Patient Admitting Specialist - Primary Care (North Palm Desert)

Job Title

Job Objective: A brief overview of the position.

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, options, 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/Moderate Potential

Qualifications:

Education:

Preferred: High School Diploma/GED or equivalent work experience

Licensure/Certification: N/A

Experience:

Preferred: Previous experience in Healthcare setting and/or Customer Service Experience

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.

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.