UM Rehabilitation & Orthopaedic Institute Hiring for Admitting Specialist Job at Baltimore, MD Full Time

Admitting Specialist – Rehab
Full Time Rotating 12p-830p
Baltimore, MD

UNIQUE IS WHAT WE ARE!

Lives are restored here on our campus every day! As the designated acute care rehabilitation and orthopaedic hospital of the University of Maryland Medical System, we are one of the largest, most comprehensive, and best-respected facilities in the nation. Patients and professionals alike appreciate the unique advantages offered here at UM Rehab & Ortho Institute.

With roots that go as far back as 1895, the UM Rehab & Ortho Institute continues to be a pioneer in orthopaedics and neurological disorders. From bones to brains, our cutting-edge hospital heals even the most serious of injuries, specializing in everything from total joint replacement to spinal cord injuries and neurological condition. In total, our 141-bed facility welcomes over 3,000 patients every year. As the state’s largest provider of inpatient rehabilitation services, we offer some of the most advanced therapies for stroke, spinal cord injury, traumatic brain injury, orthopaedic and sports injury, among many others.

General Summary

Under general supervision, perform as a specialist for the Admitting department. Assist the Admitting Manager in assuring the effectiveness and efficiency of patient flow by performing pre-admission processing, reservation and bed control functions.

Must demonstrate the knowledge and skills necessary to provide care appropriate to the age, culture, ethnicity, and specific individual diagnostic needs of the patients served in his/her department. He/she must be able to assess and interpret data about the patient’s status in order to identify each patient’s specific needs and provide the care needed by the patient group (pediatric, adolescents and/or geriatric patient group, culture and diagnostic specific).

Consistently expresses and demonstrates compassion and courtesy for patients. Extends courtesy and support to patient’s families/visitors.

