An Enrollment Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. Assists eligible applicants with enrolling in a program.
Emergency Department Admissions Specialist University of Connecticut - 4.2 Farmington, CT Job Details Full-time | Contract 4 hours ago Qualifications Medical office management Medicare Interviewing clients Insurance regulation Financial records management Medicare regulations Financial record maintenance Centers for Medicare and Medicaid Services (CMS) Schedule creation Centers for Medicare & Medicaid Services (CMS) billing regulations Computer skills Medicaid regulations Medicaid Bookkeeping Medical terminology
Full Job Description Additional Links:
This position is Benefit eligible; click here for an overview of available benefits. This position is covered by the UHP Bargaining Unit; click here to review the current UHP Contract. This position is in salary group UHP-03; click here to review the current UHP Pay Plan. UConn Health is looking to hire an Emergency Department Admissions Specialist to become a member of the Emergency Department team, this position will be responsible for performing a full range of administrative task, assuring the efficient admission of patients and accuracy of patient status in the appropriate systems.
SCHEDULE
This is a full time, 40 hours per week, varied shifts with standard hours of 3:00 p.m to 11:30 p.m., rotating weekends and holidays. 30-minute unpaid meal break
SUPERVISION RECEIVED
: General supervision from employees of higher grade.
Knowledge of medical terminology; knowledge of bookkeeping; computer skills; knowledge of the principles and practices of clinic office management; ability to interpret Medicare, Medicaid, commercial insurance industry regulation; good interpersonal skills, oral and written communications skills; knowledge of the principles and techniques of patient interviewing; knowledge of the relevant hospital/department, insurance and Medicare policies and procedures including billings and credit policies and procedures; ability to schedule and prioritize workflow.
EXPERIENCE AND TRAINING
Three (3) years of experience in an ambulatory care, emergency department or customer service setting and previous experience with insurance requirements.
SUBSTITUTION
: College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equaling one half (1/2) year of experience to a maximum of one (1) year.
PREFERRED QUALIFICATIONS
1.5 years Emergency Department registration experience 1.5 years of EPIC experience
EXAMPLES OF DUTIES
Process inpatient admissions/discharge/transfers for elective, urgent, direct and emergency admissions, and obtains required information. Maintains daily census, statistics, daily admission/discharge/transfer lists and systems error logs in all relevant system. Prepares and distributes daily ADT [admissions/discharges/transfers]. Assigns bed according to established policies, including clinical criteria; maintains accurate patient locations. Performs interviewing work of a specialized nature relating to the pre-admissions, admissions, and discharge of ED records. Inputs and administers charges for services utilizing appropriate guidelines. Counsel patients on insurance coverage and billing procedures. N Notifies appropriate personnel of changes to admission or missing signatures. Contacts the relevant sources (insurance companies, HMOs, the third parties etc.) to obtain insurance verification data and pre-certification approval for admissions. Maintains up-to-date information on various insurance policies. Collects co-pay and valuables, prepares receipts and makes deposits adhering to University and State guidelines. Process ED records and enter billings (codes, diagnosis, verifying information, batching, totals etc.). Response to inquiries from other parties (i.e. patients, insurance companies, central administration) regarding admission data, including billing inquiries. Performs other related duties incidental to the position.
WHY UCONN HEALTH
UConn Health is a vibrant, integrated academic medical center that is entering an era of unprecedented growth in all three areas of its mission: academics, research, and clinical care. A commitment to human health and well-being has been of utmost importance to UConn Health since the founding of the University of Connecticut schools of Medicine and Dental Medicine in 1961. Based on a strong foundation of groundbreaking research, first-rate education, and quality clinical care, we have expanded our medical missions over the decades. In just over 50 years, UConn Health has evolved to encompass more research endeavors, to provide more ways to access our superior care, and to innovate both practical medicine and our methods of educating the practitioners of tomorrow.
