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Admitting Representative, On-Call

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Location:

Description

title: financial, collecting personal, house nursing supervisor, regional, clinic departments, demographic, utilizing system recrods
- reports findings to manager/supervisor/designee
- analyzes revenue data to determine obstacles in cost share collections
- collects all information necessary to bill second-party payers
- interviews pateints for pre-admission or admission to the hospital, local, & outside care coordinators per local policy
- recieves admission requests; facilitates approrpiate bed assignments & communicates information to stfaf
- obtains appropriate signatures on permits & consents per california hospital association (cha) consent guidelines
- prepares related admission paperwork in advance to facilitate a timely admission process, emergency room, information concerning hospitalization
- identifies all uninsured or under-insured patients admitted to facility; refer to financial counselors for further action
- obtains verification & necessary pending authorizations from non-kp insurers (including medicare, medi-cal and cob) on members & non-members when financial counselor is not available
- all documentation is completed in the member integrated tracking system (mits) or the appropriate kp tracking system
- when financial counselor is available, & medical information in person or by phone per kp policies
- enters complete data into the kp information systems & review for accuracy per department, & regulatory compliance
- affixes identification bracelet to the pateint\'s wrist on the side of the body opposite the intended procdeure or injury per local policy
- provides up-to-date information concerning admission & hospital practices & administrative procedures per hipaa guidelines & kaiser permanente corporate compliance
- facilitates the timely admission of patients throughout the hospital by coordinating pateint information w/the physicians, discusses the need to obtain authorizations from non-kp insurers
- promotes pateint satisfaction & retention through the successful facilitation of the revenue collection process
- calculates member liability based on benefit plan
- collects financial liability for elective procedures & discharged patients
- reseraches payemnt recrods of all non-paiyng patients with liabiilties, pateint care unit staff,
essnetial funcitons:
- insturcts & reveiws with patient.
- distrbiutes relveant brocuhres/letetrs to patient/agnet (e.etc, )
- receives, secrues & relaeses patient valubales accodring to stadnard procedure 18a as appropriate
- initaites membreship records on all newobrns per local policy
- distributes admission materials to proper locations
- escorts or arranges for patient escort to assigned room or area per local policy
- this job has no supervisory responsibilities
- performs other related duties as required
qualifications:
basic qualifications:
- 6 months of work experience within the last 12 months required; hospital/clerical setting or medical office preferred
- high school diploma or equivalent
- typing speed: 35 wpm typing or 6000 data entry keystrokes (able to pass either test)
- basic knowledge & use of computer & computer keyboard (able to pass pc skills assessment)
- professional customer service skills
- revenue collection experience preferred
- ability to read, write, documents, organize & prioritize & work independently w/ minimal supervision
- proficient in admitting medical terminology (able to pass standardized test)
- proficient in word-processing, spreadsheet programs, understand & follow oral & written instructions
- ability to effectively present information in one-on-one & small group situations to customers & other personnel within the organization
- ability to use basic math
- ability to work rapidly & accurately w/ phone, personnel & patient interruptions
- ability to multitask.advance directive brochure, etc, cost share letter, coordination of benefits (cob) brochure, g. medicare letter.obtains patient/agent signatures, may initiate valuables collection & distribution, the admitting representative is a patient service professional responsible for coordinating & completing every phase of the admission function including: admissions, interviews for financial & demographic information, & data retrieval, document preparation for all elective, admitting representative, ca
under the direct supervision of the admitting manager/supervisor/designee, direct and/or emergency admissions, revenue collection in all settings, obtains & processes advance directives, on-call
location: richmond, pre-admissions.pc skills assessment for admitting rep, preferred
- must be willing to work in a labor management partnership environment
skills testing: typing (35 wpm or 6000 data entry keystrokes), & medical terminology for admitting rep.

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