Admitting/HMO Assistant
2 weeks ago
DUTIES AND RESPONSIBILITIES
Admitting:
- Receives admission notice from Emergency Room through the patient or relatives.
- Interviews patient or his representative to obtain identifying information such as patients name, address, age, telephone number and occupation, persons to notify in case of emergency; attending physician; and individual insurance company responsible for payment of hospital bill.
- Screens financial capability of the patient and give clearance in case the patient is for operation.
- Estimates the procedure that may be done to the patient.
- Encodes and print admitting forms and obtains patients or representative's signature.
- Prepares identification armband for patient.
- Explains hospital regulations relative to visiting hours, charges and payment of bills.
- Explains patient rights and responsibilities.
- Distributes and explains patient's questionnaire to patient or relatives of patient.
- Explains the necessary benefits such as: PhilHealth, Senior Citizen, Discounts, and other acceptable benefits.
- Assigns patient to room or ward, based on nature of illness and type of accommodations available or requested.
- Escorts or arranges to have patient escorted to appropriate room.
- Routes admitting forms to appropriate department.
- Maintains index of assigned and vacant beds.
- Prepares daily census reports of hospital patients.
- Reports patient to their HMO/Company once admitted in order to verify coverage
- Receives requests for accommodations and makes necessary pre-admission arrangements.
- Arranges for transfer of patients to other accommodation.
HMO:
- Reviews Arranges for transfer of patients to other accommodation.
- Reviews hospital admitting records of new patients to a certain type of hospital coverage and financing agency.
- Verifies all the health card of patient relative to the validity and expiration of membership card and the identity of card holder.
- Records patient identification data consultation forms and obtains signature of patient or responsible party.
- Swipes the health card and contacts HMO representative for coverage verification and acquire information regarding the extent of agency benefits.
- Contacts HMO representative for their approval if there is laboratory/diagnostic request.
- Refers the patient to accredited physician.
- Informs the patient for reminder of charges not covered by the financing agency.
- Sorts guarantee letters, LOA, insurance forms and charge slips according to individual payer.
- Reviews documents for completeness.
- Verifies accuracy of figures, calculations and postings of hospital charges, payments, discounts, adjustments and account balances with source data.
- Prepares itemized statement of accounts.
- Performs other task that maybe assigned by the superior from time to time.
- Verifies accuracy of figures, calculations and postings of hospital charges, payments, discounts, adjustments and account balances with source data.
- Performs other task that maybe assigned by the superior from time to time.
JOB SPECIFICATION
Education:
Graduate of Bachelor of Science in Business Administration or any business-related course with knowledge in computer.
Work Experience: At least six (6) months work related experience.
Job Type: Full-time
Benefits:
- Employee discount
- Free parking
Work Location: In person
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