Full Time Hospital Admissions Rep, 9:00AM -5:30PM

Job Family:

Admitting Representative

Travel Required:

Up to 10%

Clearance Required:

None

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.

 

SHIFT: This position is onsite Day( Morning into Evening) 9:00AM -5:30PM with rotating weekends and holidays. Hours can change as needed.

 

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.

•  Ability to type a minimum of 35 WPM.

What You Will Need:

• High School Diploma or equivalent GED required.
•  Minimum 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.
•  Medical terminology knowledge OR ability to learn.
•  Current BLS certification from American Heart Association OR ability to obtain within 90 days from start date.
• 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 Emergency Department admitting experience.

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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.

Benefits include:

• 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