Hospital Admissions Rep IV-1 Job at University of Rochester (Rochester)

Job Description

Coordinates or manages inpatient and outpatient admissions, including bed assignments and the completion of preliminary paperwork for patients entering the hospital. Verifies insurance benefits assigned to the hospital to determine if coverage meets the standards of hospital admission. Coordinates admissions with medical, nursing and accounting staff to ensure appropriate placement of patients and compliance with third-party payers and applicable regulations. Provides guidance to others and focuses on more complex assignments.

Job Responsibility

Coordinates or manages inpatient and outpatient admissions, including bed assignments and the completion of preliminary paperwork for patients entering the hospital
Verifies insurance benefits assigned to the hospital to determine if coverage meets the standards of hospital admission
Coordinates admissions with medical, nursing and accounting staff to ensure appropriate placement of patients and compliance with third-party payers and applicable regulations
Provides guidance to others and focuses on more complex assignments
Interprets eligibility for admission/service/treatment plans
Documents in a timely, accurate manner in the hospital computer system
Maintains and monitors patients in the system for accurate charges throughout all inpatient stays
Provides information to Financial Counseling in a timely manner for all urgent admissions
Marks patients for merge and notifies Health Information Management
Exercises tact, initiative and independent judgment based on financial and other pertinent information available, assigns accommodations and assists with coordination of patient transfers and discharges
Understands the complexity of the units that have multiple levels of care and accommodation codes
Notifies Facilities regarding use of negative pressure rooms to ensure testing is completed before patient is placed in negative pressure
Books reservations for prospective patients and guests and follows established procedures to ensure a smooth, timely preadmission/preregistration/registration process
Remains cognizant of the changes that are generated with bed request and assigning patients to beds to facilitate the correct charges number and complexity of the census reconciliation checklist
Discusses pending admissions/services with physicians and their offices to ensure proper information is received
Confers with physician regarding postponement of elective admissions/services
Assists physicians with administrative details relating to decedent affairs, such as autopsy consents, accuracy and completeness of death certificates, and serves as a liaison with the Medical Examiners’ Office
Notifies attending, referring and PCP when patient has been admitted to an inpatient service
Exercises independent judgement in application of complex multi-factorial guidelines, such as non-viable live birth and fetal death
Exercises considerable judgement in patient flow
Has direct responsibility in expediting patient movement and improving utilization of the hospital resources
Tracks the completion of a release of OR admission orders to facility movement from the PACU to the patient units
Screens admit orders for codeable diagnosis and correct attending and services
Understands the extended number of treatment programs and treatment locations that complicate the admission process
Audits and reconciles daily bed census or other patient/customer counts
Acts as a liaison for Funeral Home Director’s and as a resource for staff
Assists in Transfer Center, taking referrals, nominating films, scanning of face sheets into EMR, complete initial intake for transfers and consults in EMR
Other duties as assigned

Requirements

High School diploma or equivalent and 4 years of relevant experience required
Associate's degree preferred
Basic understanding of Central Registration, Health Information Management, Financial Counseling, and Pathology required
Knowledgeable and proficient in the use of the Hospital software i.e. EPIC. required

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Hospital Admissions Rep IV-1

Job Description

Job Responsibility

Requirements

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