable.
• Identifies and collects co-pays/deductibles based on insurance eligibility information and/or EMC uninsured cash discount quotes for emergency and outpatient services; provides patient with receipt of payment, if applicable.
• Ensures that all paperwork, as per organizational policies, including patient HIPAA regulation information, patient required signatures and forms that are necessary for the appropriate department services are completed.
• Performs daily cash balancing per department guidelines, if applicable.
• Prepares and completes all appropriate Medicare Advanced Beneficiary Notice (ABN) and (LMRP) program requirements, including patient notification and signature requirements at time of service.
• Requests and scans insurance cards and other necessary forms of identification.
• Completes Medicare Screening Form for all Medicare patients per Medicare requirements.
• Coordinates and assists other staff in ensuring that all patients are registered in a timely manner.
• Maintains completion of patient pre-registration at department standard.
• Maintains registration error accuracy rate of
• Provides accurate cash price/quote to self-pay patients; provides patients who qualify for uninsured discount with cash quotes, if applicable.
• Ensures that all patient complaints or concerns are processed using the appropriate chain of command.
• Assists with patient scheduling, if applicable.
• Answers and routes all incoming calls in a timely manner, if applicable.
• Collects and routes incoming faxes and messages, if applicable.
• Attends and participates in all staff meetings.
• Performs other duties as assigned.

Essential Skils:

• Ability to operate general office equipment (i.e., computer, printer, scanner, telephone, etc.)
• Ability to use Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and other relevant software applications
• Ability to handle difficult and stressful situations in a calm and professional manner
• Ability to effectively communicate in a positive and professional manner
• Written and verbal communication skills
• Ability to create a welcoming environment for patients and visitors, demonstrating empathy and respect in all interactions
• Ability to successfully complete training orientation program(s) and competencies
• Basic knowledge of insurances, including eligibility and benefit coverage, and other relevant information