Patient Access/Admitting Coordinator / UMMS Job - (baltimore, maryland) in Baltimore, Maryland For Sale
Patient Access/Admitting Coordinator / UMMS
Facility: University of Maryland Medical Center
Employment Type: Full Time
Location: Baltimore, MD Shift/Schedule: DAY
Department: CRP: RC BUS SYSAUDITING
Posted FTE: 1.0
Job Posting Category: Clerical
Hours of Work: M:F
Job ID : xxxx4
Benefits Eligible: Yes
Minimum Education: High School Diploma or equivalent
License/Cert Required: Not Indicated
Minimum Experience: 2 yrs clerical exp in a healthcare setting
Specialty Type: Not Applicable
What You Will Do:
UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you'll enjoy as a member of our team. UMMS is currently seeking a Patient Access/Admitting Coordinator for our Hunt Valley location
***High School Diploma and 2 years work experience in a clerical position in a healthcare setting performing admissions processing or patient registration work is REQUIRED***
Under the general supervision evaluates financial status and completes insurance verification and authorization for admissions to the acute care hospital and the psychiatric units in accordance with the UMMS policies and procedures. These admissions include those emergency admits and elective pre:certification for future planned admits.
Principle Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
1. Accepts reservations for future admissions from physicians' offices and physician teams. Receives this information via the hard copy "white card: or via the IDX system.
2. Resolves incomplete information for the planned admits by contacting the physician's office for the required additional insurance or medical information that is requested by the third party payers.
3. Conducts pre:admission review of elective admissions in conjunction with Clinical Denial staff for medical appropriateness of inpatient versus outpatient procedure. Contacts the physician office for clarification of the status based upon the planned procedure and the decision of the third party payer.
4. Documents the process components and the information obtained is detailed in the HBOC STAR system for review by PFS in the processing of the claim and the sending of a bill. Completion of the insurance screens in the STAR modules is also part of their expectations for documentation.
5. Provides ongoing assistance to the Admissions Testing Center in preparation of the initial medical chart paperwork and patient plates for those cases scheduled emergently by the physician staff.
6. Completes insurance verification process once the patient has been admitted for inpatient elective procedure or same day surgery procedure.
7. Completes the information verification obtained by Bed Management staff regarding the insurance coverage for all emergency patients admitted within the past 24 hrs and rechecks the information originally gathered on the planned admissions.
8. Interviews patients to acquire demographics for insurance verification and/or confirms present status when necessary for both the planned elective procedure cases as well as those emergently admitted to this facility.
9. Contacts pre:certification areas and benefits of the various third party payers to obtain authorization for the admission to this facility for their member. Verifies that the information is accurate for the episode of care. Informs patients of financial liability, collects co:payments and refers payment arrangements to patient Financial Services.
10. Refers uninsured patients to the Medical Assistance Eligibility
Source: http://www.tiptopjob.com/jobs/xxxxxxxx_job.asp?source=backpage