ADMISSIONS SPECIALIST - PRN

Job description

Description Job Title: Admissions Specialist - PRN, shift varies Reports to: Admissions Director: POSITION SUMMARY: Interviews patient or representative and enters patient’s demographic information in the computer. Obtains insurance precertification, if required, for inpatients and observations. Preadmits patients. Answers multi-line telephone. Greets the public, patients, and visitors and directs them to the proper location. POSITION ACCOUNTABILITIES: - Collects and enters accurate demographic and financial data for patient registrations. - Tears down charts, makes required copies, and distributes. - Advance understanding of Insurance payors. - Verifies Medicaid coverage and assigns PCP, if necessary. - Accurately completes procedures for discharges and transfers. - Checks insurance cards for requirements regarding physician referrals and precertification. - Pre notification of inpatient stays with insurance. - Assignment of ICD-10 CM and CPT codes for initial authorization of Inpatient and Observation stays. - Pre-registers patients for scheduled admissions and outpatient services, verifying that prior authorization and physician referrals are in place, if required by their insur...