Admissions Coordinator II

Job Summary

The Admissions Coordinator II interacts with patients, physicians' offices, and ancillary departments to complete registrations for all patients who present for hospital services. Responsible to obtain correct demographic and insurance information for registration in the computer system. Verifies patient's insurance eligibility and benefits. Verifies and obtains authorization numbers. Identifies patient's financial responsibilities and provides the patient with a written estimate of that liability. Works with Director on various tasks assigned to improve Denial Reduction as well as any special projects assigned. Assists Case Management and Medical Records departments for corrections to patient accounts/records and maintains several reports generated from the registration system.

Essential Functions

• Reviews scheduled procedures and recent admissions to verify insurance eligibility, benefits, and authorization requirements for all patient visits.
• Collaborates with physician offices, insurance companies, and case management staff to secure prior authorizations and address financial clearance needs.
• Accurately collects and enters patient demographic, financial, and insurance information into the registration system while ensuring compliance with established procedures.
• Provides patients with written estimates of financial liability and addresses questions regarding coverage, costs, and payment options.
• Utilizes the registration scanning system to maintain accurate records and ensures documentation aligns with regulatory and organizational standards.
• Verifies insurance coverage and eligibility, initiating pre-certifications for commercial insurance as required.
• Assists with resolving registration-related issues and escalates complex problems to the manager when necessary.
• Collaborates with Eligibility Screening Services (ESS), Shared Service Center (SSC), and other departments to financially secure patients and improve denial reduction processes.
• Supports the Case Management and Medical Records departments in correcting patient account information as needed.
• Generates and maintains reports from the registration system to track registration accuracy, insurance verification, and denial trends.
• Greets patients, families, and staff with professionalism and respect, fostering a welcoming environment for all visitors.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

• H.S. Diploma or GED required
• Associate Degree in Healthcare Administration, Business, or a related field preferred
• 2-4 years of experience in patient access, registration, or healthcare-related administrative role required and
• 2-4 years of experience with insurance verification and authorization required

Knowledge, Skills and Abilities

• Strong knowledge of insurance verification, eligibility, and prior authorization processes.
• Excellent customer service and interpersonal communication skills to interact with patients, staff, and external stakeholders.
• Proficiency in using registration and billing systems, as well as other healthcare-related software.
• Strong problem-solving skills and ability to manage multiple tasks in a fast-paced environment.
• Attention to detail and accuracy in data entry and documentation.
• Understanding of patient privacy and confidentiality regulations (e.g., HIPAA compliance).
• Ability to collaborate effectively across departments to ensure efficient patient access and financial clearance.

Licenses and Certifications

• Cardiopulmonary Resuscitation (CPR) issued by the American Heart Association BLS obtained within 90 days of hire date required