Admitting Clerk performs routine registration, data collection, and administrative tasks to admit patients to a healthcare facility. Inputs patient demographic information into the designated system, collects and validates insurance or financial information. Being an Admitting Clerk reviews paperwork and obtains all necessary consents and signatures from patients or family. Explains the facility's policies and procedures and answers routine questions. Additionally, Admitting Clerk coordinates patient intake and bed assignment processes with clinical or administrative teams. Follows all established policies and standards to preserve patient confidentiality, ensure data security and comply with all applicable regulations. Requires a high school diploma. Typically reports to a supervisor. The Admitting Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
JOB SUMMARY: Performs a variety of specialized clerical duties relating to the pre-admitting and admitting of patients from the Emergency and Outpatient departments, as well as direct MMHS admits.
PERFORMANCE DIMENSIONS AND TASKS
Essential Function
1. Interviews patients or his/her representative and obtains complete, accurate, personal, demographic and financial information necessary for admission.
a. Ensures that all data areas on admit form are complete and accurate; spelling is correct.
b. Is always courteous to clients, in accordance with hospital guest relations program; helpful in explaining procedures and administrative policies.
c. Notifies nursing unit of patient ready to admit.
2. Verifies insurance coverage.
a. Always verifies insurance information: private, Medicare or Medi-Cal.
b. Obtains prior insurance authorizations within specified time frame.
c. Photocopies insurance cards consistently; obtains signatures at admission.
d. Prepares necessary forms for Medical Records and Patient Accounting.
3. May attend to administrative needs of patient/family: (explains charges, alternatives for payment of bill).
a. Always responds with sensitivity to patients and family in matters related to money and personal areas.
b. Is able to give basic information in response to most questions regarding patient bills/insurance.
c. Consistently able to acquire insurance information and reviews with patient to ensure accuracy.
d. Consistently/accurately files all material during assigned shift.
4. Performs cashier function as necessary.
a. Always follows established MMHS policy for handling cash and collecting money.
b. Balances cash box at end of shift.
c. Accepts credit cards, using appropriate forms; follows up.
5. Prepares batching for Data Processing.
a. Accurately prepares batching for Data Processing in a timely manner.
b. Ability to utilize IT systems in an efficient and effective manner
c. Ability to process Advance Beneficiary Notices.
d. Ability to use computer system to verify accounts for return mail.
6. Operates MMHS telephone switchboard.
a. Always answers telephone in a courteous manner.
b. Always identifies self and uses correct English and/or Spanish when communicating.
c. Always pages in a clear, well-modulated voice to ensure understanding.
d. Demonstrates efficient, proper use of radio and paging system.
e. Does not use switchboard for personal calls.
f. Responsible for all emergency code calls; responds with expediency and efficiency.
7. Performs other job related duties as assigned.
a. Responds to necessary changes in work schedule; uses work time to department advantage by doing various tasks, such as stocking, ordering supplies or special projects.
QUALIFICATIONS
Education:
• High School Diploma, GED or equivalent - preferred
Work Experience:
• Able to type 40 wpm –Preferred.
• Knowledge of office organization and basic clerical skills – Preferred.
• 6 months – 1 year experience in office, clinic or hospital environment – Equivalent/Preferred.
• Computer clerical programs (i.e. Word, Excel) and medical terminology experience - Preferred.
• Basic knowledge of types of health plans & insurance billing – Preferred.
Language Requirements:
• Bilingual (English/ Spanish) - Required
Physical Demands:
• Must be able to sit up to 6 hours and stand/walk up to 2 hours per day.
• Must be able to push/pull/lift up to 35 pounds.
• Must be able to use hands and feet repetitively for 8 hours or more.
Special Demands:
• Willing to perform repetitive tasks.
• Ability to work with others and to perform a variety of assigned tasks.
DISCLAIMER: The preceding job description has been designed to indicate the general nature and level of work performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.
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