Admitting Representative- Hospital- Guidehouse- Los Angeles, CA
Los Angeles, CA 
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Posted 3 months ago
Job Description
Job Title
Admitting Representative- Hospital- Guidehouse- Los Angeles, CA
Job ID
11001
Location
Los Angeles, CA
Full/Part Time
Full-Time
Regular/Temporary
Regular
Practice Information

Interested in working with talented people to help develop innovative solutions to some of society's most complex and challenging problems? We are Guidehouse, a leading consulting firm serving the public sector and commercial clients with specialized capabilities in strategy, technology, and risk management. You may not yet know our name, but we have a rich history. Guidehouse is a combination of PwC's former public sector practice and Navigant's deep expertise in energy, financial services and healthcare.

We offer an exciting, fast-paced environment that fosters intellectual growth and rewards individuals based on impact, not tenure. Our firm is at the forefront of an emerging model solving complex problems that stretch across government and private companies, affording our people the opportunity to be on the cutting edge of the consulting profession. By focusing on markets facing transformational change, technology-driven innovation, and significant regulatory pressure, our employees also develop and deploy world class knowledge and problem solving that leads to breakthrough solutions.

Our healthcare segment is comprised of consultants, former provider administrators, clinicians, and other experts with decades of strategy, operational/clinical consulting, managed care services, digital health, revenue cycle management, and outsourcing experience. Professionals collaborate with hospitals and health systems, physician enterprises, payers, government, and life sciences entities, providing performance improvement and business process management solutions that help them meet quality and financial goals. You will make an immediate impact from day one, working with a team to provide end-to-end solutions. We don't simply put band-aids on our client's issues, we are working side-by-side with them. Are up for the challenge?

Business Process Management unites the strengths of four category-leading companies to address the complexities of today's healthcare system. We design, develop and implement integrated, patient-centered solutions for sustained improvements in performance and profitability, working collaboratively across a spectrum of customers that encompasses hospitals, health systems, physician practice groups and payers.

Responsibilities

The Admissions Representative - Hospital 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 performs any and all job related duties as assigned.

  • Ensure accurate data element
  • Customer service excellence

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 Experience 1 year experience utilizing data entry skills, insurance 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.
Mental/Physical Requirements
  • Strong conceptual, as well as quantitative and qualitative analytical skills
  • Work as a member of a team as well as be a self-motivator with ability to work independently
  • Constantly operates a computer and other office equipment to coordinate work
  • Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data
  • Generally works in an office environment

EEO/C&B Statement

Additional Requirements

  • This position requires successful completion of a background check and employment verification.
  • 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.

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 1-571-633-1711 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.

About Guidehouse

With a unique blend of large firm resources and an entrepreneurial collaborative culture, Guidehouse is where your purpose, passion, and expertise transform organizations. 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 with a focus on markets and clients facing transformational change, technology-driven innovation and significant regulatory pressure. Across a range of advisory, consulting, outsourcing, and technology/analytics services, we help clients create scalable, innovative solutions that prepare them for future growth and success. Headquartered in Washington DC, the company has more than 7,000 professionals in more than 50 locations. If you're passionately motivated to make a difference and deliver exceptional work, we invite you to learn more about your career opportunities at www.guidehouse.com

 

Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
High School or Equivalent
Required Experience
1+ years
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