Hospital Admissions Representative - Full time Onsite

Guidehouse Inc.; Los Angeles (CA); On-site; USD 38,000 - 63,000; Full time

Benefits offered by this job

Medical insurance

Dental & Vision insurance

Paid holidays

401(k) retirement plan

Life insurance

Disability insurance

Tuition reimbursement

Professional development & learning

Employee referral program

Corporate events & community outreach

Emergency back-up childcare

Job summary

Guidehouse is seeking an Admitting Representative in the Los Angeles area. The role focuses on collecting accurate demographic and insurance information, assigning medical records, and ensuring proper billing data.

The schedule includes full-time shifts with weekends and rotating holidays. Responsibilities include obtaining signatures on forms, pre-certifications, and notifying patients of coverage issues while using multiple computer systems.

Qualifications

• Requires high school diploma or equivalent.
• 0–1 year experience in medical setting or heavy customer service with data entry, insurance or other online systems.
• Current BLS certification from American Heart Association or ability to obtain within 90 days of hire.
• Ability to complete AVADE training offered by MLK Community Hospital within 30 days from start date.

Responsibilities

• Obtain and verify demographic and financial information from patients and sources.
• Obtain required signatures on consents and insurance forms.
• Enter data and document admissions/registrations; obtain pre-certification or authorization numbers.
• Notify patients and others of insurance coverage issues and required payments; update patient files.
• Review physician orders for completeness and accuracy.

Skills

Data entry

Customer service

MS Office

Typing 35 WPM

Medical terminology

Education

High School Diploma or equivalent

BLS certification (American Heart Association)

Tools

Microsoft Office

Job description

Job Family :

Admitting Representative

Travel Required :

None

Clearance Required :

None

Job Posting

What You Will Do :

• The Hospital Admissions Representative is responsible for obtaining and verifying demographic information, insurance benefits and eligibility. Assigns the correct medical record and account number; therefore, providing a database which ensures accurate billing and clinical information.
• Schedule: Full Time position working Various shifts, every other weekend, rotating holidays.

Schedule :

• Days: 4 AM-1230 PM, 530 AM-2 PM, 7AM-330 PM,9 AM -530 PM,11 AM -730 PM
• Swing: 1PM-930 PM, 3 PM -1130 PM, 5PM -130 AM
• Nights: 7PM -330 AM, 9 PM-530 AM ,11 PM -730 AM ,12:30 AM -9 AM

Please note, schedule may be adjusted according to the needs of the business based on patient census.

Duties (include but not limited to):

• Responsible for obtaining complete and accurate demographic and financial information from a variety of sources, including patient interviews physician offices and in-house departments.
• Obtains required signatures on legal consents and insurance forms.
• Performs required pre-certification, credit referral or deposit collection. Enters data in computer and thoroughly documents any incomplete admissions/registrations in manner prescribed. Obtains pre-certification, referral or authorization number and updates patients file.
• Notifies patients, family members, physicians and/or supervisors of insurance coverage issues, notifies patients of co-payments, deductibles or deposits needed, documenting all information in computer system.
• Reviews Physician's orders for completion and ensures all required information is listed.
• Completes Medicare Compliance and obtains ABN if necessary.
• Knowledge of all Federal, State and Local Laws pertaining to insurance rules and regulations.
• Maintains multiple computer systems.
• Maintains positive customer service at all times, referring unresolved issues to appropriate supervisor.
• Answers telephone calls. Follows pre-established script and provide assistance to callers.
• Completes all shift duties in a timely and accurate manner.
• Complies with all safety regulations, policies and procedures as defined by Customer.

What You Will Need :

• High School Diploma or equivalent required.
• Minimum 0-1 year experience in a medical setting or heavy customer service environment utilizing data entry skills, insurance or other online websites and various software applications, including volunteer work.
• Current BLS certification from American Heart Association OR ability to obtain 90 days post hire.
• Ability to obtain AVADE training offered by MLK Community Hospital within 30 days from start date.

What Would Be Nice To Have :

• 2 years of ED admitting experience.
• Ability to type a minimum of 35 CWPM.
• Computer skills and proficient in Microsoft Office software programs.
• Medical terminology knowledge.
• Ability to greet and effectively relate to patients, physicians and staff.
• Great organizational skills and the ability to set priorities and manage time effectively.
• Great interpersonal skills and the ability to communicate effectively both orally and in writing.
• Ability to maintain a professional demeanor in a high stress environment.
• Ability to deal with pressure and complaints.
• Presents oneself in a professional manner through appearance and conduct.

Salary

The annual salary range for this position is $38,000.00-$63,000.00.

Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer :

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.