Principal Responsibilities and Tasks

1. Electronic/Paper documentation – Accurately and efficiently locates and retrieves clinical documentation from the EMR: Attends / completes required training on electronic documentation and HIPPA requirements.
2. Electronic/Paper documentation – Registration and Scheduling Applications: Attends training and successfully demonstrates competency.
3. Electronic/Paper documentation – Registration and Scheduling Applications: Accurate entry of demographic and insurance information during pre-registration, appointment scheduling and patient registration / check -in activities.
4. Electronic/Paper documentation – Registration and Scheduling Applications: Detects, corrects and reports appropriately errors in system patient specific data.
5. Electronic/Paper documentation – Registration and Scheduling Applications: Scans appropriate identification, insurance and waiver documents.
6. Respect for individuals, Customer Service, Teamwork and Collaboration:
A. Consistently expresses and demonstrates respect, compassion and courtesy for patients, families, visitors and team members. Models customer service and “”first impressions”” excellence through appropriate body language, voice tone, listening and problem solving skills. Receives, greets and answers questions of patients, visitors, and staff promptly in a courteous manner. Answers the phone promptly using the standard department greeting. Conducts phone conversations in a calm, courteous and professional manner. Returns patient voice mail messages / requests within the same business day or by the start of the next business day (weekend). Avoids placing callers on hold unnecessarily and returns to holding calls quickly. Takes legible, accurate and complete messages. Communicates messages in a timely manner to the appropriate practitioner and / or staff.
B. Eliminates barriers to excellent customer service delivery. Initiates and reports service recovery steps taken in response to customer concerns.
C. Performs clerical tasks and clinical support according to the age, culture, ethnicity, spirituality, and individual diagnostic needs of the persons served.
D. Maintains confidentiality of potentially sensitive data and patient information (HIPPA).
E. Collaborates with members of the interdisciplinary team. Maintains awareness of the patient’s needs, concerns and problems. Communicates same to the nurse or practitioner.
F. Voices difference in opinion through appropriate channels.
G. Serves as a fully engaged member of the interdisciplinary patient care services team
7. Leadership, Clinical and/or Technical Skills
A. Maintains diligence in completing pre-clinic activities. Schedules appointments in accordance with practice procedures in appropriate scheduling system. Obtains/verifies demographic and insurance information from patients. Informs patients of documents, co-pays and authorizations required on day of appointment including proof of insurance, and photo identification. Alerts Manager, staff and practitioners of schedule changes, problems and/or of appointment availability conflicts.
B. Assists insurance verifier as needed with verification of insurance coverage/ benefits for all patients prior to date of service / visit. Reviews insurance benefits to determine need for referral or pre- authorization of services to be rendered. Obtains required pre- authorizations for all applicable procedures, and admissions as requested. Accesses/ retrieves medical record information (electronically and paper) as needed to assure availability of medical information required for insurance pre- authorization. Provides communication to practitioners and clinical staff of insurance coverage issues at point of discovery or determination.
C. Reviews new and existing referrals for accuracy and completeness on date of visit. Provides patient with assistance when new referrals/authorizations are required for date of service. Collects co-pays according to insurance specification.
D. Completes accurate entry of demographic and insurance information in scheduling and registration systems. Updates demographic and insurance in systems whenever information has changed. Maintains patient flow in clinic according to schedule. Informs appropriate clinical staff when issues/problems arise and impede patient flow.
E. Schedules patient follow-up appointments in scheduling system according to practice procedure and treatment plan. Alerts practitioner and clinical staff when appointment availability conflicts exist.
F. Maintains diligence in completing post-clinic activities. Processes medical record requests within 72 hours of receipt. Returns patients’ medical records to HIM Department within 24 hours. Reconciles practitioner schedules to ensure accuracy of scheduled visits and discharge management.
8. Quality and Patient Safety:
A. Utilizes hand off communication to convey pertinent information to the appropriate staff, interdisciplinary team member or manager.
B. Assures the safety of the environment for patients, visitors and staff members. Detects and takes action to avoid or correct safety risks. Reports appropriately to manager. Demonstrates knowledge, practice and accountability for compliance with the TJC National Patient Safety Goals within defined role. Participates in TJC activities. Assists during external/ internal disasters or other major events as assigned.
C. Participates in situation specific and ongoing audits. Assists with monitoring process changes implemented to address / resolve problems identified.
9. Cost Effectiveness::
A. Demonstrates effective priority setting and time management skills.
B. Participates in audits and identified cost effective strategies that optimize financial outcomes of the department as designed by supervisor and manager.
C. Employs practices that improve efficiency, reduce costs and improve work flow.
10. Other duties as assigned.

REQUIREMENTS:

Education & Experience

• Completion of a high school level of course work with attainment of a high school diploma or a state High School Equivalency Certificate (GED) is required.
• Minimum of two years work experience in a clerical or receptionist position in a health care setting such as an acute care hospital, physician’s office, or a Health Maintenance Organization, performing admissions processing or registration work, and has knowledge of financial requirements.
• Demonstrated knowledge of the operation of PC for operation of an on-line patient registration system for entry and retrieval of demographic and financial information, retrieval of patient information and departmental performance statistics. Ability to operate routine office equipment.
• Will pass the UMMS computer systems’ certification test within three consecutive attempts.

Knowledge, Skills and Abilities

• Demonstrated ability to listen to patient information and translate it to written documentation. Ability to listen to patient complaints and resolve then using positive, proficient guest relations skills.
• Ability to use resourcefulness and problem-solving skills in appropriately resolving varied patient admission/registration issues.
• Ability to work independently; ability to respond effectively under stress.
• Ability to push patients in wheelchairs and to escort patients within the hospital complex.
• Highly effective verbal communication skills are required to relate to multiple levels of clinical and administrative personnel, advise patients and visitors about hospital procedures.
• Effective written communication skills are also required in completing admission documents properly.
• Highly effective verbal communication skills including courtesy, resourcefulness and efficiency in answering questions, giving directions, locating staff and explaining hospital/departmental policies and procedures are necessary. Verbal communication skills may include communicating with an interdisciplinary team, patients, and families. Effective writing skills are also required in order to take messages and maintain miscellaneous records, receipts, reports and logs.