Admissions Representative .8 FTE

FTE/Scheduled Weekly Hours:

0.80 / 32 / 1st/2nd Shift (United States of America), every 4th weekend, and rotating holidays.

PRIMARY FUNCTIONS

Responsible for identification of patients, registration for hospital services, creation of the electronic medical record and financial data for compliance and accurate billing submission. Directs patients to service areas. Identifies patients in need of financial assistance. Operates hospital switchboard and paging systems. Serves as a resource for patients and visitors to the facility.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Greet patients/visitors in a professional, friendly manner. Add patient information to Lobby tracking board. Monitor patient wait times and ensure all patients are acknowledged.
• Correctly verify the identity of the patient. Report or resolve any discrepancies according to procedure.
• Locate & interpret provider order(s) for appropriate testing & registration criteria. Review for compliance with required order criteria. Identify encounter associated with order or create new encounter if necessary.
• Presents order(s) to Order Verification Representative to check medical necessity for test(s) being performed; work with Order Verification Representative and scheduling staff to obtain corrected order(s) for patients who present with order(s) that do not meet compliance requirements. Call provider offices to obtain missing orders when necessary.
• Prepare and explain waivers for patients whose services will not be covered by their insurance and obtain patient signature.
• Interview and register patients for all types of inpatient and outpatient services. Assist other departments with changes in level of care. Obtain and accurately input all required data elements into the computer database, including patient demographic, financial information, guarantor information, and notes associated with the encounter. Ensure each patient is assigned only one medical record number.
• Verify current insurance eligibility information for each patient registered using payer websites or electronic verification system.
• Explain processes and forms to patients prior to securing signatures to ensure compliance with regulations and hospital policies.
• Scan order, photo ID, insurance cards, Conditions of Admission & other required documents into the electronic medical record.
• Collect emergency room co-pays or down payments from patients who have received pre-service estimates. Provide patient receipt, document