SLH Patient Admitting Rep
1 week ago
San Leandro, CA
San Leandro Hospital
SLH Admitting
Short Hour (SLH or AHD) - Varies
Req #:
FTE:
0.2
Posted:
Today
Summary
SUMMARY:
The SLH Patient Admitting Rep interviews incoming patient or representative and enters information required for admission into computer. Performs related duties as required.
DUTIES &
ESSENTIAL JOB FUNCTIONS:
NOTE:
The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level.
Interviews patient or representative to obtain and record name, address, age, religion, persons to notify in case of emergency, attending Physician, and individual or insurance company responsible for payment of bill.
Escorts patient or arranges for escort to assigned room or ward. Stores patient's valuables. Receives payments on accounts.
Enters patient admitting information into computer and routes printed copy to designated department.
Obtains signed statement from patient to protect hospital's interests. Maintains confidentiality in maintaining all patient records.
Reviews and investigates health care coverage and policy limitations to update patient information for long term care, short term treatment and/or programs such as Charity,County Medical Services Program (CMSP), Medi-Cal, Family P.A.C.T., Child Healthand Disability Program (CHDP), ADAP, and all other related programs.
Advises patient/guarantor of financial obligations; collects and processes deposits, copaymentsand pre-payments for services. Assists patients in resolving issues with billing and collection of their hospital account(s).Reviews and analyzes patient account information, payment history,verification and collection of insurance or other coverage information and/or assistspatient in submitting needed information to billing or setting up payment arrangements.
Contacts and consults with patient, guarantor, or other representative, as well as withvarious County, State, Federal or other outside agencies regarding patient mattersrelated to eligibility for health care services.
Interprets laws and regulations of Federal, State and County programs and advises patient of eligibility requirements, as well as their rights and obligations in receiving financial services from these programs.
Assists patients in completing applications andforms when necessary and reviews for accuracy and completion.Informs and advises medical providers of patients' financial status and maintains opencommunication with Physicians and clinical staff to ensure timely notification of anyhealth conditions or diagnosis that could qualify patient for programs to assist themwith their healthcare costs.
Determines eligibility for a third party payment source according to established policiesand procedures including private health plans, Victims of Crimes, Workers' Compensation and lawsuit settlements.
Reviews difficult or unusual cases with Supervisor or Lead Worker for clarification andto ensure accuracy in ssessing patient financial circumstances and eligibility determinations.
Stays informed of both internal and external programs. Researches, reviews, interprets, and follows all relevant policies, procedures, regulations, guidelines and laws and attends mandatory trainings. Works independently with minimal supervision.
Immediately updates all patient financial information in the hospital/clinic informationsystem and enrolls all applications and supporting documentation to the appropriateagencies and/or departments within prescribed timelines, to ensure timely andaccurate submission of claims needed to maximize reimbursement to the Medical Center.
MINIMUM QUALIFICATIONS:
Education:
High school diploma or general education degree (GED);
Education:
Successful completion of the Eligibility Academy/Training Programs and respective examination offered through AHS
Minimum Experience:
Six to twelve months in a customer service field
Minimum Experience:
Bilingual, where necessary
Minimum Experience:
Demonstrated use of PC and related applications.
Alameda Health System is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military background.
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