Hospital Admitting Specialist

Job Summary

The Hospital Admitting Specialist accurately schedules patient appointments and procedures and updates demographic and insurance information, completes pre-registration during scheduling of discharge appointments, accurately registers patients for their admission, collects insurance co-pay and procedural pre-pays, and completes insurance verification. This position also promotes good public relations and stays customer focused at all times to ensure patients and their families' needs are met. They remain positive, cooperative and supportive to patients, families and fellow colleagues. The Hospital Admitting Specialist follows HIPAA, payer, and other regulations and documents all pertinent information as required in the various essential job functions. The Hospital Admitting Specialist is responsible for answering incoming calls and responding to a variety of patient requests and inquires including scheduling appointments for physicians and hospital related appointments and procedures.

Essential Job Functions

• Ensure and adhere to strict confidentiality when handling patient charts, records, and scheduling information.
• Accurately registers patients into the EPIC system by collecting and recording demographic, insurance, financial, and clinical data in the computer system. Record and collect necessary patient account documents. Collect self-pay balances, pre-payment amounts, and co-pays per guidelines.Cover both Hospital Admitting registration desk, ER admitting desk, and Urgent check in desk and complete in room registration and scheduling. Visit patient rooms to ensure all necessary registration documents have been signed. Create accounts for new patients and update accounts for previous to ensure accurate services and account processing.
• Interpret physician orders and referrals to determine service needs and schedule patient visits while coordinating appointments with other departments to meet the needs of the patient and provider.
• Utilize appropriate strategies to activate and/or verify the insurance coverage of patients and obtain benefit information such as co-payment, and co-insurance amounts. Maintain knowledge of and complies with third-party payers' requirements for verifying insurance information, obtaining authorizations/pre-certifications, and completing other activities to ensure services are billed and reimbursed appropriately. Review Medicare accounts for completed MSPQ.
• Complete bed placement for patients admitted into the hospital.
• Modify work schedule to meet department goals/deadlines and the needs of the department and patients.
• Performs other duties as assigned or needed to meet the needs of the department/organization.

Requirements

• Minimum one-year related experience
• Demonstrates ability to effectively communicate both verbally and in written format
• Demonstrates proficient computer skills with high degree of accuracy
• Demonstrates knowledge of medical terminology