Admitting Representative

Summary

This position is responsible for registration and insurance verification in all registration areas within MyMichigan Health. This position will make financial arrangements for patients without insurance or with inadequate insurance. A primary function of this position will be to perform point-of-service collections of co-pay and deductible amounts from patients at the point of discharge in a diplomatic and customer focused manner. This position must be able to work in a team atmosphere and have good communication skills. This position will also perform miscellaneous related duties as assigned. For casual staff � responsible for picking up a minimum of 50% of the requests to provide admitting coverage in any of the Midland, Clare, and Gratiot locations and is responsible for registration and insurance verification of all patients who present to registration.
Responsibilities

(40%)* Collects co-pay amounts, posts the payment in the computer, prints receipts, balance cash at end of shift. Provides patients with pre-printed materials.

(20%)* Meets with the patient and/or family to explain insurance coverage, treatment costs, hospital billing policies and to inform them of their financial obligations upon discharge. Sets up payment plans.

(20%)* Makes financial arrangements for patients without insurance or with inadequate insurance coverage and communicates available financial assistances program for self-pay patients.

(20%)* Accesses insurance eligibility websites to verify benefits and coverage. Able to assess co-pay and deductible amounts and document the information.

OTHER DUTIES AND RESPONSIBILITIES:

Perform inpatient admission functions, including direct admits and emergency department admissions.

Includes obtaining signatures for admission consent, Important Message from Medicare, review of patient emergency contacts, clergy information and notification of house chaplain.

Collects patient demographics to complete a registration accurately including documentation of MSP information for Medicare patients.

Uses available tools to verify patient identification.

Process Medical Outpatient, Invasive Radiology, OB checks and Cardiac Catheterization registrations (all are future dated registrations).

Carries our special projects as assigned by supervisor.

All of duties as assigned.

Certifications and Licensures

Credential:FINGERPRIN: Fingerprinting

Equivalent Experience:

Qualification Source:

Essential: true

Required Education

Education: HIGH

Equivalent Experience:

Education Specialization:

Essential: true

Other Information

EXPERIENCE, TRAINING AND SKILLS:

One year experience working with insurance and patient accounts required.

Typing skills and basic personal computer knowledge needed to enter patient information.

Basic math proficiency and customer service skills.

Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear an understandable manner.

Maintains confidentiality with all patient information and data obtained.

Knowledge of medical terminology and medical office practices, policies and procedures as normally acquired through experience working in the medical center or similar setting preferred.

Four (4) years experience working in a hospital setting with insurance, registration and collections preferred.

CHAA certification preferred.

MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft� Windows.

An employee may be required to participate in further learning opportunities offered by MyMichigan Health.

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

Overall vision and hearing is necessary with or without assisted device(s).

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.

Physical Demand Level: Sedentary. Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.

Equivalent Experience and Other Comments (Education)

Education: HIGH

Equivalent Experience:

Education Specialization:

Essential: true

Other Comments

Credential:FINGERPRIN: Fingerprinting

Equivalent Experience:

Qualification Source:

Essential: true

EXPERIENCE, TRAINING AND SKILLS:

One year experience working with insurance and patient accounts required.

Typing skills and basic personal computer knowledge needed to enter patient information.

Basic math proficiency and customer service skills.

Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear an understandable manner.

Maintains confidentiality with all patient information and data obtained.

Knowledge of medical terminology and medical office practices, policies and procedures as normally acquired through experience working in the medical center or similar setting preferred.

Four (4) years experience working in a hospital setting with insurance, registration and collections preferred.

CHAA certification preferred.

MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft� Windows.

An employee may be required to participate in further learning opportunities offered by MyMichigan Health.

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

Overall vision and hearing is necessary with or without assisted device(s).

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.

Physical Demand Level: Sedentary. Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.

(40%)* Collects co-pay amounts, posts the payment in the computer, prints receipts, balance cash at end of shift. Provides patients with pre-printed materials.

(20%)* Meets with the patient and/or family to explain insurance coverage, treatment costs, hospital billing policies and to inform them of their financial obligations upon discharge. Sets up payment plans.

(20%)* Makes financial arrangements for patients without insurance or with inadequate insurance coverage and communicates available financial assistances program for self-pay patients.

(20%)* Accesses insurance eligibility websites to verify benefits and coverage. Able to assess co-pay and deductible amounts and document the information.

OTHER DUTIES AND RESPONSIBILITIES:

Perform inpatient admission functions, including direct admits and emergency department admissions.

Includes obtaining signatures for admission consent, Important Message from Medicare, review of patient emergency contacts, clergy information and notification of house chaplain.

Collects patient demographics to complete a registration accurately including documentation of MSP information for Medicare patients.

Uses available tools to verify patient identification.

Process Medical Outpatient, Invasive Radiology, OB checks and Cardiac Catheterization registrations (all are future dated registrations).

Carries our special projects as assigned by supervisor.

All of duties as assigned.