IMH Admitting Rep, Full Time - Evenings

UChicago Medicine; Harvey (IL); On-site; USD 38,000 - 48,000; Full time

Job summary

UChicago Medicine seeks an Admitting Representative at our Harvey, IL location to assist patients with registration and pre-admission processes. You will verify information, gather sensitive data, and ensure accurate EHR documentation while maintaining privacy and compliance with HIPAA standards.

The role requires strong customer service, solid typing, and multitasking abilities in a hospital setting. You will interact with patients, staff, and case managers to support smooth admissions and

Qualifications

• 1-2+ years of demonstrated Clerical/ Administrative Customer Service experience
• 1-2+ years of demonstrated professional Customer Service/Clerical experience in a hospital environment
• Typing requirement (minimum 25-30 wpm)
• Experience in the basic computer software programs
• Must possess strong written and verbal communication skills
• Requires good analytical and problem solving ability

Responsibilities

• Promptly fields and/or directs incoming calls, responds to patient and/or staff inquiries with resolution or escalation
• Ensures all registration and admission forms are presented to and verified by patient/guarantor before signing
• Gathers and verifies all appropriate, confidential health and financial information from patients while using various computer software to assure payment for all authorized services
• Enters new patient data and/or verifies patient records are up-to-date, confirms the completeness of the electronic health record (EHR)
• Complies with all organizational, state, and federal laws and registrations related to patient privacy (HIPAA)
• Verifies insurance eligibility and benefits for non-emergent cases and obtains pre-authorizations as required
• Communicates CMS coverage/eligibility information to the patient and explains Medicare forms
• Identifies Medicare ABNs and maintains authorizations within the system
• Understands Medicare/Medicaid guidelines and refers to CMS rules as needed
• Interacts with Case Management and Utilization Review as required
• Lifts boxes up to 30 pounds and assists with transporting patients

Skills

Clerical/Administrative Experience

Customer Service

Typing 25-30 wpm

Written and Verbal Communication

Analytical Problem Solving

HIPAA / Privacy Awareness

Tools

MS Office Suite

EHR System

Job description

Job Description

Join Ingalls Memorial Hospital as an Admitting Representative at our Harvey, IL Location. In this position, you will be assisting patients with their registration needs. This department is known for their dedication to customer service. We ensure that each patient has a positive experience with us. This position, under the supervision of the Admitting Supervisor and Admitting Manager, is responsible for the daily duties inherent in the registration, pre-registration of medical, surgical (Outpatient Registration, Emergency Department and Pre Admission Services) process as defined by the hospital procedures.

Job Functions

• Promptly fields and/or directs incoming calls, responds to patient and/or staff inquiries with resolution or escalation
• Ensures all registration and admission forms are presented to and verified by patient/guarantor before signing; Ensuring patients/guarantor understand what is being signed
• Practices proficient customer-service skills by greeting and treating all patients and staff with respect and discretion
• Gathers and verifies all appropriate, confidential health and financial information from patients while using various computer software to assure payment for all authorized services
• Enters new patient data and/or verifies patient records are up-to-date, confirms the completeness of the electronic health record (EHR),makes changes as necessary, and files records in accordance with Ingalls Memorial hospital’s filing system
• Complies with all organizational, state, and federal laws and registrations related to patient privacy and confidentiality, such as the Health Insurance Portability and Accountability Act (HIPPA)
• Verifies insurance eligibility and benefits immediately for non-emergent cases and no later than end of shift for emergent cases., and obtains pre-authorizations from third-party payers in accordance with payer requirements
• Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to the patient
• Identifies patients who will need Medicare Advance Beneficiary Notices (ABNs) of non-coverage and maintains accurate records of authorizations within the EDM
• Holds sufficient understanding of insurance protocols for referrals, co-payments, deductibles, allowances, etc., and analyzes information received to determine patients’ out-of-pocket liabilities
• Responsible for understanding the general principals of Medicare and the Medicare Important Notice Guidelines as published by CMS in the final rule CMS-4105-F
• Responsible for identifying via the system the Medicare and Medicare Advantage members admitted to the facility as an inpatient admission
• Will have direct patient contact with our patients and/or their family members and must have the ability to multi task and explain the Medicare form so the patient and/or family understand their rights as a Medicare beneficiary
• Will be responsible for scanning all documents in the appropriate document type in the hospital system
• Must engage with Case Management and Utilization Review on a frequent basis due to potential patient handoffs as directed by the policy
• Will be required to lift boxes (up to 30 pounds) and at times help with transporting patients

Required Qualifications

• 1-2+ years of demonstrated Clerical/ Administrative Customer Service experience
• 1-2+ years of demonstrated professional Customer Service/Clerical experience it relates to a hospital environment
• Typing requirement (minimum 25-30 wpm)
• Experience in the basic computer software programs
• Must poses strong written and verbal communication skills
• Requires good analytical and problem solving ability
• Demonstrated ability to develop others in areas of continuous process improvement, and customer service, Delivery and self-directed team work
• Requires maturity and ability to appropriately represent the department to other internal and external customer strong commitment to the development of staff

Preferred Qualifications

• Medical Terminology knowledge
• Previous experience in a health care environment, preferably, Admitting, Emergency Department, or Physician’s office or other related health care experience is desired
• Knowledge of Medicare
• Knowledge of HMO and PPO (what are the differences)

Position Details

• Job Type/FTE: (1.00) Full Time
• Shift/Location: Evenings, Harvey IL
• Unit: Admitting
• CBA Code: SEIU

About Us

We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you’d like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion.

UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities

UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.

As a condition of employment, all employees are required to complete a pre-employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law.

Compensation & Benefits Overview

UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.

The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.

Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.