1. General Summary

Under limited supervision, coordinates and performs scheduling, registration, pre-admission processing, wayfinding, and other administrative duties, while adhering to the department specific standards for data entry and patient selection. The additional duties of this role job, compared to the facilities admissions coordinator II, include verification of insurance benefit eligibility, insurance pre-certification and authorization, and estimates creation and/or finalization. Serves as the back up to the Supervisor. 

1. Principal 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. Works with the care teams and revenue cycle to identify and eliminate barriers to access, reimbursement and affordable care.
2. Provides education to the patient and family regarding the financial clearance process, and offer information regarding estimated cost of services and financial assistance opportunities.
3. Performs specific administrative and Admission, Discharge and Transfer (ADT) functions and performs these duties in multiple clinics and registration areas within the institution.
4. Facilitates at the elbow department training for all new and existing employees.
5. Serves as the subject matter expert for the team. Independently resolves less complex issues.
6. Manages assigned projects independently.
7. Serves as the first point of contact for patients and visitors who enter the facilities and is responsible for all aspects of customer service for Patient Access/Patient Administrative Services areas in a manner that ensures a customer focused, quality conscious work climate recognizing that patients’ visits are filled with anxiety and unknowns.
8. Functions include focusing on interpersonal skills, data collection, the ability to assess situations, and to lead the team in developing solutions to achieve excellence in customer service while ensuring the financial viability of the hospital.
9. Collects and verifies patient and insurance demographics, verifies insurance benefits and coverage by reviewing benefits collection in Epic, provides cost estimates, securing pre-certifications and/or pre-notifications for patient services, collection of co-pay and deposits prior to services and providing financial assistance to patient. 
10. Provides wayfinding to all clinics which Patient Administrative Services provides registration assistance. Staff must be aware of clinic locations in order to safely and efficiently navigate patients to their appointments.
11. Maintains regulatory and functional knowledge of all registration information required, which ensures timely and accurate reporting/billing; also obtains all required signatures, and performs clerical duties as necessary.
12. Educates patients regarding adequate insurance coverage. Understands applicable hospital and physician billing requirements and communicates the proper procedures and requirements to patients.
13. Communicates coverage issues to the service areas; works with patients and staff to resolve. Escalates issues to Management when necessary.
14. Ensures accuracy and completion of paperwork, prior to filing admissions. Contacts physician/clinical staff to assist with incomplete patient registration paperwork. Distributes admission documents if required.
15. Ensures department scheduling templates are maintained for applicable providers in outpatient department locations. Ensures appropriate scheduling utilization.
16. Maintains consistent contact with the Care Management team and Social Work departments to ensure required information has been obtained for reimbursement, and that pre-admission and pre-certification requirements are followed.
17. May be required to be on call at specific UMMS Facilities.
18. Must be willing to travel between facilities as needed (applies to specific UMMS Facilities).
19. Performs other duties as assigned.

At University of Maryland Charles Regional Medical Center (UM CRMC), our talented and diverse groups of professionals represent our strength. Through teamwork and a collaborative work environment, we proudly serve our patients and our community with unwavering commitment. It’s our passion for people that motivates us to do great work every single day. Consistently named among the top 100 Best Places to Work in Maryland, our team members have the opportunity to grow professionally in a supportive and stimulating environment.

Education and Experience

1. Completion of a high school level education with attainment of a high school diploma or a State High School Equivalency Certificate (GED) is required.

1. Certification and memberships to local organizations such as AAHAM, NAHAM, etc. preferred.

1. Three years of work experience in an administrative position in a healthcare setting such as a hospital or physician’s office is required. Five years’ work experience preferred.

Knowledge, Skills and Abilities

1. Knowledge of health insurance principles and practices is required. 
2. Capable of resolving complex issues.
3. Knowledge of the complete registration process for multiple areas managed through Patient Access.
4. Current knowledge of payer requirements for referrals and preauthorization is required.
5. Current knowledge of price transparency and facility fee disclosure regulatory requirements as well as the ability to interact with patients to deliver price estimates for some or all of a patients care needs.
6. Strong verbal and written communication skills.
7. Ability to adapt to technical upgrades and changes throughout the hospital system.
8. Ability to work independently and take the lead in overseeing work tasks keeping in mind that the patients overall experience is directly related to our staffs interactions.
9. Ability to work cooperatively with various personalities with the ability to process information quickly and take actions to keep the patients on schedule.

1. Strong interpersonal skills with ability to work and communicate (verbally and written) with all levels of hospital personnel, including physicians, clinicians, and all customers with our patients being the most important.

1. Ability to maintain composure in difficult situations and resolve patient concerns in a timely manner.

All your information will be kept confidential according to EEO guidelines.