Clerk III: Admissions
Performs varied and increasingly responsible clerical work requiring individual judgment and initiative. Responsible for conducting intake transactions with the public in matters requiring a highly specialized knowledge and understanding of laws, regulations and departmental policies and procedures; completing precertification duties required by payers to obtain authorizations that impact revenue; and completion of duties required in day to day operations of the department.
Performs intake interviews on new hospital inpatient admissions to obtain necessary demographic and payer information.
Assists with front desk coverage in performing receptionist and/or counter duties (answering phone calls, registering clients, logging visitors and accepting payments on accounts..
Performs scanning/importing of financial documents into EMR system in maintaining client financial record.
Assists with outpatient client intake interviews and registration on EMR computer system in absence of Outpatient Admissions Clerk II.
Determines client monthly payment potential and funding source.
Assists with annual Ability To Pay (ATP) determinations.
Performs general maintenance to client accounts on EMR system (such as address changes) to assist the billing process.
Verifies appropriate financial and client information data and enters client data into the computer system.
Obtains necessary release of information signed by clients for third-party payers.
Analyzes client information problems and helps formulate solutions.
Assists with opening, date stamping and logging of facility daily mail received.
Completes Medical Assistance applications, Certificate of Need (CON) forms, and completes insurance information forms.
Secures pre-authorization determinations and benefit information from third-party insurance companies, Health Maintenance Organizations (HMO’s); Medicare and Medicaid.
Assists with registering Crisis Intervention episodes on EMR system.
Updates Client Master File address changes received and enters new admission data.
Compiles and sends to clients yearly the requests for updated financial information and billing authorization.
Performs related functions as assigned.
Minimum Qualifications Required
Education and Experience:
High School Diploma, including or supplemented by a course in typing, plus three years of experience in a similar facility; or any equivalent combination of education, training and experience which provides the necessary knowledge, skills and abilities.
Knowledge, Skills & Abilities
Knowledge of general office procedures.
Skill in bookkeeping and general clerical duties.
Ability to learn, interpret and implement the specialized knowledge pertaining to the department.
Ability to follow complex oral and written instructions.
Ability to operate a variety of standard office equipment.
Ability to perform full data entry functions at a rate of 80 net key strokes per minute.
Ability to train subordinate employees.
Ability to exercise independent judgment.
Ability to maintain, analyze and interpret complex financial and statistical records.
Ability to establish and maintain effective working relationships with staff, clients and the public.
Ability to recognize and maintain confidential information.
Ability to work the required hours of the position.