Patient Admissions Specialist: Insurance & Intake

Jobtome; Manhattan Beach (CA); On-site; USD 38,000 - 63,000; Full time

Benefits offered by this job

Medical, Rx, Dental & Vision Insurance

401(k) Retirement Plan

Paid holidays

Sick time & paid time off

Discretionary incentive bonus

Training and development

Job summary

Guidehouse in Manhattan Beach, CA is seeking an Admitting Representative to collect demographic and insurance information, verify eligibility and enter data to ensure accurate billing and clinical records. The role requires scheduling across multiple shifts, including weekends and holidays, and maintaining high patient service levels.

You will obtain signatures on legal forms, coordinate pre-certifications, and communicate insurance issues to patients and staff.

Qualifications

• High School Diploma or equivalent required.
• 0-1 year experience in a medical setting or heavy customer service environment.
• 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.

Responsibilities

• 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.

Skills

Data entry

Customer service

Communication skills

Medical terminology knowledge

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

Guidehouse in Manhattan Beach, CA is seeking an Admitting Representative to collect demographic and insurance information, verify eligibility and enter data to ensure accurate billing and clinical records. The role requires scheduling across multiple shifts, including weekends and holidays, and maintaining high patient service levels.

You will obtain signatures on legal forms, coordinate pre-certifications, and communicate insurance issues to patients and staff.