About this opportunity
Ingalls Health System lists this IMH Admitting Rep, Full Time - Evenings opportunity in harvey, Illinois. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Admitting RepresentativeJoin Ingalls Memorial Hospital as an Admitting Representative at our Harvey, IL Location. In this position, you will be assisting patients with their registration needs. This department is known for their dedication to customer service. We ensure that each patient has a positive experience with us.This position, under the supervision of the Admitting Supervisor and Admitting Manager, is responsible for the daily duties inherent in the registration, pre-registration of medical, surgical (Outpatient Registration, Emergency Department and Pre Admission Services) process as defined by the hospital procedures.Job FunctionsPromptly fields and/or directs incoming calls, responds to patient and/or staff inquiries with resolution or escalationEnsures all registration and admission forms are presented to and verified by patient/guarantor before signing; Ensuring patients/guarantor understand what is being signedPractices proficient customer-service skills by greeting and treating all patients and staff with respect and discretionGathers and verifies all appropriate, confidential health and financial information from patients while using various computer software to assure payment for all authorized servicesEnters new patient data and/or verifies patient records are up-to-date, confirms the completeness of the electronic health record (EHR), makes changes as necessary, and files records in accordance with Ingalls Memorial hospital's filing systemComplies with all organizational, state, and federal laws and registrations related to patient privacy and confidentiality, such as the Health Insurance Portability and Accountability Act (HIPPA)Verifies insurance eligibility and benefits immediately for non-emergent cases and no later than end of shift for emergent cases., and obtains pre-authorizations from third-party payers in accordance with payer requirementsVerifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to the patientIdentifies patients who will need Medicare Advance Beneficiary Notices (ABNs) of non-coverage and maintains accurate records of authorizations within the EDMHolds sufficient understanding of insurance protocols for referrals, co-payments, deductibles, allowances, etc., and analyzes information received to determine patients' out-of-pocket liabilitiesResponsible for understanding the general principals of Medicare and the Medicare Important Notice Guidelines as published by CMS in the final rule CMS-4105-FResponsible for identifying via the system the Medicare and Medicare Advantage members admitted to the facility as an inpatient admissionWill have direct patient contact with our patients and/or their family members and must have the ability to multi task and explain the Medicare form so the patient and/or family understand their rights as a Medicare beneficiaryWill be responsible for scanning all documents in the appropriate document type in the hospital systemMust engage with Case Management and Utilization Review on a frequent basis due to potential patient handoffs as directed by the policyWill be required to lift boxes (up to 30 pounds) and at times help with transporting patientsRequired Qualifications1-2+ years of demonstrated Clerical/ Administrative Customer Service experience1-2+ years of demonstrated professional Customer Service/Clerical experience it relates to a hospital environmentTyping requirement (minimum 25-30 wpm)Experience in the basic computer software programsMust poses strong written and verbal communication skillsRequires good analytical and problem solving abilityDemonstrated ability to develop others in areas of continuous process improvement, and customer service, Delivery and self-directed team workRequires maturity and ability to appropriately represent the department to other internal and external customer strong commitment to the development of staffPreferred QualificationsMedical Terminology knowledgePrevious experience in a health care environment, preferably, Admitting, Emergency Department, or Physician's office or other related health care experience is desiredKnowledge of MedicareKnowledge of HMO and PPO (what are the differences)Position DetailsJob Type/FTE: (1.00) Full TimeShift/Location: Evenings, Harvey ILUnit: AdmittingCBA Code: SEIU
Worksite address
harvey, IL, 60426, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.