CMA Per Diem

Description

Job Title: Admissions Specialist - PRN, shift varies

Reports to: Admissions Director


POSITION SUMMARY

Interviews patient or representative and enters patient’s demographic information in the computer. Obtains insurance precertification, if required, for inpatients and observations. Preadmits patients. Answers multi-line telephone. Greets the public, patients, and visitors and directs them to the proper location.


POSITION ACCOUNTABILITIES

  • Collects and enters accurate demographic and financial data for patient registrations.
  • Tears down charts, makes required copies, and distributes.
  • Advance understanding of Insurance payors.
  • Verifies Medicaid coverage and assigns PCP, if necessary.
  • Accurately completes procedures for discharges and transfers.
  • Checks insurance cards for requirements regarding physician referrals and precertification.
  • Pre notification of inpatient stays with insurance.
  • Assignment of ICD-10 CM and CPT codes for initial authorization of Inpatient and Observation stays.
  • Pre-registers patients for scheduled admissions and outpatient services, verifying that prior authorization and physician referrals are in place, if required by their insurance company.
  • Reviews and makes corrections to patient charts.
  • Answers multi-line department telephone. Transferring calls to the appropriate location and relaying verbal and written messages accurately and promptly.
  • Answers main telephone, when necessary, when that area is not manned.
  • Operates the public address system
  • Gives instructions to visitors and patients.
  • Uses the computer to post walk-in payments and prints receipts. Write receipts for General Ledger payments.
  • Reconciles cash drawer with receipts and forwards payments to cashier.
  • Knows how to operate and maintain departmental equipment.
  • Logs patient valuables in and out of the hospital safe.
  • Deals with the public utilizing guest relation skills.
  • Participates in educational programs and in-service meetings.
  • Follows hospital policy on confidentiality.
  • Rotates holidays and fills in on weekends, when needed.
  • Performs other related duties as assigned or requested.


Requirements

JOB SPECIFICATIONS


Minimum education:

  • High school or equivalent. Bachelor’s degree preferred.

Minimum experience

  • Two or three years' experience in patient registration desired. One year experience in ICD-10CM and CPT coding experience. Insurance notification experience. Excellent organization skills.

Skills, Administrative:

  • Insurance pre notifications, audit registrations, answer multi-line telephone, interview patients.

Skills, Machine:

  • Telephone, computer, fax, copier, calculator.

Working conditions

  • Subject to many interruptions.
  • Occasional pressure due to multiple inquiries.
  • May be exposed to infections and contagious diseases.

Physical demands:

  • Light physical effort, mostly sedentary work.
  • Occasional standing, walking, and lifting.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.

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