University of Maryland Medical Center - Midtown Campus has had a long history of working to keep our community healthy. Located in Baltimore’s cultural center near the historic Mount Vernon neighborhood, UMMC Midtown Campus is a 200-bed non-profit, community teaching hospital, and part of the University of Maryland Medical System. UMMC Midtown Campus was named a 2014-2015 Best Regional Hospital in Baltimore by U.S. News & World Report.
Duties and Responsibilities:
Welcomes and effectively communicates with all patients, visitors, clinical staff, other hospital departments, transferring facilities, and Patient Access staff and management whether over the phone or in person.
Directs patients and visitors as well as transfers calls to the appropriate area as needed.
Provides coverage in other departmental areas during peak times and staffing shortage in order to avoid patient delays and provide timely service to patients.
Schedules, pre-registers, and registers patients for outpatient and inpatient services in a courteous and prompt manner by interviewing patients or their representatives. Outpatient services include Emergency Department, ancillary, surgical, and practice appointments. Inpatient services include acute medical and surgical, post acute and behavioral admissions.
Responsible for the accurate, complete, and timely capture and data entry of the patient’s demographic, financial, and clinical information into the various information systems including the scheduling, ED patient tracking, bed assignment, registration, and/or scanning information systems.
Obtaining the patient’s information is to facilitate the verification of the unique patient identifiers for clinical purposes, billing and collections process, and compliance with state and federal regulatory requirements.
During the registration and admitting process, requests and scans into the scanning system, the patients or responsible parties government-issued picture identification card, insurance cards, and other appropriate documents such as referrals, authorization letters, etc. Documents in the registration system, the information that is scanned into the system.
Verifies insurance coverage and benefits utilizing all available verification and eligibility tools and calls payers when needed. Documents all ascertained information into the registration system.
The Important Message for Medicare letter is required by the Centers for Medicare and Medicaid Services (CMS) and applies to all Medicare inpatients. This letter provides the Medicare beneficiary written information about their discharge rights. The IMM is a standard notice that must delivered to all Medicare inpatients on admission and before discharge.
The Advanced Beneficiary Notice is a standardized notice that must be issued to a Medicare beneficiary, before providing certain Medicare Part B outpatient services.
Coordinates and schedules appointments following all area policies and procedures for appropriate treatment.
Responsible for generating appointment reminder letters and submitting for mailing.
Retrieves ED log and enters clinic appointments made by ED physicians.
Pre-registers and screens patients based upon departmental guidelines.
Overbook appointments when proper approval is obtained from clinical staff. Document approval on pre-registration account in registration system.
As instructed by management for applicable clinical services that exceed the goals for next available appointments, follow the established protocols to allow patients alternatives for clinical care when appointment availability for their referred doctor is outside of our availability benchmarks and/or is not within a timeframe to address their clinical needs. Maintain referral log as appropriate to track process.
For scheduled services, communicates appropriate information to the patient or representative.
Estimates, requests, and collects co-payments, deductibles, co-insurance and self pay amounts following hospital financial guidelines. Processes payment including completion of patient receipt, payment log, and deposit into the safe following department’s cash collection policy and procedures.
Organizes and directs all functions of Bed Control by utilizing all information systems in order to maintain accurate patient placement information. Maintains complete and accurate admission, discharge, transfer (ADT) activity, team assignments, and bed availability list.
Facilitates intake information and enters bed assignments for admissions, transfers, and observations from physicians’ offices and other facilities.
Completes bed assignment data entry in bed tracking and registration systems as instructed by Nursing Supervisor and/or Bed Czar, which is according to established hospital and departmental policies and procedures.
Maintains open communication with nurses, nursing unit secretaries, nursing directors and housekeeping supervisors. Reports to manager problematic bed assignment issues.
Follows protocols involving Hospitalist admission for managed care patients.
Completes systems and paper logs to track patient transactions, shift reports, teaching cases, and other unique procedures to assure accurate assignment of beds and Attending Physicians.
Completes daily nursing census reconciliation, review and correction if needed of admissions and observation statuses and appropriate accommodation codes, and processing of status change order entries by Case Management or Nursing.
Obtains and documents authorization numbers for observation accounts, inpatient admissions, and surgical outpatients.
Prints previous days’ admissions to ensure payer notification, verification of benefits and authorizations have been obtained.
Reprint and distribute new face sheets when additional or corrected information is obtained.
What You Need to Be Successful:
Minimum high school diploma, typing 35 wpm medical terminology
At least one year in a hospital, physician’s office or clinic setting, public contact