Admitting/HMO Assistant

DUTIES AND RESPONSIBILITIES

Admitting Support Functions

• Assists in processing patient admissions, transfers, and discharges in accordance with hospital policies and procedures.
• Collects, verifies, and encodes patient demographic information, consent forms, and admission documents accurately and completely.
• Prepares admission records and ensures completeness of required forms prior to patient endorsement to the appropriate nursing services units.
• Coordinates with nursing services units and other units/offices/departments regarding patient admission status and requirements.

HMO and Insurance Assistance

• Assists in verifying patients' HMO and insurance eligibility, coverage, and benefit limitations.
• Prepares and submits required documents for HMO authorization, approval, and case rate confirmation.
• Communicates with HMO representatives regarding coverage inquiries, approvals, and follow-ups as directed by the Admitting/HMO Officer.
• Maintains and updates HMO logs, authorization trackers, and related records.

Documentation and Records Management

• Maintains accurate and confidential patient admission and HMO records in both manual and electronic systems.
• Ensure proper filing, safekeeping, retrieval, and archiving admitting and insurance documents.
• Assists in preparing reports related to admissions, HMO utilization, and daily transaction summaries.

Patient Assistance and Customer Service

• Provides courteous assistance to patients and their representatives regarding admission procedures, requirements, and HMO-related concerns.
• Directs patients and families to the appropriate hospital units/offices/departments or personnel when necessary.
• Handles inquiries professionally while maintaining confidentiality and patient privacy.

Compliance and Quality Support

• Adheres to hospital policies, data privacy requirements, and confidentiality standards.
• Assists in ensuring compliance with accreditation standards, internal audits, and quality improvement initiatives related to admitting and HMO services.

Other Responsibilities

• Performs other duties and responsibilities as may be assigned by the Admitting/HMO Officer.

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