Admitting Representative /Observation- Emergency Room/Evenings
Company: Houston Methodist
Location: Sugar Land
Posted on: May 19, 2019
Houston Methodist Sugar Land Hospital
16655 Southwest Fwy
Sugar Land, TX 77479
Job Type: Full-Time
Posted Date: May 14, 2019
Work Shift: EVENING
Work Week: Monday- Friday 3:30p-12:00a
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
PATIENT AGE GROUP SERVED
Neonate to Geriatric
System and department specific ICARE values
INTEGRITY: We are honest and ethical in all we say and do.
COMPASSION: We embrace the whole person including emotional,
ethical, physical, and spiritual needs.
ACCOUNTABILITY: We hold ourselves accountable for all our
RESPECT: We treat every individual as a person of worth, dignity,
EXCELLENCE: We strive to be the best at what we do and a model for
others to emulate.
Duties and Responsibilities are cross-referenced to the hospital--s
Pillars of Excellence and will be transferred to the Performance
1.Contributes to the departmental and hospital patient
2.Communicates openly in a non-judgmental manner and in a
professional demeanor, during all interactions with customers and
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 non-judgmental manner.
3.Practices N-O-D: tells the patients his/her name, explains
his/her occupation and what he/she will be assisting the patient
1.Obtains and records accurate demographic and insurance
information on patients, by interviewing patients, family members
and physicians. Ensures that the correct insurance plan codes are
utilized for the billing process. Refrains from issuing new medical
record numbers to patients with existing accounts and keeps errors
to = 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 service.
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 control issues.
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
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 workdriver.
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
High School graduate or GED
1 year of registration experience in a hospital environment
CERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED
SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
--Computer skills required
--HBOC-McKesson Healthquest (HIS) experience preferred
--Microsoft Outlook experience
--Ability to manage multiple tasks at one time
--Ability to manage a fast-paced environment
--Proficient in English, written and verbal
Equal Employment Opportunity
Houston Methodist is an Equal Opportunity Employer.
Equal employment opportunity is a sound and just concept to which
Houston Methodist is firmly bound. Houston Methodist will not
engage in discrimination against or harassment of any person
employed or seeking employment with Houston Methodist on the basis
of race, color, religion, sex, sexual orientation, gender
identity,national origin, age, disability, status as a protected
veteran or other characteristics protected by law.
VEVRAA Federal Contractor - priority referral Protected Veterans
Since 1998, Houston MethodistSugar Land Hospital has been serving
Fort Bend and the surrounding counties. Residents have come to rely
on a level of compassionate care and leading-edge technology that
was once available only in the Texas Medical Center. With 243
licensed beds, 20 operating rooms and over 1,900employees, Houston
Methodist Sugar Land Hospital was designed to provide
comprehensive, personalized care for the community.
At Houston Methodist, we take our responsibility as the region---s
premier health care system seriously.With a national reputation for
excellence in patient care, education and research, we hold
ourselves --- and the careers we build --- to a higher standard. We
invite you to find your place among the best of the best, and to
stand with us in earning the trust of millions of people across the
Houston Metro area every day.Houston Methodist is comprised of a
nationally recognized academic medical center and six community
hospitals with a history of health care innovation. For the tenth
straight year we have been named to FORTUNE---s list of ---100 Best
Companies to Work For--- and have also been ranked the no.1
hospital in Texas by U.S. News & World Report.Discover the
difference for yourself and join Houston Methodist.
Keywords: Houston Methodist, Sugar Land , Admitting Representative /Observation- Emergency Room/Evenings, Other , Sugar Land, Texas
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