Admitting Representative

Kaiser Permanente; Ontario; On-site; CAD 40,000 - 55,000; Full time

Job summary

A leading healthcare provider is seeking an Admitting Representative in Ontario to assist patients during the admission process. Responsibilities include collecting patient information, verifying insurance, and ensuring compliance with hospital regulations. Ideal candidates will have prior cash handling and registration experience. This full-time role involves interaction with patients and requires strong communication skills.

Qualifications

• One year cash handling experience in hospital admitting or healthcare business office.
• Two years admitting or registration experience.
• Typing speed of 35 wpm.

Responsibilities

• Perform pre-admits and admissions based on doctor orders.
• Collect and verify patient demographic and financial information.
• Explain hospital rules and regulations to patients.

Skills

Cash handling experience

Knowledge of healthcare billing practices

Mathematical skills

Effective communication

Education

High School diploma or GED

Associates or Bachelor's degree

Job description

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Job Summary

Under the direct supervision, performs pre-admits and admits based on doctors orders. Directs visitors and patients to the appropriate area and answers phones. Interviews patient and / or their representative to obtain demographic and financial information. Identify available payer sources and records information required for admission and / or registration. Reviews and assists patients to complete all required documents for completeness and appropriate signatures. Verifies insurance eligibility and benefits. Collects any cost shares due to include but not limited to co-payments, deposits, share of cost (SOC) and deductibles. Initiates and collects financial documents in support of all billing activities. Document KPHC and other systems as appropriate. Assembles accurate and complete records; prepares identification armbands; receive and release patient valuables. Explain hospital rules and regulations. Generates and distributes documents / reports to appropriate departments. Complies with organizational and departmental policies and procedures.

• Interviews patient and / or representative, collects / records all required financial demographic information including but not limited to coordination of benefits (COB), third party liability (TPL) and workers compensation (WC).
• Verifies patients identification and insurance eligibility / benefits.
• Notify insurance company of admission status.
• Obtains authorization / pre-certifications and required billing information from all identified payer sources for Medical Office / Hospital Services rendered.
• Coordinate and informs patients of required financial obligations.
• Collect any cost shares due to include but not limited to copayments, deposits, share of cost (SOC) and deductibles.
• Reviews all required documentation with patient, ensuring completion and obtain all necessary signatures.
• Accurately document all requisite information related to the admission and collection processes in KPHC and other systems as appropriate.
• Refers to Financial Counselors for patients having a financial obligation to Kaiser Permanente as necessary.
• Explains admission process, hospital regulations, policies and procedures.
• Contacts physician if additional information is needed.
• Create patient file with all necessary documentation for bill completion.
• Generate and distributes appropriate registration / admission documents.
• Secures and releases patient valuables for patients admitted into the hospital.
• Escorts or arranges escort of patients to assigned room or area.
• Performs pre-admission function including but not limited to surgery and labor & delivery cases; inputs required data for the anticipated admit list, balancing and checking for accuracy and completeness.
• Collaborates with physicians, nursing and other departments to facilitate admission and transfer
• Responsible for proper monetary transactions as it relates to assigned cash drawer.
• Prepares bank deposit slip and contacts security for escort to deliver bag containing shift deposits to the designated safe.
• Responsible for completing cash drawer transmittal forms, keeping designated dollar amount of money in the cash drawer daily and balancing out at the end of the shift.
• Research and reconcile cash drawer issues.
• Distributes related monetary documents as required and maintain / control of petty cash fund.
• Hospital cashiering / cash handling functions to include deposits, exchange and change fund functions, web declarations and other hospital cashiering functions as assigned.
• Manually estimate MOOP along with submitting refund request if necessary, review and maintain hospital exchange fund and petty cash transactions.
• Totals and reconciles, credit charges and payments on account with standard processing forms.
• Mails information as required.
• Provides co-payment history statements
• Review and complete accounts in work queue(s). Notify management of any copay discrepancy.
• Consolidates or corrects duplicate accounts by using appropriate system functions. Enters account notes on patient cases.
• Performs clerical duties as assigned, including but not limited to, filing, faxing, scanning, processing of mail, supplies, printing, answering and redirecting calls as needed for the department.
• Provide front-end coverage to other functional areas within admitting and provide support to ancillary departments as necessary.
• Provides patient with appropriate documentation and information for Medical Financial Assistance Program (MFAP).
• Assist in Quality Improvement monitoring as necessary.
• Perform reception duties as required including but not limited to answering phones, calling patient family when necessary, greeting members at the Front Desk and relieving other clerks for breaks and lunch as appropriate.
• Work with financial counselor related to patient financial ability.
• Establishes and maintains courteous, cooperative relations when interacting with other personnel, Health Plan members and the public.
• Performs other duties as assigned by management team and / or lead admitting clerk.

