Job Family :
Admitting Representative
Travel Required :
None
Clearance Required :
None
Schedule: Monday-Friday | 8AM-5PM
Location: UAB Hospital
What You Will Do :
· Determines patient responsibility and eligibility through Insurance, Federal, State, and/or County government benefits.
· Reviews accounts for proper plan codes, financial class, and patient type.
· Contacts appropriate agencies to verify assumptions of liability.
· Negotiates flat rates on accounts where the patient has no linkage to government programs.
· Does bedside with patients and informs them of financial responsibility prior to discharge.
· Sets up payment plans with patients prior to discharge and documents payment arrangements in patient accounting systems. Provides patient with mailing envelops and payment dates before discharge.
· Collects monies from patients when there is an estimated patient liability due on the account.
· Monitors Medicare days and co-insurance days on in-house patients. Reviews all in-house Medicare accounts on the 1st and 15th of each month. Updates account with Eligibility info in detail.
· Represents the patient(s) at Medicaid or SSI fair hearings/appeals.
· Interfaces with facility Social Services and Case Management Departments regarding inpatient admissions and discharges.
· Documents all payer and patient financial information in the hospital computer system.
· Responsible for the retrieval of Inpatient Census patient information within the facility to follow up on In House patients no insured or under insured.
· Obtains complete and accurate patient information including possible insurance(s), and financial information by communicating with patients, family members, and physicians regarding their stay.
· Communicates daily with co-workers, hospital and management in regard to account progress and/or other issues.
· Utilizes organization and prioritization skills in their daily tasks. Utilizes time management skills to ensure completion of daily processes.
· Must maintain open and positive professional communication orally and written at all times.
· Should not at any time indicate or suggest to the patient that they will be relieved of the debt by the way of a write-off to charity care until the determination has been made.
· Assist all walk-in patients with liquidation options on accounts.
· Performs all related job duties as assigned.
What You Will Need :
· High School Diploma or GED or 3+ years of relevant experience in lieu of education
· 1-3 years prior relevant experience in financial counseling, social services, or healthcare related customer service
· PC skills in a Windows environment are required. Knowledge of Word and Excel are helpful.
· Ability to initiate and follow through on projects and work independently.
· Excellent written and verbal communication skills.
· Working knowledge/experience of Federal, State and County eligibility programs.
· Excellent interpersonal skills.
· Must be able to type 35-45 words per minute.
· Computer, fax, telephone etiquette a must
What Would Be Nice To Have :
· Experience: Medical terminology, data entry, prior admitting, entitlement, business office or physician office experience preferred.
· Bilingual (English/Spanish) preferred.
· Healthcare background preferred.
· Knowledge of MS4 helpful.
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What We Offer :
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental…