Admissions Officer at Lagoon Hospitals

Location: Ikoyi, Lagos

Reports to: Chief Matron
Internal Contacts: Medical Officers, Care Coordinator, Medical Director, Patient Care Services
External contacts: Patients, Patient Relatives, HMOs, Corporate Organizations.

Job Description

• This role is responsible for overseeing every aspect of the patient admissions process to improve revenue and the quality of patient care.

Summary of Responsibilities

• Ensure patients are admitted in accordance with hospital policies and procedures.
• Pre-admits patients by receiving bookings from physicians; confirming admitting privileges of physicians; interviewing patients; entering patient information to pre-admissions database
• Secures payments by screening insurance information; identifying patients requiring pre-admission approvals from third-party payers; verifying approvals; notifying patient accounts department of self-paying admissions.
• Prepares admission folders by gathering admission documentation for scheduled patients.
• Admits emergency room and maternity patients by obtaining information from family members; visiting emergency room, delivery room, or patient room.
• Manages bed availability and occupancy to maximize bed occupancy and patient traffic according to hospital regulations and guidelines.
• Reduces admissions conflicts and discrepancies by collaborating with physicians and assigns beds according to priority
• Performs regular audits to ensure proper handling and accuracy of all patient data to ensure revenue for hospital.
• Improves delivery of patient care by integrating admissions procedures with other care staff, including working with various hospital department
• Generates weekly, monthly reports on admissions, beds availability and occupancy and other related report as required.
• Accepts ownership for actions and decisions, accomplishments and actively explores new opportunities on the job to enhance skills and knowledge.
• Other duties as assigned

Key Result Areas/ Performance Goals:

• Admission wait time
• Patients Experience Rating
• Number of HMO /PVT/ FFS claims denied because of failure to obtain prior authorization
• Reporting within prescribed TAT
• Accuracy of report
• Use of SOPS / adherence to quality standards

Job Qualifications

• A Bachelors degree or its equivalent in Health Information Management, Nursing or a related discipline.
• A minimum of 2 years work experience in an related role. Experience in the healthcare industry will be an added advantage.
• Knowledge of, and experience with Health information management systems is essential.

Core Competencies:

• Operational Knowledge of patient admission processes
• Knowledge of Hospital Information System (EMR/AKHIL)
• Knowledge of Health Insurance products and services
• Compliance management
• Client Management
• Microsoft Office skills - Excel, Word, and outlook
• Market research
• Analytical Thinking
• Pricing Analysis / Financial analysis
• I-CARE attributes (Integrity, Compassion, Attentiveness, Respect, Excellence and Empathy)
• Good organizational skills
• Good interpersonal and communication skills