Patient Admitting Specialist

3 weeks ago


Rancho Mirage, United States Eisenhower Health Full time
  • Job Objective: A brief overview of the position.
    • Rehabilitation services Patient Admitting Specialist performs or coordinates/delegates the performance of clerical/support activities (including phones and acknowledging patients), maintains the department patient schedule, facilitates communication and customer relations. Organizes work flow/processes to support the administration of Rehabilitation Services.
  • Reports to
    • Physical /Occupational Therapy Supervisor/Rehabilitation Services Director
  • Supervises
    • Rehabilitation Services Volunteers
  • Ages of Patients
    • Pediatric
    • Adolescent
    • Adult
    • Geriatric
  • Blood Borne Pathogens
    • Minimal/ No Potential
  • Qualifications
    • Education
      • Required: High School diploma or equivalent
    • Licensure/Certification
      • N/A
    • Experience
      • Preferred: Previous experience in Healthcare setting and prior Customer Service Experience
  • Essential Responsibilities
    • Demonstrates compliance with code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and reports suspected violations.
    • Maintains a cheerful, professional image at all times, including appearance of self, work area, waiting room and the use of appropriate scripting.
    • Manages daily schedules to ensure efficiency and productivity, including scheduling back to back appointments, checking Well Health and cancelling and moving appointments as appropriate ensuring full schedules; verifying work days, ensuring appropriate blocks, call offs if necessary and reporting scheduling needs to manager/supervisor.
    • Answers phones in a timely fashion (within 3 rings if possible) and timely addresses all patient communication (via phone, Well Health, In-Basket, etc.) same day.
    • Manages department work queues including:
      • Ensure timely patient notification (within 72 hours of receipt of referral)
      • Verifying necessary authorizations and updating referral status as appropriate
      • Updating scheduling status
      • Documenting authorizations timely and accurately including visits authorized, authorization number, authorization expiration date and any other pertinent authorization information
      • Notes appropriate to scheduling status, authorizations and transfer of care
    • Accurately and timely transcribes all referrals including:
      • Identification of correct patient
      • Accurately entering referring provider based on ability to sign Plan of Care reports
      • Entering of order(s)
      • Ensuring routing to correct department based on diagnosis/specialty
      • Addition of correct working diagnosis
      • Addition of providers outside the Eisenhower network
    • Accurately and timely completes patient registrations including:
      • Correct patient identification using two identifiers
      • Patient demographics
      • Required information included (Patient, physician, insurance and authorization, SMS preference)
      • Ensuring orders and diagnosis are valid
      • Ensuring correct scanning of insurance cards upon arrival
      • Accurately completing all consents ensuring signatures are obtained at least annually
      • Verification of insurance coverage upon arrival
      • Completion of necessary paperwork (OP Interview, Functional Outcomes) prior to seeing the provider
      • Correct therapy scheduling within therapist and payer limitations
    • Maintains a good working relationship with payer sources necessary to obtain timely authorizations are in place and documented prior to scheduling of initial and/or return patient appointments.
    • Meets expectation on timeliness and quality performance indicators as identified.
    • Maintains competency in all office applications in current available systems.
    • Accurately manages report processing, acting on information as appropriate to ensure regulatory compliance and department efficiency.
    • Accurately and timely discharges appointments, that have been discharged by the provider, per rehab process.
    • Appropriately and timely handles patient charges including cash pay, co-payments and any other necessary patient collections.
    • Performs daily cash balancing per department guidelines.
    • Maintains adequate supply of all office forms and supplies.
    • Performs other duties as assigned.


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