Admission Specialist

This is a fully remote position, open to applicants in South Carolina.

📋 Description

• Serve as the primary point of contact for payors regarding Inpatient admissions and Observation.

• Submit necessary documentation for initial authorization and notification purposes.

• Gather and relay statistical data for designated patient population areas.

• Update and maintain authorization numbers and approved days within registration and other relevant systems.

• Secure discharge dates for payers as required.

• Verify insurance coverage and benefits through online eligibility systems or phone inquiries.

• Record insurance verification details in the system.

• Ensure the correct prioritization of insurance based on third-party requirements and Coordination of Benefits (COB).

• Initiate pre-certification processes following departmental protocols.

• Conduct interviews with patients or their representatives to collect financial, demographic, and employment information.

• Accurately enter information into computer databases.

• Access Sovera to confirm if the most recent insurance card is on file.

• Follow up on incomplete or missing information.

• Work collaboratively with other departments to ensure efficient processes and facilitate problem-solving.

⛳️ Requirements

• High School diploma or equivalent.

• Minimum of 3 years of experience in Revenue Cycle, Patient Access/Billing, Collections, and/or Customer Service.

• Familiarity with Medical Terminology.

• Basic computer skills.

• Knowledge of office equipment.

• Proficient in computer skills, specifically word processing.

• Data entry capabilities.

• Ability to adhere to HIPAA and EMTALA Guidelines.

🏝️ Benefits

• Full-time employment.

• Day shift schedule.

• Remote work arrangement.