Admitting Rep II Full Time Days

Desert Regional Medical Center is a 385-bed acute-care hospital classified as a stroke receiving center and Level I Trauma Center with an innovative, patient centered and evidence-based Rehabilitation Services Department.  Our compassionate team provides a wide range of inpatient and outpatient services, including acute care rehabilitation, joint replacement & spinal surgery, neurosurgery, ICU, Telemetry, step-down care, skilled nursing, as well as outpatient therapy, hand and lymphedema clinics. 

General Duties:

The Patient Service Representative II greets patients and visitors in person or on the telephone; obtains demographic, financial and medical information for registration and identification, coordinates and assists in the completion of all activities relating to patients' finances, to facilitate the collection and distribution of information and to expedite a smooth and timely billing and collection process while adhering to department policies and procedures.  Access to demographic information and limited patient health information related to job function.

The Patient Service Representative obtains, monitors and expedites the necessary authorizations and approvals for hospital outpatient services and/or elective surgeries per the designated insurance carriers.

Acts as a resource and liaison for employees within the department, as well as other inter-related hospital staff and all "guests" that need assistance or information.

Shift: Days- 10:00AM to 6:30PM

Hours: 8hrs

Department Specific Duties:

Responsibility

• Interviews and Registers Patients.
• Explains forms, obtains demographic and insurance information and inputs into applicable
• Patient Accounting systems. Explains hospital deposit policy and collects appropriate monies from
• patients and/or responsible parties. Promotes positive working relationships with patients, families, physicians
• and other department’s within the hospital to ensure a high level of service is provided.
• SPECIFIC DUTIES
• All patient charts are complete in a timely manner with a minimum accuracy rate of 95% on all registrations.
• Accurately enters required data in the ADT System, with emphasis on accuracy of demographic data and financial information to ensure appropriate revenue routing.
• Validates existing data related to prior registrations and updating and updates appropriately in the ADT system. 
• Obtains all necessary copies of insurance cards and related documents, identifies the appropriate payor source (plan ID, financial class, etc.).
• Ensures that all pre-certifications are completed within the specified time frames as mandated by the payor’s payment authorization protocols.
• Obtains all appropriate and necessary signatures to meet regulatory requirements.
• Records comments in the ADT System to permit timely and accurate follow up.
• Accurately and timely scans all necessary/required documents into VI Web.
• Insures Trauma and Ambulance logs are maintained current to ensure proper identification of  emergency room patients.
• Financially clears all ER inpatient admissions, direct inpatient  admissions and/or transfers from other facilities in an
• accurate and timely manner.
• Follow-up on all accounts is accurately and appropriately documented in FUSSA notes in a manner which is clear and understandable.
• Makes assessments of Private Pay patients and/or problematic accounts and appropriately initiates referrals to Medi-Cal Eligibility Pending staff (MEP) for review of possible Medi-Cal or Charity linkage.                                     
• Charts are audited for completeness/accuracy and all accounts are ICED within 24-hours of admission or next working day. (i.e. signatures, insurance verification, demographics).
• Requests & collects deposits, deductibles, co-pays and payment for non-covered services to reduce bad debt expense.
• Consistently meets monthly cash collection goals as outlined by Tenet Corporate Patient Financial Services/Patient Access Departments.
• Consistently process cashier receipts with a 100% accuracy rate when accepting cash payments according to established policies and procedures.
• Maintains current knowledge of financial resources in order to identify appropriate financial status for private pay.
• Patient’s (self-pay/Compact for the Uninsured, MIA, Medi-cal, Medicare only, VOC, etc.).
• Maintains current knowledge of Cerner Millennium system to ensure proper “computer down-time” registration procedures
• Maintains current knowledge of Compact for Uninsured Policy & Procedure and complies with appropriate guidelines.  
• 100% of all admissions have been given a copy of the Patients’ Rights, Advanced Directive and NPP
• information and documentation is complete.
• Charts are turned in to the audit/QA area within 24 hours after discharge.
• Collect deductibles, co-payments, Compact for Uninsured Rates and establish appropriate payment
• arrangements prior to completion of treatment/discharge.                       

Duties

• Supports and facilitates open communication with patients and families.
• Supports and facilitates open communication with physicians and other department staff.
• Maintains confidentiality of patient information per HIPAA regulatory guidelines.
• Continually strives to meet patient/customer needs and expectations.
• Receives positive comments from patients and families regarding job performance.
• Receives positive comments and feedback from coworkers and other department staff.
• Maintains a professional atmosphere in the Registration Department.
• Adjusts to changes in department schedule when reasonably requested based on census and department staffing needs.
• Responds to requests in a friendly, cooperative manner, as determined by feedback from customers, management and PSMS scores.
• Reports for scheduled shift on time and prepared to assume responsibilities.  Leaves for breaks and lunch on time and returns on time. Adheres to hospital attendance/tardiness policies.

Required:

• High School Diploma or GED
• One to three years recent experience in acute care hospital registration or business office environment. 
• Knowledge in Medicare, Medi-Cal and third party billing and collection procedures. 
• Type a minimum of 35 WPM
• Experience or knowledge in admissions, registrations and insurance verification is essential. 

Preferred:  Ability to speak Spanish and/or any other additional languages

#Li-Am7

Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Who We Are
We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.
Our Story
We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.
Our Impact Today
Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.
Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.
Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.