Job Summary

Under the direct supervision, performs pre-admits and admits based on doctors orders. Directs visitors and patients to the appropriate area and answers phones. Interviews patient and / or their representative to obtain demographic and financial information. Identify available payer sources and records information required for admission and / or registration. Reviews and assists patients to complete all required documents for completeness and appropriate signatures. Verifies insurance eligibility and benefits. Collects any cost shares due to include but not limited to co-payments, deposits, share of cost (SOC) and deductibles. Initiates and collects financial documents in support of all billing activities. Document KPHC and other systems as appropriate. Assembles accurate and complete records; prepares identification armbands; receive and release patient valuables. Explain hospital rules and regulations. Generates and distributes documents / reports to appropriate departments. Complies with organizational and departmental policies and procedures.

Essential Responsibilities

Interviews patient and / or representative, collects / records all required financial demographic information including but not limited to coordination of benefits (COB), third party liability (TPL) and workers compensation (WC).

Verifies patients identification and insurance eligibility / benefits.

Notify insurance company of admission status.

Obtains authorization / pre-certifications and required billing information from all identified payer sources for Medical Office / Hospital Services rendered.

Coordinate and informs patients of required financial obligations.

Collect any cost shares due to include but not limited to copayments, deposits, share of cost (SOC) and deductibles.

Reviews all required documentation with patient, ensuring completion and obtain all necessary signatures.

Accurately document all requisite information related to the admission and collection processes in KPHC and other systems as appropriate.

Refers to Financial Counselors for patients having a financial obligation to Kaiser Permanente as necessary.

Explains admission process, hospital regulations, policies and procedures.

Contacts physician if additional information is needed.

Prepares patient armbands.

Create patient file with all necessary documentation for bill completion.

Generate and distributes appropriate registration / admission documents.

Secures and releases patient valuables for patients admitted into the hospital.

Escorts or arranges escort of patients to assigned room or area.

Performs pre-admission function including but not limited to surgery and labor & delivery cases; inputs required data for the anticipated admit list, balancing and checking for accuracy and completeness.

Collaborates with physicians, nursing and other departments to facilitate admission and transfer

Responsible for proper monetary transactions as it relates to assigned cash drawer.

Prepares bank deposit slip and contacts security for escort to deliver bag containing shift deposits to the designated safe.

Responsible for completing cash drawer transmittal forms, keeping designated dollar amount of money in the cash drawer daily and balancing out at the end of the shift.

Research and reconcile cash drawer issues.

Distributes related monetary documents as required and maintain / control of petty cash fund.

Hospital cashiering / cash handling functions to include deposits, exchange and change fund functions, web declarations and other hospital cashiering functions as assigned.

Manually estimate MOOP along with submitting refund request if necessary, review and maintain hospital exchange fund and petty cash transactions.

Totals and reconciles, credit charges and payments on account with standard processing forms.

Mails information as required.

Provides co-payment history statements

Review and complete accounts in work queue(s). Notify management of any copay discrepancy.

Consolidates or corrects duplicate accounts by using appropriate system functions. Enters account notes on patient cases.

Performs clerical duties as assigned, including but not limited to, filing, faxing, scanning, processing of mail, supplies, printing, answering and redirecting calls as needed for the department.

Review various reports (census, unbilled, etc.)

Provide front-end coverage to other functional areas within admitting and provide support to ancillary departments as necessary.

Provides patient with appropriate documentation and information for Medical Financial Assistance Program (MFAP).

Assist in Quality Improvement monitoring as necessary.

Perform reception duties as required including but not limited to answering phones, calling patient family when necessary, greeting members at the Front Desk and relieving other clerks for breaks and lunch as appropriate.

Work with financial counselor related to patient financial ability.

Establishes and maintains courteous, cooperative relations when interacting with other personnel, Health Plan members and the public.

Performs other duties as assigned by management team and / or lead admitting clerk.

Experience

Basic Qualifications :

One (1) year cash handling experience in hospital admitting, healthcare business office or medical office setting

Two (2) years admitting or registration experience

Education

High School diploma or GED required

License, Certification, Registration

N / A

Additional Requirements

Demonstrated knowledge of and utilization of admission / registration system, healthcare billing practices, health plan benefits and insurance requirements

Typing 35 wpm

Preferred Qualifications

Demonstrated ability to work rapidly and accurately with phones, personnel and patients preferred

Able to demonstrate excellent mathematical skills and cash collections

Associates or Bachelors degree preferred

Notes

To work all areas of admitting, weekends and Holidays .

Seniority level

Seniority level

Entry level

Employment type

Employment type

Full-time

Job function

Job function

Other

Industries

Hospitals and Health Care

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