Pre-Admit Testing Representative

Job Summary

The Pre-Admission Testing Representative is responsible for coordinating pre-admission processes by obtaining and verifying patient demographic, medical, and insurance information prior to scheduled procedures or surgeries. This role ensures all required pre-admission testing, documentation, and authorizations are completed to facilitate a smooth admission process. The Pre-Admission Testing Representative works closely with patients, clinical teams, and insurance providers to confirm compliance with regulatory and facility requirements.

Essential Functions

• Collects and verifies patient demographic, medical history, and insurance information before scheduled procedures.
• Ensures pre-admission testing requirements are met, including laboratory work, imaging, and other necessary screenings.
• Reviews and obtains necessary pre-certifications, authorizations, and referrals from insurance providers.
• Coordinates with physicians, nurses, and scheduling teams to confirm all required medical documentation is available.
• Communicates with patients regarding pre-admission requirements, fasting instructions, medication restrictions, and procedural preparations.
• Documents all pre-admission information in the electronic health record (EHR) and ensures accuracy for seamless patient processing.
• Protects patient health information (PHI) by following HIPAA and facility guidelines for confidentiality and security.
• Assists with patient financial counseling by explaining out-of-pocket expenses, deductibles, and co-payments.
• Works closely with scheduling and registration teams to resolve any discrepancies in patient information before admission.
• Ensures compliance with hospital policies, state regulations, and Joint Commission (TJC) accreditation requirements.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.
  
  

Qualifications

• 0-2 years of experience in pre-admission testing, patient access, medical office administration, or healthcare financial services required
• Experience with electronic health records (EHR), patient scheduling systems, and insurance verification preferred
  
  

Knowledge, Skills and Abilities

• Proficiency in patient registration, pre-admission testing procedures, and insurance verification.
• Strong knowledge of healthcare insurance policies, prior authorization requirements, and medical terminology.
• Excellent communication and customer service skills to interact with patients, clinical staff, and insurance providers.
• Ability to analyze medical records, ensure documentation accuracy, and coordinate with multiple departments.
• Strong problem-solving skills to resolve scheduling, authorization, or documentation issues before admission.
• Ability to handle sensitive patient information with a high level of confidentiality and compliance with HIPAA regulations.
• Strong organizational and multitasking skills to manage multiple patient cases efficiently.