Admitting Clerk

Overview

Reports To:  Chief Financial Officer

Employee Type:              EXEMPT              X    NON-EXEMPT

POSITION SUMMARY:

Under the direction of the CFO, the Admitting Clerk is responsible for accurately registering patients, verifying insurance eligibility, and managing the point of access processes related to patient intake at Mayers Memorial Hospital District.

This job description is intended to identify some of the primary duties and responsibilities.  Mayers Memorial Hospital District reserves the right to modify, supplement, delete or augment the duties and responsibilities specified in this position description, at MAYERS MEMORIAL HOSPITAL DISTRICT’S sole and absolute discretion.

POSITION QUALIFICATIONS:

High School Diploma.
2-5 years experience in healthcare business office setting preferred.
Proficiency in Microsoft Office applications.

POSITION RESPONSIBILITIES:

General Competencies:

Professional behavior is demonstrated, both when on duty and as a representative of MMHD outside of normal work hours.
Ability to work with others, at all levels within the organization, and collaborate effectively.
Above-average interpersonal, problem-solving, and written and oral communication skills.
A positive working relationship with patients, visitors, and facility staff is demonstrated.
Organizational ability and time management is demonstrated.
Produces deliverable products on time, within budget with minimal direction.
Demonstrates the ability to compile and organize data using Microsoft Office Applications.  Ability to make appropriate recommendations or conclusions, given the data obtained.
Maintains an organized set of records, upon request, for the functions that are performed within the scope of this job.
Communicates appropriately and clearly to directors, managers, and coworkers.
Performs all assigned tasks accurately, to include proper spelling and grammar, reference materials, and minimal mathematical calculation.
Takes direction from others to include those employees of other departments with which he/she works on a temporary basis in accordance with the chain of command.
Maintains all information as confidential as appropriate, to include payroll, personnel information, and other  information obtained during the course of performing job duties that is confidential.
Demonstrates ability to effectively use office machines in the performance of job functions.
Answers phone calls, assists public, and forwards appropriately if necessary and in a professional and friendly manner.
Other duties as assigned.

Specific Competencies:

Coordinates the pre-admission process when applicable.
Pre-registers patients for scheduled admissions and outpatient procedures, obtaining required authorizations and verifying third party coverage eligibility, and forwards documentation to appropriate locations.
Interviews patients or their representatives for unscheduled services to obtain personal information and verify information that may be on file.
Prepares and sends letters to motor vehicle accident patients to obtain information required to process claims.
Creates and processes registrations for other departments outside of the acute hospital when necessary or assigned.
Prepares and enters new physician and payer codes into the organization’s information system.
Obtains signatures on Conditions of Admission and initiates the advance directive process.  Informs nursing when advance directive information is not available.
Ensures all documentation meets current standards and policies.
Understands hospital procedure when other language interpreter is required.
Provides information to the patient or representative about billing, complaint process, patient rights, HIPAA, Discount Policy, and visiting hours.  Provides them with organization-specific literature.
Communicates relevant information to the supervisor, nurse managers, coworkers, physicians, and ancillary departments for an interdisciplinary approach to the patient’s needs.
Requests and collects deposits or co-payments when required, records payments, and forwards to the business office.  If patients are unable to pay, notates account as to reason and arrangement for subsequent payment.
Understands the primary data systems used by Mayers Memorial Hospital District, including Healthland.
Understands hospital policies and is familiar with hospital services that are available.
Refers patients to financial counselor when financial arrangements need to be made.
Treats all patients and their families with respect and dignity, and ensures that confidentiality of patient information.
Understands EMTALA and when it is appropriate to obtain financial information from patients.
Understands basic information about third party coverage and requirements, including Medicare, Medi-Cal, and commercial insurance carriers.
Is cross-trained to serve in other patient financial services functions and serves in that capacity as assigned.

Professional Requirements:

Adheres to dress code; appearance is neat and professional.
Completes annual education requirements if applicable.
Maintains regulatory requirements.
Wears identification while on duty.
Attends annual evaluation and participates actively in this process.
Reports to work on time and as scheduled; completes work in designated time.
Attends all meetings as appropriate.
Exhibits the mission, ethics and goals of Mayers Memorial Hospital District in the performance of job duties.

WORKING CONDITIONS:

Willingness to work beyond normal working hours and in other positions temporarily when necessary.
Is involved with personnel, visitors and government agencies, etc., when necessary.
Must function independently, have personal integrity, have flexibility and the ability to work effectively with other personnel, clients and support agencies.

PHYSICAL REQUIREMENTS:

Sits, stands, bends, lifts, walks and moves intermittently during working hours.
Able to lift 20 lbs.

Minimum Education and Experience