Admissions Specialist

Avera Queen of Peace; Mitchell (SD); On-site; USD 2,480,000 - 3,203,000; Full time

Benefits offered by this job

PTO day 1

Employer matching retirement

Career development

Hands-on training and mentorship

Job summary

Avera Queen of Peace Hospital seeks an Admissions Specialist to register patients accurately and promptly, create accounts/medical record numbers, verify insurance, collect co-pays, deductibles, and out-of-pocket expenses, and coordinate with patients and hospital staff.

You will handle insurance verifications, pre-certifications, and authorizations for assigned accounts, ensure HIPAA compliance, and maintain positive patient relations while supporting a smooth registration workflow in a busy

Qualifications

• High School or GED Equivalent.
• Healthcare experience 1-3 years related to billing, insurance or registration.
• Commitment to Avera's CARE values and patient-centered service.

Responsibilities

• Register patients accurately and create accounts/medical record numbers.
• Verify insurance coverage and communicate co-pays/deductibles.
• Perform insurance verifications, pre-certification and/or authorization for accounts.
• Coordinate with patients, staff, providers and external agencies.

Skills

Effective communication

Teamwork

Education

High School or GED Equivalent

Job description

Location:Avera Queen of Peace HospitalWorker Type:RegularWork Shift:Rotating days/evenings/nights/weekends/holidays (United States of America)Pay Range:The pay range for this position is listed below. Actual pay rate dependent upon experience.$18.00 - $23.25Position HighlightsShift times: 11am-7:30pm & 3pm-11pm + Every Other Weekend 11am-7pm.You Belong at AveraBe part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.A Brief OverviewResponsible for registering patients in a timely and accurate manner while performing all necessary procedures to establish accounts and medical record numbers. The Admissions Specialist verifies insurance coverage and limitations and collects patient co-payments, deductibles and out-of- pocket expenses and communicates this to the patient. The Admissions Specialist completes insurance verifications, pre-certification and/or authorization for assigned accounts.What you will doPerforms all necessary procedures to create accounts/medical record number and insurance coverage and limitations in a timely and accurate manner as well as coordinates communication with patients, employees, providers, and external financial agencies.Registers patients in a timely and accurate manner by entering demographic, insurance, physician, and other defined information while following established registration standards; assists Patient Care staff with bed assignments based on patients diagnosis, age, and condition; assists in monitoring the quality and efficiency of the registration process including completing follow-up on incomplete registrations through bedside registration.Strives to meet Point of Care collection initiative by generating patient estimates, educating patients at the time of service and/or pre-calling on their individual plan benefits and identifying specific account goals for collection based on deposit matrix/patient estimator tools. Requests and accepts deposits towards deductible and/or coinsurance amounts from patients based on current deposit matrix/patient estimator tools and posts payments correctly to the payment processing system.Maintains customer relations at a very positive level as evidenced by feedback from patients, visitors, physicians, patient care units, and fellow employees. Ensures all patients are offered a Patient’s Rights Brochure, understands the admission consent form, and have been informed of the hospital’s privacy practices (HIPAA).Coordinates internal hospital messages, imports continuity of care documents (CCDS) and answers telephone promptly and courteously and immediately addresses caller’s needs. Completes insurance verification, pre-certification/authorization for assigned accounts.Interacts with the patient while in Patient Care units in order to complete registration (obtaining consents, inform patients of telephone consumer protection act, insurance information, referring physicians, and CMS required documentation) such as IMMs, MOON, and OBVs, etc.Checks for medical necessity by confirming CPOM order and status of care at time of admission for direct admits.Essential QualificationsThe individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.Required Education, License/Certification, or Work Experience:High School or GED EquivalentPreferred Education, License/Certification, or Work Experience:Healthcare experience1-3 years related experience in billing, insurance or registrationExpectations and StandardsCommitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.Promote Avera’s values of compassion, hospitality, and stewardship.Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.Maintain confidentiality.Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.Benefits You Need & Then SomeAvera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.PTO available day 1 for eligible hires.Up to 5% employer matching contribution for retirementCareer development guided by hands-on training and mentorshipAvera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to [e-mail].