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Lead-Patient Admitting Specialist

Company: Eisenhower Health
Location: Rancho Mirage
Posted on: May 27, 2023

Job Description:

  • Job Objective: A brief overview of the position.
    • As a working Lead-Patient Admitting Specialist, acts as subject matter expert for Patient Admitting Specialists and front office team for general questions and training
    • The position is responsible for ensuring that all patients have an accurate and comprehensive scheduling, and registration experience in the office
    • Customer Service - Ensures that all patients have a satisfying registration experience and are provided with choices, option and counseling to assist them in making their healthcare decisions
    • Accurate Registrations - Ensures accurate, comprehensive registrations of patients
    • Accurate Insurance - Ensures accurate patient insurance information is recorded including verification of eligibility and benefits
    • Point of Service Collections - Ensures that patient financial responsibility (co-pays, deductibles) is collected at or before the time of service
    • Reports to
      • Supervisor, Manager, Director, CAO
      • Supervises
        • N/A
        • Ages of Patients
          • Neonate/ Infant (as appropriate for department)
          • Pediatric (as appropriate for department)
          • Adolescent (as appropriate for department)
          • Adult
          • Geriatric
          • Blood Borne Pathogens
            • Minimal/ No Potential
            • Qualifications
              • Education
                • Preferred: High School Diploma/GED or equivalent work experience
                • Licensure/Certification
                  • N/A
                  • Experience
                    • Required: Minimum 1 year in patient admitting/registration in hospital or physician office
                    • Preferred: Medical terminology, payment processing, Hospital based Federal Rules, Regulations and procedures, safety practices
                    • Essential Responsibilities
                      • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
                      • Trains new staff and provides on-going training to existing staff.
                      • Resolves escalated patient/customer concerns, complaints and issues and escalates to leader, as appropriate.
                      • Acts as subject matter expert for front desk operations.
                      • Works with leadership on process improvement to ensure efficient and effective process flow, protocols, and training tools.
                      • May be responsible for maintaining and revising provider schedules.
                      • May be responsible for ensuring all visits are prior authorized, as appropriate.
                      • Properly greets patients.
                      • Properly identifies patients by using two patient identifiers and proper method of retrieving patient history/information, avoiding creation of duplicate Medical Records for additional patient visits.
                      • Registers patients following standard work and maintains compliance according to departmental benchmark guidelines. Verifies and accurately enters and updates patient information while registering as per departmental guidelines.
                      • Coordinates and assists other staff in ensuring that all patients are registered in a timely manner.
                      • Properly completes check in process and/or verifies e-Check in is complete.
                      • Confirm all insurance information is accurate and up to date.
                      • Scan photo ID and insurance card.
                      • Prepares all appropriate Medicare Advanced Beneficiary Notice (ABN) and (LMRP) program requirements and completion, including patient notification and signature requirements at time of service.
                      • Completes the Medicare Screening Form for all Medicare patients and adheres to completion per Medicare requirements.
                      • Ensures all patient access paperwork per policy, including regulatory forms, insurance verifications and signatures required to perform service are collected and complete.
                      • Collects co-pay/deductible/form fees or any appropriate estimates and provide patient with receipt of payment.
                      • Answers and properly routes all incoming calls in an appropriate and timely manner, ensuring a high level of customer service is provided at all times.
                      • Responsible for collecting and routing incoming faxes and messages, per specific clinic guidelines.
                      • Performs daily cash balancing per department guidelines.
                      • Maintains registration error accuracy rate of 97% or higher, signaling a proper and complete registration. Demonstrates and maintain all other departmental accuracy and productivity standards.
                      • Ensures that all patient complaints or concerns are handled using the appropriate chain of command.
                      • Ensures compliance with department specific guidelines and competencies.
                      • Successfully completes all required training, orientation, and competency courses on timely basis.
                      • Demonstrates a basic knowledge of insurances, including eligibility and benefit coverage, and other relevant information.
                      • Provides accurate cash price/quote to self-pay patients.
                      • Follows the identified dress code and safety protocols to ensure patient and employee safety.
                      • Maintains and practices professional boundaries with all patient interactions.
                      • Performs other duties as assigned.

Keywords: Eisenhower Health, Palm Springs , Lead-Patient Admitting Specialist, Other , Rancho Mirage, California

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