The Admitting Rep I is responsible for
obtaining and inputting accurate demographic and insurance
information, on the Hospital Information System (HIS) on patients,
presenting at the various entry points of the Health Center. It is
also the responsibility of the Patient Access Admitting
Representative to adhere to all departments, hospital, governmental
and/or any other healthcare licensing agency requirements related
to EMTALA and HIPAA. The Patient Access Admitting Representative
will employ effective communication skills, promoting excellent
customer service in every interaction. Competency requirements for
computer entry, as well as, insurance procedures will be
maintained. The Patient Access Admitting representative performs
cashiering functions, ensuring that all hospital accounts are
secure, through the collection of the required co-pay, deductibles
and co-insurance. Perform the medical necessity check, to ensure
compliance with Medicare guidelines.
PATIENT AGE GROUP SERVED
Neonate to Geriatric
DUTIES AND RESPONSIBILITIES
1. Contributes to the departmental and
hospital patient satisfaction.
2. Communicates openly in a non-judgmental
manner and in a professional demeanor, during all interactions with
customers and co-workers.
3. Proactively seeks solutions to address
patient issues and concerns. Offers assistance without being
prompted and takes the initiative to perform other tasks when the
area slows down.
1. Consistently takes the necessary steps
to ensure that protected health information remains private and
confidential, according to established HIPAA guidelines.
2. Explains the consent forms, obtains
signatures on the forms, and responds to any questions in a
3. Practices N-O-D: tells the patients
his/her name, explains his/her occupation and what he/she will be
assisting the patient with.
1. Obtains and records accurate demographic
and insurance information on patients, by interviewing patients,
family members and physicians. Ensures that the correct
plan codes are utilized for the billing
process. Refrains from issuing new medical record numbers to
patients with existing accounts and keeps errors to =<1% of
2. Attends at least 80% of all department
meetings and in-services. Offers suggestions to improve the level
of service, customer service, etc. that will improve patient
satisfaction scores. Alerts management, in a timely manner, to any
unusual and/or difficult situations impacting the level of
3. Follows all safety rules while on the
job. Reports accidents promptly and corrects minor safety hazards.
Completes all hospital required and job related in-services and
applies the information needed. Complies with applicable laws,
regulation, guidelines and standards regarding safety and infection
1. Ensures that ordered services meet
established medical necessity criteria by performing the PCA
(Pathways Compliance Advisor) or any other medical necessity check
review, if and when warranted.
2. Collects payments based on
pre-determined information provided by the insurance verification
team. Absent this information, proactively performs insurance
eligibility and verification to ensure reimbursement for services.
If applicable, extends payment plans, after the minimum required
payment has been received.
3. Accurately posts and receipts patient
payments. Balances cash drawer on a daily basis; follows the
department policy related to cash drawers and cash receipting.
1. Participates in departmental and
hospital performance improvement plans.
2. Completes all hospital required and job
related in-services and applies the information as needed.
3. Supports the Admitting team needs when
area admission requirements are completed and/or indicated by
4. Supports other Admission area needs and
collaborates with other departments or other HM hospitals as
indicated by workdriver.
This position description is not intended
to be all inclusive, and the employee will also perform other
reasonably related business duties as assigned by the immediate
supervisor and other management as required. The Houston Methodist
Hospital reserves the right to revise or change job duties and
responsibilities as the need arises.
High School graduate or GED
1 year of registration experience in a
hospital environment preferred.
SPECIAL KNOWLEDGE, SKILLS AND ABILITIES
Computer skills required
HBOC-McKesson Healthquest (HIS) experience
Microsoft Outlook experience
Ability to manage multiple tasks at one
Ability to manage a fast-paced
Proficient in English, written and
CERTIFICATES, LICENSES AND REGISTRATIONS
Includes office, patient care units,
patient beside registration and procedure areas.
Standard Dress Uniform for those employees
who have public contact with customers
Ability to flex hours and work
day/assignments to meet the needs related to unanticipated patient
Methodist Baytown Hospital, located 35 miles east of Houston, is
the area's only full-service hospital offering specialized medical
care for patients at every stage in life. This 230-licensed bed
hospital with 15 operating rooms and over 1,700 employees, brings
Medical Center excellence and quality care close to East Harris and
Baytown Hospital, located 35 miles east of Houston, is the area's
only full-service hospital offering specialized medical care for
patients at every stage in life. This 230- licensed bed hospital
with 15 operating rooms, and over 1,700 employees, brings Medical
Center excellence and quality care close to East Harris and