What are the responsibilities and job description for the Admitting Specialist position at City of Hope?
Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.
Position Summary:
Performs pre-registration functions prior to the patient admission (including but not limited to: obtains and/or verifies demographic, clinical, financial, insurance information, service eligibility, consent forms, and patient/guarantor information for pre-registered accounts).
This also includes the reason for admission, attending, accepting, and clinical team for all inpatient admissions, along with accommodation level.
Contacts patients, payers, or other departments to confirm and verify insurance and demographic information.
Refers Patients to financial counselors to resolve insurance or payments issues.
As a successful candidate, you will:
Bed Management:
Works closely with the nursing staff to ensure effective bed management.
Performs of review of upcoming next day admission and ensures the appropriate notification are documented.
Notifies patient and clinical team of delays in bed assignment. Escalates urgent cases to management and Nursing House Supervisor.
Registration/ Admission:
Demonstrates an in-depth understanding of the flow of the patient registration process within the paper and electronic environments. Maintains department productivity, accuracy, and quality assurance standards while performing these duties. Ensures data is entered accurately for all patient demographic and insurance information.
Ensures that financial protocols and requirements are met while providing access to service at COH facilities by reviewing account documentation.
Maintains and applies current knowledge of insurance requirements when verifying eligibility and confirms authorization is secured prior to forwarding patients to service delivery areas; escalates unsecure financial accounts to management. Provides information and assistance to patients to ensure they understand the Financial Assistance policy and application process.
Referral Coordination:
Identifies insurance companies requiring Notice of Admission and obtains initial authorization for unscheduled inpatient admissions.
Ensures the Notice of Admission is completed for all scheduled and unscheduled admissions. Completes Auth / Cert documentation indicating authorization/ reference number along with information for Case Management clinical review follow up is complete and accurate.
Inpatient Transfer Coordination:
Coordinates the inpatient transfer of new and existing patient from referring facilities and physician including the pre-registration, authorization for transfer, clinical approval, transfer coordination and documentation in CRM.
Notifies COH contracting department of inpatient transfers with a non-contracted insurance
Coordinate a Letter of Agreement (LOA) and informs referring facility of approval status.
Your qualifications should include:
City of Hope is an equal opportunity employer.
To learn more about our Comprehensive Benefits, please CLICK HERE.
Position Summary:
Performs pre-registration functions prior to the patient admission (including but not limited to: obtains and/or verifies demographic, clinical, financial, insurance information, service eligibility, consent forms, and patient/guarantor information for pre-registered accounts).
This also includes the reason for admission, attending, accepting, and clinical team for all inpatient admissions, along with accommodation level.
Contacts patients, payers, or other departments to confirm and verify insurance and demographic information.
Refers Patients to financial counselors to resolve insurance or payments issues.
As a successful candidate, you will:
Bed Management:
Works closely with the nursing staff to ensure effective bed management.
Performs of review of upcoming next day admission and ensures the appropriate notification are documented.
Notifies patient and clinical team of delays in bed assignment. Escalates urgent cases to management and Nursing House Supervisor.
Registration/ Admission:
Demonstrates an in-depth understanding of the flow of the patient registration process within the paper and electronic environments. Maintains department productivity, accuracy, and quality assurance standards while performing these duties. Ensures data is entered accurately for all patient demographic and insurance information.
Ensures that financial protocols and requirements are met while providing access to service at COH facilities by reviewing account documentation.
Maintains and applies current knowledge of insurance requirements when verifying eligibility and confirms authorization is secured prior to forwarding patients to service delivery areas; escalates unsecure financial accounts to management. Provides information and assistance to patients to ensure they understand the Financial Assistance policy and application process.
Referral Coordination:
Identifies insurance companies requiring Notice of Admission and obtains initial authorization for unscheduled inpatient admissions.
Ensures the Notice of Admission is completed for all scheduled and unscheduled admissions. Completes Auth / Cert documentation indicating authorization/ reference number along with information for Case Management clinical review follow up is complete and accurate.
Inpatient Transfer Coordination:
Coordinates the inpatient transfer of new and existing patient from referring facilities and physician including the pre-registration, authorization for transfer, clinical approval, transfer coordination and documentation in CRM.
Notifies COH contracting department of inpatient transfers with a non-contracted insurance
Coordinate a Letter of Agreement (LOA) and informs referring facility of approval status.
Your qualifications should include:
- High School or equivalent or
- Experience may substitute for minimum experience requirements
- Three years medical office clerical or customer service experience. Certification or degree may substitute for minimum experience requirements
City of Hope is an equal opportunity employer.
To learn more about our Comprehensive Benefits, please CLICK HERE.
Salary : $25 - $35