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Job Summary

The Pre-Admission Testing Representative is responsible for coordinating pre-admission processes by obtaining and verifying patient demographic, medical, and insurance information prior to scheduled procedures or surgeries. This role ensures all required pre-admission testing, documentation, and authorizations are completed to facilitate a smooth admission process. The Pre-Admission Testing Representative works closely with patients, clinical teams, and insurance providers to confirm compliance with regulatory and facility requirements.

Essential Functions

+ Collects and verifies patient demographic, medical history, and insurance information before scheduled procedures.

+ Ensures pre-admission testing requirements are met, including laboratory work, imaging, and other necessary screenings.

+ Reviews and obtains necessary pre-certifications, authorizations, and referrals from insurance providers.

+ Coordinates with physicians, nurses, and scheduling teams to confirm all required medical documentation is available.

+ Communicates with patients regarding pre-admission requirements, fasting instructions, medication restrictions, and procedural preparations.

+ Documents all pre-admission information in the electronic health record (EHR) and ensures accuracy for seamless patient processing.

+ Protects patient health information (PHI) by following HIPAA and facility guidelines for confidentiality and security.

+ Assists with patient financial counseling by explaining out-of-pocket expenses, deductibles, and co-payments.

+ Works closely with scheduling and registration teams to resolve any discrepancies in patient information before admission.

+ Ensures compliance with hospital policies, state regulations, and Joint Commission (TJC) accreditation requirements.

+ Performs other duties as assigned.

+ Maintains regular and reliable attendance.

+ Complies with all policies and standards.

Qualifications

+ 0-2 years of experience in pre-admission testing, patient access, medical office administration, or healthcare financial services required

+ Experience with electronic health records (EHR), patient scheduling systems, and insurance verification preferred

Knowledge, Skills and Abilities

+ Proficiency in patient registration, pre-admission testing procedures, and insurance verification.

+ Strong knowledge of healthcare insurance policies, prior authorization requirements, and medical terminology.

+ Excellent communication and customer service skills to interact with patients, clinical staff, and insurance providers.

+ Ability to analyze medical records, ensure documentation accuracy, and coordinate with multiple departments.

+ Strong problem-solving skills to resolve scheduling, authorization, or documentation issues before admission.

+ Ability to handle sensitive patient information with a high level of confidentiality and compliance with HIPAA regulations.

+ Strong organizational and multitasking skills to manage multiple patient cases efficiently.

Equal Employment Opportunity

This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.