1+ months

Admitting Representative II

Houston Methodist
The Woodlands, TX 77380

Work Shift: DAY (PRN)

Work Week: Varies


Job Summary

JOB SUMMARY

The Admitting Rep II is responsible for complex patient access activities that facilitate efficient operations, expeditious reimbursement and optimal customer satisfaction. In addition, the Admitting Rep II is responsible for capture of accurate demographics and insurance information. It is also the responsibility of the Admitting Rep II to adhere to all departmental, hospital, government and/or any other healthcare licensing agency requirements related to EMTALA and HIPAA. The incumbent will employ effective communication skills' demonstrate ICARE values in every interaction. Competency requirements for computer entry, as well as, insurance procedures will be maintained. The Admitting Rep II also performs cashiering functions, and promotes the Point of Service collections for the organization which may include collecting prior balances, co\pays, deductibles and co\insurance amounts.

PATIENT AGE GROUP SERVED

Neonate to Geriatric

DUTIES AND RESPONSIBILITIES

PEOPLE 20%

  1. Observes area for tasks needing attention or assistance that may be needed during slow periods and initiates efforts among team members to respond appropriately. Offers assistance without being prompted and takes the initiative to perform other tasks when the area slows down.
  2. Proactively seeks solutions to address patient issues and concerns' demonstrates skill in defusing tensions and resolving minor disputes with patients or co\workers.
  3. Models communication skills and professional demeanor in all interactions with customers and co\workers. Communicates openly in a non\judgmental manner and in a professional demeanor, during all interactions with customers and co\workers.
  4. Contributes to the departmental and hospital patient satisfaction and proactively seeks opportunities to improve processes and variables that impact patient satisfaction.
  5. Provides significant input for and assistance with the implementation of team\oriented process improvement initiatives according to assigned protocol.

SERVICE 20%

  1. Consistently protects health information remains private and confidential, according to established HIPAA guidelines.
  2. Interprets and effectively communicates compliance requirements, and insurance guidelines, stipulations, and payment processes, as well as necessary forms and signatures.
  3. Resolves complex patient issues, including any necessary follow\up to ensure complete resolution. Takes necessary measures to ensure that errors or misunderstandings are not repeated.

QUALITY/SERVICE 20%

  1. Follows all safety rules while on the job. Reports accidents promptly and corrects minor safety hazards. Complies with applicable laws, regulation, guidelines and standards regarding safety and infection control issues.
  2. Performs accurate and complete registrations, ensuring all necessary components are included and all concerns are addressed before releasing the patient to the servicing area.
  3. Thoroughly understands processes and options and responds appropriately to questions about financial concerns.
  4. Stays abreast of the most current distributed information regarding third party requirements, and apprises Management when changes or trends significant to reimbursement and patient satisfaction are found in the course of performing daily functions.
  5. Conducts complex registration activity to facilitate efficient patient access, and collaborates with servicing departments and/or clinical professionals to ensure an optimal patient experience.
  6. Performs complex patient access transactions and documentation, ensuring accuracy and appropriateness of transactions.

FINANCIAL 20%

  1. Accurately posts and receipts patient payments. Balances cash drawer on a daily basis' follows the department policy related to cash drawers and cash receipting.
  2. Proficiently calculates and skillfully collects payments, fully utilizing all resources and tools at the most effective level. Communicates deficiencies in tools and resources to Management in a timely manner. Collects payments based on pre\determined information provided by the insurance verification team. Absent this information, proactively performs insurance eligibility and verification to ensure reimbursement for services. If applicable, extends payment plans, after the minimum required payment has been received.
  3. Ensures that services trends and compliance issues that surface are brought to the attention of Management in a timely manner. Ensures that ordered services meet established medical necessity criteria by performing the PCA (Pathways Compliance Advisor) or any other medical necessity check review, if and when warranted.
  4. Coordinates and consolidates payer\specific patient access and reimbursement data.

GROWTH/INNOVATION 20%

  1. Supports other Admission area needs and collaborates with other facility departments or other HM hospitals as indicated by workdriver.
  2. Supports the Admitting team needs when area admission requirements are completed and/or indicated by workdriver.
  3. Participates in departmental and hospital performance improvement plans.
  4. Attends and actively participates in department meetings, in\services and team\building exercises. Initiates and drives team\oriented process improvement actions for the purpose of better serving the needs of the organization and the patients.

This position description is not intended to be all inclusive, and the employee will also perform other reasonably related business duties as assigned by the immediate supervisor and other management as required. The Houston Methodist Hospital reserves the right to revise or change job duties and responsibilities as the need arises.

EDUCATION REQUIREMENTS

High School graduate or GED

College hours preferred

EXPERIENCE REQUIREMENTS

2 years' registration, or related, experience in a hospital environment.

CERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED

None

SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

  • Proficient in English, written and verbal
  • Ability to manage in a fast\paced environment
  • Ability to manage multiple tasks at one time
  • Microsoft Outlook experience
  • HBOC\McKesson Healthquest (HIS) experience preferred
  • Computer skills required

PHYSICAL REQUIREMENTS

Physical requirements include patient assistance (wheelchair, ambulatory, and stretcher) exposure to hazardous chemicals and blood borne pathogens, airborne pathogens

Employee must be able to push, pull and lift items greater than 25 pounds.

WORKING ENVIRONMENT

Includes office, patient care units, patient beside registration and procedure areas.

Standard Dress Uniform for those employees who have public contact with customers

Ability to flex hours and work day/assignments to meet the organizations needs related to unanticipated patient volumes.


Equal Employment Opportunity

Houston Methodist is an Equal Opportunity Employer.

Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity,national origin, age, disability, status as a protected veteran or other characteristics protected by law.

VEVRAA Federal Contractor €“ priority referral Protected Veterans requested.



Company Profile

Houston Methodist The Woodlands opened on June 26, 2017 as the eighth hospital in the Houston Methodist system. This new 187\bed, 470,000\square\foot, full\service, acute care hospital offers many of the same services as our flagship hospital inthe Texas Medical Center. Also on the $380 million hospital campus, located at the intersection of I\45 and TX 242, is a medical office building, which opened in March 2016. Medical Office Building 1 includes a breast care center, cancer center \u0026amp' infusion center, orthopedics \u0026amp' sports medicine, rehabilitation services, wellness services, and an outpatient laboratory in addition to multi\specialty physician practices. A second medical office building and 785\car parking garage opened in 2018.

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Categories

Posted: 2020-07-29 Expires: 2020-09-27

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Admitting Representative II

Houston Methodist
The Woodlands, TX 77380

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