- Arranges for the efficient and orderly admission of patients ensuring that all points of registration (Emergency Room Outpatient Ambulatory SDS Behavioral Health & Admitting) are obtaining accurate patient information and that patients are made aware of hospital policies and procedures.
- The Pre Service Representative interacts with the hospital staff and patients to assure quality care of patients throughout their hospital stay.
- Establishing health insurance benefits conditions and requirements by making phone inquiries and by using eligibility systems and the internet.
- Accepts reservations for hospital admission clinic visits SDS ED and behavioral health services. Inputs information in EMR and completes appropriate forms.
- Receives and records accurate demographic financial and insurance information for all patients registered. Verifies all information and updates the patients information in the computer as necessary.
- Verifies the accuracy of demographics and insurance information at the time of patients admission.
- Scans each required items (if available) such as ID/Insurance Cards/Consents and eligibility into the charting system.
- Refers patients that are selfpay to the appropriate financial assistance representative to see if the individual qualifies either for Medicaid and/or Charity Care.
- Obtains financial clearance and approval for any patient seeking ambulatory and/or outpatient psychiatric services.
- Admits discharges and transfers patients to and from units such as Emergency Room Skilled Nursing Facility Psychiatric Services SDS etc.
- Collects payments for deposits to meet deductibles and coinsurance.
- Notifies supervisor concerning admissions that do not meet the hospital financial policy.
- Participates in educational programs and inservice meetings.
- Promote the mission vision and values of the hospital.
- Greet all patients families and visitors with a positive attitude.
- Performing other duties as assigned.
Pre Service Representative Requirements:
- High School Diploma GED or suitable equivalent.
- 2 years work experience in customer service or related field.
- Proficient knowledge of medical terminology billing practices and coding.
- Proficient computer skills.
- Proficient with MS Office Suites.
- Excellent communication skills both verbal and written.
- Proficient mathematical skills.
- Outstanding people skills.
- Strong organizational skills.
- Bilingual a plus in speaking Spanish and conversing in Spanish
Required Experience:
Unclear Seniority