Bed Management Specialist

The Bed Management Specialist will provide patient services and administrative support in clinic operations, and interact with parents, patients, physicians and other staff under moderate supervision in a courteous manner. Responsible to obtainin and validate patient information from various sources and to ensure information entered into the computer management system is accurate. Perform the registration process for all inpatients and outpatients and obtain required forms and signatures, and complete all managed care notification requirements. Contact various payers to obtain precertification, co-pay and deductible information. (Will notify patient that a co-pay or deductible is required.)

Qualifications:
Minimum Education
High School Diploma or GED (Required)

Minimum Work Experience
2 years related experience. Experience performing billing, patient registration, and scheduling, medical insurance verification, insurance screening and charge posting. (Required)

Functional Accountabilities
Technical Responsibilities

• Assign beds to patients in accordance with established criteria in the "Accommodation Policy".

• Change the accommodation code for all transfers that cannot be accommodated (i.e. A request for transfer is received for an ICU patient for an IMC bed but patient cannot be moved. Accommodation code must be changed in the HBOC/Star Application.

• Assign beds within 15 minutes of patient's arrival to floor4 . Notify AD of Direct Admissions Update Cerner Application when an Emergency Room Patient is admitted.

• Communicate with the AD/Unit if unable to accommodate patient within 15 minutes.

• Collaborate Insurance Verification to insure reimbursement criteria are met (i.e. evs, rte, faxing face sheets).

• Refer direct admits to Insurance Verification for processing.

• Contact AD in regard to inpatient transfers from other hospitals.

• Respond to telephone request for beds and complete information on Request for Admission Forms. (I.e. date and time of request, time bed assigned reason for cancellation, contact person).

• Admit NICU babies as quickly as possible

• Maintain waiting list of patients to be admitted. (Keep physicians and patients aware of admits status

• Complete Quality Assurance (QA) Reports on a daily basis. (i.e. RMB charges and outpatient in bed 23 hours, monitor OPO bed in the ED).

• Ensure all applicable Admission forms are completed in their entirety.

• Function as a Registrar when requested.

• Meet or exceed hospital/department. "Service Excellence" standards as outlined by CNMC.

• Meet or exceed hospital/department telephone etiquette standards.

• Answer the phone within 3 rings.

• Assume responsibility for any call answered to completion of request; ask permission to place callers on hold or transfer their calls; thank the caller for calling CNMC.

• Assist with interpreter services when possible.

• Maintain composure during difficult situations; exhibit sensitivity and good judgment when resolving patient problems and referr issues to the department manager .

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

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• Anticipate and responds to customer needs; follows up until needs are met

• Demonstrate collaborative and respectful behavior

• Partner with all team members to achieve goals

• Receptive to others' ideas and opinions

• Contribute to a positive work environment

• Demonstrate flexibility and willingness to change

• Identify opportunities to improve clinical and administrative processes

• Make appropriate decisions, using sound judgment

• Use resources efficiently

• Search for less costly ways of doing things

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance