Admissions Rep

MedStar Health
United States, Maryland, Baltimore
Jan 14, 2025
General Summary of Position Status: Full-time, 40-hours per week Schedule: 11:30am-8:00pm with rotating weekends Location: 5601 Loch Raven Blvd, Baltimore MD 21239 Using critical thinking skills, facilitates the full scope of the referral and admissions process for all patients. Ensures patients are admitted in a timely and courteous manner. Performs data entry including accurate and complete intake of referrals. Performs pre-admission and final admission functions for all scheduled admissions and is responsible for verifying patient health benefit information including precertification. Ensures timely completion of all paperwork for each admission, including patient/family signature on all consent forms. Communicates with administrative and liaison team to provide process updates and facilitate appropriate notification for in house stakeholders regarding scheduled and potential admissions. In conjunction with Admissions Liaisons, appropriately communicates with referring facility to schedule patient transfer. Primary Duties and Responsibilities Answers telephone and triages calls appropriately; answers questions, may provide tours, and/or direct visitors to appropriate Team member/Service area. Performs accurate, complete and prompt intake and disbursement of referral data, including entering patient referral information into appropriate systems and communicates information with appropriate Admissions Liaison(s) and Admissions Manager(s) to initiate intake process. Verifies patient financial coverage with all third party payors, determines necessity for precertification, informs assigned Admissions Liaison and Admissions Manager to provide clinical information required, and ensures timely precertification by faxing data to external third party payor. Communicates status of application and explains insurance benefits coverage Admissions Liaison, Admissions Manager, patient/family, guarantor, and referral source. Maintains updated knowledge of all managed care contracts. Reviews all financial information electronically after patient is admitted and makes corrections as necessary. Refers Medicaid pending cases to Admissions Liaison and Admissions Manager. Collects insurance co-payments and deductibles upon patient admission when identified during insurance verifications. Prepares pre-admission folder(s) to include the Clinical Clearance Form, MedStar NRN Pre-Admission Assessment, Insurance Verification Forms, etc. and electronically scans clinical and financial documents into McKesson Performs pre-admission function for Centers for Medicare & Medicaid Services (CMS) as described in procedure manual. Checks patient's paperwork sent by referring facility to ensure that discharge summaries and medication records are present and according to HIPAA guidelines. Directs transporters admitting patients to the assigned unit. Performs admission function in Invision per standard procedure and documents authorization numbers accordingly. Collects newly generated facesheets, consent forms, appropriate insurance forms, and provides armbands to assigned nurse unit. Obtains patient/power of attorney (POA) signature for consent for treatment and financial agreement forms; if patient is unable to sign, contacts family/ POA for verbal consent for treatment until responsible person can come to MedStar NRN to sign the documents in person. Reviews demographic information received from referring facility for accuracy with patient/family and makes the necessary corrections and enters verified/corrected patient information into Invision. Places admitting papers in the appropriate section of the medical record and provides patient with Patient Handbook. Ensures patient is comfortable and has call bell within reach before leaving the room. Scans all insurance information into patient's electronic record/chart. Minimum Qualifications Education High School Diploma or GED required and Associate's degree required and Bachelor's degree preferred and Will consider relevant work experience in lieu of education required Experience 2 years of hospital administrative experience required and Knowledge of health care delivery systems, rehabilitation medicine, and third party payers reimbursement issues required Knowledge, Skills, and Abilities Strong verbal and communication skills. Strong analytical and critical thinking skills. Solid knowledge of Microsoft Office suite and ability to learn additional medical systems as needed. This position has a hiring range of $18.33 - $31.61