Admitting Representative - ER Reg - PT/Varied

Job Description

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 Job Title: Admitting Representative - ER Reg - PT/Varied
 Company Name: Antelope Valley Hospital
 Employment Type: Part Time (benefited)
 Location: LANCASTER, CA, United States
 Department: ER Registration
 Salary: Highly Competitive
 Shift Hours/ Days: Varied
 Hours/Pay Period: 48
 Degree Required: High School/GED
 Job ID: 12-09-10-8586
 Date Posted: Sep 11, 2012
 Years Experience: 1
 Note:  Please read the complete description below before applying for this job.
  Complete Description

Job Objective:

Under the direction of the Department Supervisor or other designee provides a variety of patient welcoming and access services in support of the Admitting/Registration areas. Pre-registers and registers patients presenting at the hospital for inpatient, outpatient and emergency services.  Conducts patient/guarantor interviews, explains hospital policies, patient financial responsibilities and patient's bill of rights.  Facilitates the patient registration/admission flow, including activities such as: patient identification, identification of accurate demographic and insurance information, and collection of required signatures and documents.  Responsible for the verification of insurance benefits on all inpatient and outpatient accounts through electronic verification system or through contact with third party payors, in order to obtain accurate and prompt reimbursement.  Checks eligibility, benefits, authorization requirements, PCP approval requirements, and billing requirements, as appropriate.  Submits notice of admission to payors, as needed.  Collects co-payments, and other patient  liabilities.  Enters the financial and admissions data into the hospital information computer systems.

Duties and Responsibilities:

 

A. Registration/Pre-registration

    1. Obtain, verify and correct demographic information, select correct guarantor and emergency contacts on all registrations/pre-admissions
    2. Chooses the correct patient type as indicated by MD order or pre-admit order and the current registration systems
    3. Ensures that all required  insurance authorizations are obtained at the time of registration/pre-registration
    4. Ensures that all insurance verifications are obtained at the time of registration/pre-registration
    5. Collects all co-pays and deductibles at the time of registration/pre-registration  
    6. Uses proper patient identifiers when selecting the patient record into the hospitals ADT systems as outlined in the facilities policies and procedures
    7. Completes Medicare Secondary Payer form correctly
    8. Completes registrations/pre-admissions without creating a duplicate medical record number
    9. Completes registrations\pre-registrations with correct Primary Care MD, Admitting MD and Attending MD.

 

B. Forms Completion

    1. Explains all admission forms accurately and understandably and direct patient and or responsible party to initial and sign were applicable on all forms
    2. Explains the Medicare Rights form to patients that this form applies
    3. Understands the purpose of the Patient Responsibility form in regards to Core Measures and the timely completion of the form and Smoking Cessation information.
    4. Uses military time on all admission forms
    5. Uses a legal signature on all admission forms
    6. Understands chart placement of all forms

 

C. Advance Directives and Patient Information

    1. Explains Advance Directives and direct patients to their MD for completion of form
    2. Provides all required information such as Patient Rights and Responsibilities, Speak up Brochure and use of blood at the time of registration
    3. Provides patients and their families with assorted required documents to assist them during their stay

 

D. Organization of daily activities

    1. Monitors and coordinate work daily to achieve maximum productivity and efficiency
    2. Review all work for quality at the end of each shift and make corrections if necessary

 

 

Knowledge, Skills and Abilities:

 

Knowledge

  • Knowledge of medical terminology
  • Knowledge of HMO, PPO, Commercial, and Workers' Compensation reimbursement
  • Knowledge of multiple insurance plans and authorization procedures and processes for obtaining payment
  • Knowledge of Microsoft Office applications
  • Knowledge of basic arithmetic

     

    Skills

  • Use of basic personal computer
  • Use of the use of a calculator
  • Proficient in the operation of scanners, copiers, and fax machines

     

    Abilities

  • Ability to read and understand insurance requirements
  • Ability to verify and interpret insurance benefits and collect co-pays
  • Ability to handle stress
  • Ability to manage a heavy caseload in an organized and efficient manner
  • Ability to maintain a working relationship with other departments within the organization
  • Ability to read handwritten and transcribed documents in the medical record, interpret information,
  • Ability to enter complete and accurate data into the facilities computer systems
  • Ability to maintain an accuracy rate of 98% or higher relating to all registration/preadmission activities within the Patient Access departments

     

    Core Competencies: All AVH employees will effectively demonstrate these behaviors:

    Accountability                                    

    Action Oriented

    Customer Focused

    Compassion

    Effective Communication 

    Teamwork

    Ethics & Values

    Integrity & Trust

     

    Education and Experience:

    Education

  • High School graduate or equivalent

     

    Experience

  • 1-year recent experience in an Admitting Department in an acute care setting. Will consider 1-year recent (within last 5 years) experience in a medical office or hospital Business Office setting
  • Previous Commercial, HMO, PPO, and Workers Compensation billing and/or
  • Insurance follow-up experience in an acute care setting preferred

     

    Required Licensure and/or Certifications:

    None

     

    Physical Requirements and Working Conditions:

    • Primarily works in a climate-controlled area
    • Frequent Sitting and standing for long periods of time
    • Tolerate repetitive arm and hand movements
  •  Additional Information

    Weekend and/or Holiday Rotation may be required.
    Rotating Shifts may be required.

    Antelope Valley Hospital, founded in 1955, is a 420-bed acute care facility. We are a not-for-profit, district owned hospital, and a vital part of the Antelope Valley. We are a place where people can find high quality healthcare in a friendly and supportive environment. As health care technology has advanced, and the community has grown, Antelope Valley Hospital has evolved into the premiere health care organization that sets the standard for quality care in northern Los Angeles County.

    The Antelope Valley, which has a growing population of over 400,000, is located approximately one hour north of Downtown Los Angeles. It is one of the few areas in Southern California where you’ll find clean air, affordable housing, and a small town atmosphere, which is free of traffic congestion, full of sunny skies and beautiful mountain views. It’s no wonder why we’ve become such an appealing community to call home.

    AVH offers an exciting growth oriented atmosphere, excellent benefits, numerous educational opportunities and competitive salaries. EOE



    - Antelope Valley Hospital - 1600 West Avenue J - Lancaster, California 93534 (661) 949-5000
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