Admitting Representative

Summary:

The Patient Access Associate is responsible to greet, interview and gather information from each patient providing high level customer service while facilitating accurate and timely completion of registration and preparing all patient accounts for inpatient and outpatient billing to maximize payment for Hospital and Clinic services. Associate must verify insurance, benefits, coverage & eligibility. Associate may obtain or verify insurance authorizations for scheduled & unscheduled services. Acquires necessary signatures on financial agreements, consents and admission agreements, generate appropriate paperwork and place hospital identification bands on patients according to procedure. Responsible for entering complete and accurate data utilizing computer technology. Acts as liaison between patients, financial counselors and hospital patient accounting; insures that all state, federal, CMS, and MyMichigan Health policies and procedures are followed. A primary function of this position will be to perform point-of-service collections of co-pay and deductible amounts from patients in a diplomatic and customer focused manner. This position must be able to work in a team atmosphere and have good communication skills. This position will also perform miscellaneous related duties as assigned.

Responsibilities:

(70%)* Schedules/Registers/Pre-Registers patients accurately and completely

(15%)* Works assigned reports/work queues

(10%)* Obtains required pre-authorizations when needed/required

(5%)* Interfaces with patient care departments to provide information regarding Patient Access

Certifications and Licensures:

• Fingerprinting

Required Education:

• Education: High School Diploma or GED
  • Equivalent Experience: Associates degree preferred.

Other Information:

OTHER DUTIES AND RESPONSIBILITIES:

Perform inpatient admission functions, including direct admits and emergency department admissions.

May include Switchboard duties.

Collects patient demographics to complete a registration accurately including documentation of MSP information for Medicare patients.

Uses available tools to verify patient identification and insurance eligibility

Carries our special projects as assigned by Manager. All other duties as assigned.

Equivalent Experience and Other Comments (Education):

EXPERIENCE, TRAINING AND SKILLS:

Preferred Associates degree or Certified Healthcare Access Associate (CHAA) certification through National Association of Healthcare Access Management (NAHAM).

One year experience working with insurance and patient accounts preferred.

Typing skills and basic personal computer knowledge needed to enter patient information. Basic math proficiency and customer service skills.

Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear an understandable manner.

Maintains confidentiality with all patient information and data obtained.

Knowledge of medical terminology and medical office practices, policies and procedures as normally acquired through experience working in the medical center or similar setting preferred.

MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows.

An employee may be required to participate in further learning opportunities offered by MyMichigan Health.

Other Comments:

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

Overall vision and hearing is necessary with or without assisted device(s).

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.

Physical Demand Level: Sedentary. Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.

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