Admissions Specialist
Admissions Specialist
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Job Description
Location:
Worker Type:
RegularWork Shift:
Rotating days/evenings/nights/weekends/holidays (United States of America)Pay Range:
The pay range for this position is listed below. Actual pay rate dependent upon experience.
$17.75 - $22.75Position Highlights
You Belong at Avera
Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.
A Brief Overview
Responsible for registering patients in a timely and accurate manner while performing all necessary procedures to establish accounts and medical record numbers. The Admissions Specialist verifies insurance coverage and limitations and collects patient co-payments deductibles and out-of- pocket expenses and communicates this to the patient. The Admissions Specialist completes insurance verifications pre-certification and/or authorization for assigned accounts.
What you will do
- Performs all necessary procedures to create accounts/medical record number and insurance coverage and limitations in a timely and accurate manner as well as coordinates communication with patients employees providers and external financial agencies.
- Registers patients in a timely and accurate manner by entering demographic insurance physician and other defined information while following established registration standards; assists Patient Care staff with bed assignments based on patients diagnosis age and condition; assists in monitoring the quality and efficiency of the registration process including completing follow-up on incomplete registrations through bedside registration.
- Strives to meet Point of Care collection initiative by generating patient estimates educating patients at the time of service and/or pre-calling on their individual plan benefits and identifying specific account goals for collection based on deposit matrix/patient estimator tools. Requests and accepts deposits towards deductible and/or coinsurance amounts from patients based on current deposit matrix/patient estimator tools and posts payments correctly to the payment processing system.
- Maintains customer relations at a very positive level as evidenced by feedback from patients visitors physicians patient care units and fellow employees. Ensures all patients are offered a Patients Rights Brochure understands the admission consent form and have been informed of the hospitals privacy practices (HIPAA).
- Coordinates internal hospital messages imports continuity of care documents (CCDS) and answers telephone promptly and courteously and immediately addresses callers needs. Completes insurance verification pre-certification/authorization for assigned accounts.
- Interacts with the patient while in Patient Care units in order to complete registration (obtaining consents inform patients of telephone consumer protection act insurance information referring physicians and CMS required documentation) such as IMMs MOON and OBVs etc.
- Checks for medical necessity by confirming CPOM order and status of care at time of admission for direct admits.
- Responsibilities include interviewing hiring developing training and retaining employees; planning assigning and leading work; appraising performance; rewarding and coaching employees; addressing complaints and resolving problems.
Essential Qualifications
The individual must be able to work the hours specified. To perform this job successfully an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others hear understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge skills and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions as long as the accommodations do not cause undue hardship to the employer.
Required Education License/Certification or Work Experience:
- High School or GED Equivalent
Preferred Education License/Certification or Work Experience:
- Healthcare experience
- 1-3 years related experience in billing insurance or registration
Expectations and Standards
- Commitment to the daily application of Averas mission vision core values and social principles to serve patients their families and our community.
- Promote Averas values of compassion hospitality and stewardship.
- Uphold Averas standards of Communication Attitude Responsiveness and Engagement (CARE) with enthusiasm and sincerity.
- Maintain confidentiality.
- Work effectively in a team environment coordinating work flow with other team members and ensuring a productive and efficient environment.
- Comply with safety principles laws regulations and standards associated with but not limited to CMS The Joint Commission DHHS and OSHA if applicable.
Benefits You Need & Then Some
Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced healthy lives. Benefits are designed to meet needs of today and into the future.
PTO available day 1 for eligible hires.
Free health insurance options for full-time single coverage on Avera High Deductible Health Plan
Up to 5% employer matching contribution for retirement
Career development guided by hands-on training and mentorship
Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability Veteran Status or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application please call 1- or send an email to .
Required Experience:
Unclear Seniority
Employment Type
Full-Time
