About the position
The Admissions Specialist is responsible for interviewing patients or their representatives and entering demographic information into the computer system. This role involves obtaining insurance precertification for inpatients and observations, preadmitting patients, and managing multi-line telephone communications. The specialist greets the public, patients, and visitors, directing them to the appropriate locations within the facility.
Responsibilities
- Collects and enters accurate demographic and financial data for patient registrations.
- Tears down charts, makes required copies, and distributes them.
- Advances understanding of insurance payors.
- Verifies Medicaid coverage and assigns PCP if necessary.
- Accurately completes procedures for discharges and transfers.
- Checks insurance cards for requirements regarding physician referrals and precertification.
- Pre-notifies insurance for inpatient stays.
- Assigns ICD-10 CM and CPT codes for initial authorization of inpatient and observation stays.
- Pre-registers patients for scheduled admissions and outpatient services, verifying prior authorization and physician referrals.
- Reviews and makes corrections to patient charts.
- Answers multi-line department telephone, transferring calls and relaying messages accurately.
- Operates the public address system.
- Gives instructions to visitors and patients.
- Uses the computer to post walk-in payments and prints receipts.
- Writes receipts for General Ledger payments.
- Reconciles cash drawer with receipts and forwards payments to cashier.
- Operates and maintains departmental equipment.
- Logs patient valuables in and out of the hospital safe.
- Utilizes guest relation skills when dealing with the public.
- Participates in educational programs and in-service meetings.
- Follows hospital policy on confidentiality.
- Rotates holidays and fills in on weekends when needed.
- Performs other related duties as assigned or requested.
Requirements
- High school diploma or equivalent; Bachelor's degree preferred.
- Two to three years' experience in patient registration desired.
- One year experience in ICD-10CM and CPT coding.
- Experience with insurance notification.
- Excellent organizational skills.
