Salary Range: $18.8800 - $29.0200 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.
Locations: Hoag Hospital Newport Beach and Hoag Irvine
Job types: Full-time, Part-time, and Per-Diem available.
Reporting to the Patient Access Supervisor the Admissions Representative is responsible for following Federal, State and Local guidelines. You will work directly with patients and clinical teams for delivery of services including, but not limited to: registration, scheduling, verification of insurance, collection of patient payments, the patient experience and communicating with internal departments.
As Admissions Representative you'll be proficient in multiple systems including, but not limited to: Affinity, Passport, Chartmaxx and other supporting information systems. (i.e. RMS, SCM, or Amelior as required). You should thrive within a team atmosphere, have strong customer service experience, the ability to multi-task, and have proficient computer skills.
Essential Job Duties & Functions:
- Facilitates the arrival process for patients.
- Creates accounts for initial intake upon presentation to the check-in area.
- Continues to monitor patient queues to ensure timely registration processing.
- Follows established HIPAA protocols for proper patient look-up, completes patient registration.
- Ensures insurance eligibility and accurately codes insurance to ensure timely billing.
- Assists patients with billing inquiries and insurance questions.
- Collects all copayments, co-insurance and deductible limits.
- Obtains required signatures, IDs and consents for all regulatory requirements (i.e., Photo IDs, COA, MSP, Advanced Directives, etc.).
- Confirms and communicates patient registration status, in/out of network status, and maintains service level and to avoid delays in patient care.
- In the outpatient settings, can schedule the same day and follow-up appointment and validates physician order and confirms the accuracy of ordering MD and service codes.
- In the Emergency Departments, follows the Emergency Medical Treatment and Labor Act (EMTALA) guidelines.
- Generate task reports to monitor workload and inventory.
- Seeks assistance when needed to maintain 100% service level targets.
- Meets daily productivity expectations in accordance with department standards.
- Perform other duties as assigned.
Education, Training, & Experience
Required:
- High School Diploma or equivalent (GED).
- Minimum of 1-year general office experience and/or customer service experience.
Skills & Other Qualifications
Required:
- High level of computer keyboarding skills for data input.
- Able to communicate clearly in English, both written and oral.
- Strong attention to detail.
- Demonstrated analytical and critical thinking abilities with pro-active decision making and negotiation skills.
- Ability to manage multiple tasks simultaneously.
- Ability to establish and maintain collaborative and effective working relationships.
- Strong customer service skills.
About Hoag
Hoag is a nonprofit, regional healthcare delivery system in Orange County, California. Delivering world-class, comprehensive, personalized care, Hoag consists of 1,800 top physicians, 15 urgent care facilities, 10 health and wellness centers, and two award-winning hospitals. Hoag offers a comprehensive blend of health care services that includes seven institutes providing specialized services in the following areas: cancer, digestive health, heart and vascular, neurosciences, spine, women's health, and orthopedics through Hoag's affiliate, Hoag Orthopedic Institute, which consists of an orthopedic hospital and four ambulatory surgical centers. Hoag is the highest-ranked hospital in Orange County by U.S. News & World Report and the only OC hospital ranked in the Top 10 in California, as well as a designated Magnet® hospital by the American Nurses Credentialing Center (ANCC). For more information about Hoag careers, visit careers.hoag.org.
Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.
