Hospital Admissions Representative (Patient Access)

Job description

Overview:
Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures with a focus on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit: .

Responsibilities:
The Hospital Admissions Representative (Patient Access) is responsible for obtaining and verifying demographic information, insurance benefits and eligibility. Assigns the correct medical record and account number; therefore, providing a database which ensures accurate billing and clinical information. This position will work 3:00 PM- 11:30 PM with rotating weekends and holidays.

Duties to include but not limited to:

Responsible for obtaining complete and accurate demographic and financial information from a variety of sources, including patient interviews physician offices and in-house departments.

Obtains required signatures on legal consents and insurance forms.

Performs required pre-certification, credit referral or deposit collection. Enters data in computer and thoroughly documents any incomplete admissions/registrations in manner prescribed. Obtains pre-certification, referral or authorization number and updates patients file.

Notifies patients, family members, physicians and/or supervisors of insurance coverage issues, notifies patients of co-payments, deductibles or deposits needed, documenting all information in computer system.

Reviews Physician's orders for completion and ensures all required information is listed.

Completes Medicare Compliance and obtains ABN if necessary.

Knowledge of all Federal, State and Local Laws pertaining to insurance rules and regulations.

Maintains multiple computer systems.

Maintains positive customer service at all times, referring unresolved issues to appropriate supervisor.

Answers telephone calls. Follows pre-established script and provide assistance to callers.

Completes all shift duties in a timely and accurate manner.

Complies with all safety regulations, policies and procedures as defined by Customer.

Qualifications:
High School Diploma or equivalent required.

Minimum 1 year experience in a medical setting or heavy customer service environment utilizing data entry skills, insurance or other online websites and various software applications.

Ability to type a minimum of 35 CWPM.

Medical terminology knowledge.

Ability to greet and effectively relate to patients, physicians and staff.

Computer skills and proficient in Microsoft Office software programs.

Great organizational skills and the ability to set priorities and manage time effectively.

Great interpersonal skills and the ability to communicate effectively both orally and in writing.

Able to maintain professional demeanor in high stress environment.

Ability to deal with pressure and complaints.

Presents oneself in a professional manner through appearance and conduct.

Additional Requirements:
The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.

Due to our contractual requirements, to be eligible for this role, you must be fully COVID-19 vaccinated at time of hire.

Disclaimer:
About Guidehouse

Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at (phone number removed) or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Rewards and Benefits

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

Medical, Rx, Dental & Vision Insurance

Personal and Family Sick Time & Company Paid Holidays

Position may be eligible for a discretionary variable incentive bonus

Parental Leave and Adoption Assistance

401(k) Retirement Plan

Basic Life & Supplemental Life

Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

Short-Term & Long-Term Disability

Tuition Reimbursement, Personal Development & Learning Opportunities

Skills Development & Certifications

Employee Referral Program

Corporate Sponsored Events & Community Outreach

Emergency Back-Up Childcare Program

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