divh2Admitting Representative/h2pUnder the direct supervision, performs pre-admits and admits based on doctors orders. Directs visitors and patients to the appropriate area and answers phones. Interviews patient and/or their representative to obtain demographic and financial information. Identify available payer sources and records information required for admission and/or registration. Reviews and assists patients to complete all required documents for completeness and appropriate signatures. Verifies insurance eligibility and benefits. Collects any cost shares due to include but not limited to co-payments, deposits, share of cost (SOC) and deductibles. Initiates and collects financial documents in support of all billing activities. Document KPHC and other systems as appropriate. Assembles accurate and complete records; prepares identification armbands; receive and release patient valuables. Explain hospital rules and regulations. Generates and distributes documents/reports to appropriate departments. Complies with organizational and departmental policies and procedures./ppEssential Responsibilities:/pulliInterviews patient and/or representative, collects/records all required financial demographic information including but not limited to coordination of benefits (COB), third party liability (TPL) and workers compensation (WC)./liliVerifies patients identification and insurance eligibility/benefits./liliNotify insurance company of admission status./liliObtains authorization/pre-certifications and required billing information from all identified payer sources for Medical Office/Hospital Services rendered./liliCoordinate and informs patients of required financial obligations./liliCollect any cost shares due to include but not limited to copayments, deposits, share of cost (SOC) and deductibles./liliReviews all required documentation with patient, ensuring completion and obtain all necessary signatures./liliAccurately document all requisite information related to the admission and collection processes in KPHC and other systems as appropriate./liliRefers to Financial Counselors for patients having a financial obligation to Kaiser Permanente as necessary./liliExplains admission process, hospital regulations, policies and procedures./liliContacts physician if additional information is needed./liliPrepares patient armbands./liliCreate patient file with all necessary documentation for bill completion./liliGenerate and distributes appropriate registration/admission documents./liliSecures and releases patient valuables for patients admitted into the hospital./liliEscorts or arranges escort of patients to assigned room or area./liliPerforms pre-admission function including but not limited to surgery and labor
delivery cases; inputs required data for the anticipated admit list, balancing and checking for accuracy and completeness./liliCollaborates with physicians, nursing and other departments to facilitate admission and transfer/liliResponsible for proper monetary transactions as it relates to assigned cash drawer./liliPrepares bank deposit slip and contacts security for escort to deliver bag containing shift deposits to the designated safe./liliResponsible for completing cash drawer transmittal forms, keeping designated dollar amount of money in the cash drawer daily and balancing out at the end of the shift./liliResearch and reconcile cash drawer issues./liliDistributes related monetary documents as required and maintain/control of petty cash fund./liliHospital cashiering/cash handling functions to include deposits, exchange and change fund functions, web declarations and other hospital cashiering functions as assigned./liliManually estimate MOOP along with submitting refund request if necessary, review and maintain hospital exchange fund and petty cash transactions./liliTotals and reconciles, credit charges and payments on account with standard processing forms./liliMails information as required./liliProvides co-payment history statements/liliReview and complete accounts in work queue(s). Notify management of any copay discrepancy./liliConsolidates or corrects duplicate accounts by using appropriate system functions. Enters account notes on patient cases./liliPerforms clerical duties as assigned, including but not limited to, filing, faxing, scanning, processing of mail, supplies, printing, answering and redirecting calls as needed for the department./liliReview various reports (census, unbilled, etc.)/liliProvide front-end coverage to other functional areas within admitting and provide support to ancillary departments as necessary./liliProvides patient with appropriate documentation and information for Medical Financial Assistance Program (MFAP)./liliAssist in Quality Improvement monitoring as necessary./liliPerform reception duties as required including but not limited to answering phones, calling patient family when necessary, greeting members at the Front Desk and relieving other clerks for breaks and lunch as appropriate./liliWork with financial counselor related to patient financial ability./liliEstablishes and maintains courteous, cooperative relations when interacting with other personnel, Health Plan members and the public./liliPerforms other duties as assigned by management team and/or lead admitting clerk./li/ulpBasic Qualifications:/pulliOne (1) year cash handling experience in hospital admitting, healthcare business office or medical office setting/liliTwo (2) years admitting or registration experience/li/ulpEducation:/pulliHigh School diploma or GED required/li/ulpLicense, Certification, Registration:/pulliN/A/li/ulpAdditional Requirements:/pulliDemonstrated knowledge of and utilization of admission/registration system, healthcare billing practices, health plan benefits and insurance requirements/liliTyping 35 wpm/li/ulpPreferred Qualifications:/pulliDemonstrated ability to work rapidly and accurately with phones, personnel and patients preferred/liliAble to demonstrate excellent mathematical skills and cash collections/liliAssociates or Bachelors degree preferred/li/ulpNotes:/pulliSchedule to include all shifts, rotating weekends, holidays, and floating within the established seniority section./li/ul/div
delivery cases; inputs required data for the anticipated admit list, balancing and checking for accuracy and completeness./liliCollaborates with physicians, nursing and other departments to facilitate admission and transfer/liliResponsible for proper monetary transactions as it relates to assigned cash drawer./liliPrepares bank deposit slip and contacts security for escort to deliver bag containing shift deposits to the designated safe./liliResponsible for completing cash drawer transmittal forms, keeping designated dollar amount of money in the cash drawer daily and balancing out at the end of the shift./liliResearch and reconcile cash drawer issues./liliDistributes related monetary documents as required and maintain/control of petty cash fund./liliHospital cashiering/cash handling functions to include deposits, exchange and change fund functions, web declarations and other hospital cashiering functions as assigned./liliManually estimate MOOP along with submitting refund request if necessary, review and maintain hospital exchange fund and petty cash transactions./liliTotals and reconciles, credit charges and payments on account with standard processing forms./liliMails information as required./liliProvides co-payment history statements/liliReview and complete accounts in work queue(s). Notify management of any copay discrepancy./liliConsolidates or corrects duplicate accounts by using appropriate system functions. Enters account notes on patient cases./liliPerforms clerical duties as assigned, including but not limited to, filing, faxing, scanning, processing of mail, supplies, printing, answering and redirecting calls as needed for the department./liliReview various reports (census, unbilled, etc.)/liliProvide front-end coverage to other functional areas within admitting and provide support to ancillary departments as necessary./liliProvides patient with appropriate documentation and information for Medical Financial Assistance Program (MFAP)./liliAssist in Quality Improvement monitoring as necessary./liliPerform reception duties as required including but not limited to answering phones, calling patient family when necessary, greeting members at the Front Desk and relieving other clerks for breaks and lunch as appropriate./liliWork with financial counselor related to patient financial ability./liliEstablishes and maintains courteous, cooperative relations when interacting with other personnel, Health Plan members and the public./liliPerforms other duties as assigned by management team and/or lead admitting clerk./li/ulpBasic Qualifications:/pulliOne (1) year cash handling experience in hospital admitting, healthcare business office or medical office setting/liliTwo (2) years admitting or registration experience/li/ulpEducation:/pulliHigh School diploma or GED required/li/ulpLicense, Certification, Registration:/pulliN/A/li/ulpAdditional Requirements:/pulliDemonstrated knowledge of and utilization of admission/registration system, healthcare billing practices, health plan benefits and insurance requirements/liliTyping 35 wpm/li/ulpPreferred Qualifications:/pulliDemonstrated ability to work rapidly and accurately with phones, personnel and patients preferred/liliAble to demonstrate excellent mathematical skills and cash collections/liliAssociates or Bachelors degree preferred/li/ulpNotes:/pulliSchedule to include all shifts, rotating weekends, holidays, and floating within the established seniority section./li/ul/div