Admitting Representative - Admitting Services - Part Time/Days - Req# 2097465684

Antelope Valley Medical Center; Lancaster (CA); On-site; USD 35,000 - 50,000; Full time

Job summary

A leading medical facility seeks a candidate for the role focused on patient registration and access services. Responsibilities include verifying patient information, ensuring insurance authorizations, and providing excellent customer service. Candidates are required to be a high school graduate, with prior experience in a medical setting preferred. Strong communication, organizational, and computer skills are crucial for success in this role. The position offers a dynamic work environment that focuses on patient care and administrative efficiency.

Qualifications

• 1-year recent experience in an Admitting Department in an acute care setting preferred.
• Previous experience in a medical office or hospital Business Office setting is considered.
• Ability to understand insurance requirements and verify benefits.

Responsibilities

• Obtain and verify demographic information for patient registrations.
• Ensure all insurance authorizations and verifications are completed.
• Monitor and coordinate daily activities for maximum productivity.

Skills

Medical terminology

Strong communication skills

Organizational skills

Proficiency in MS Office applications

Problem-solving skills

Education

High School graduate or equivalent

Tools

Computer

Scanner

Job description

Under the direction of the Department Supervisor or other designee, provides a variety of patient welcoming and access services in support of the Admitting/Registration areas. Pre‑registers and registers patients presenting at the hospital for inpatient, outpatient and emergency services. Conducts patient/guarantor interviews, explains hospital policies, patient financial responsibilities and patient’s bill of rights. Facilitates the patient registration/admission flow, including activities such as: patient identification, demographic and insurance information verification, and collection of required signatures and documents. Responsible for the verification of insurance benefits on all inpatient and outpatient accounts through electronic verification system or via contact with third‑party payors to obtain accurate and prompt reimbursement. Checks eligibility, benefits, authorization requirements, PCP approval requirements, and billing requirements as appropriate. Submits notice of admission to payors, as needed. Collects co‑payments and other patient liabilities. Enters the financial and admissions data into the hospital information computer systems.

Duties and Responsibilities

• Registration/Pre‑registration
  • Obtain, verify and correct demographic information, select correct guarantor and emergency contacts on all registrations/pre‑admissions
  • Choose the correct patient type as indicated by MD order or pre‑admit order and the current registration systems
  • Ensure that all required insurance authorizations are obtained at the time of registration/pre‑registration
  • Ensure that all insurance verifications are obtained at the time of registration/pre‑registration
  • Collect all co‑pays and deductibles at the time of registration/pre‑registration
  • Use proper patient identifiers when selecting the patient record into the hospital’s ADT systems as outlined in the facility policies and procedures
  • Complete Medicare Secondary Payer form correctly
  • Complete registrations/pre‑admissions without creating a duplicate medical record number
  • Complete registrations/pre‑registrations with correct Primary Care MD, Admitting MD and Attending MD
• Forms Completion
  • Explain all admission forms accurately and understandably and direct patient and/or responsible party to initial sign where applicable on all forms
  • Explain the Medicare Rights form to patients that this form applies
  • Understand the purpose of the Patient Responsibility form in regards to Core Measures and the timely completion of the form and Smoking Cessation information
  • Use military time on all admission forms
  • Use a legal signature on all admission forms
  • Understand chart placement of all forms
• Advance Directives and Patient Information
  • Explain Advance Directives and direct patients to their MD for completion of form
  • Provide all required information such as Patient Rights and Responsibilities, Speak Up Brochure and use of blood at the time of registration
  • Provide patients and their families with assorted required documents to assist them during their stay
• Organization of daily activities
  • Monitor and coordinate work daily to achieve maximum productivity and efficiency
  • Review all work for quality at the end of each shift and make corrections if necessary

Non‑Essential Duties

• Other duties as assigned, within skill sets and abilities
• Ensure insurance authorizations are received and documented in the patient’s account as required by insurance carriers
• Obtain insurance verification on all required patient accounts as outlined in the department’s policies and procedures
• Accept and carry out all other miscellaneous clerical and/or administrative duties and responsibilities as required for maintaining all services provided by Admitting Services

Knowledge, Skills and Abilities

• Knowledge
  • Medical terminology
  • HMO, PPO, Commercial and Workers’ Compensation reimbursement
  • Multiple insurance plans and authorization procedures for obtaining payment
  • Microsoft Office applications
  • Basic arithmetic
• Skills
  • Use of basic personal computer
  • Use of a calculator
  • Proficiency in the operation of scanners, copiers and fax machines
  • Skill in using computers and programs in a hospital setting
  • Skillful use of MS Office applications
  • Strong communication and organizational skills
  • Good planning, time management and decision‑making skills
  • Good analytical and problem‑solving skills
  • Excellent interpersonal skills and strong customer focus
• Abilities
  • Read and understand insurance requirements
  • Verify and interpret insurance benefits and collect co‑pays
  • Handle stress
  • Manage a heavy caseload in an organized and efficient manner
  • Maintain a working relationship with other departments within the organization
  • Read handwritten and transcribed documents in the medical record, interpret information
  • Enter complete and accurate data into the facilities computer systems
  • Maintain an accuracy rate of 98% or higher relating to all registration/pre‑admission/bed control activities within the Patient Access departments

Education and Experience

• Education
  • High School graduate or equivalent
• Experience
  • 1‑year recent experience in an Admitting Department in an acute care setting preferred (will consider 1‑year experience in a medical office or hospital Business Office setting)
  • Previous Commercial, HMO, PPO and Workers Compensation billing and/or insurance follow‑up experience in an acute care setting preferred

Required Licensure and/or Certifications

• None

Physical Requirements and Working Conditions

• Primarily works in a climate‑controlled area
• Frequent sitting and standing for long periods of time
• Tolerate repetitive arm and hand movements