Class Specifications - H.45
Admitting Worker Supervisor - 9030
Principal Admitting Worker - 9031
Senior Admitting Worker - 9032
Admitting Worker - 9033
October, 1975
Series Concept
Admitting Workers interview departmental private and personal Private applicants for admission to a University hospital, or interview applicants for subsidized medical care in the Outpatient Clinic of a University hospital; determine eligibility and assign pay rates for patients accepted for care in the hospitals and clinics; make financial arrangements for hospital and clinic patients; maintain records; and perform other related duties as required. The Admitting Worker series consists of four levels. Admitting Worker is the entry level; Senior Admitting Worker is the operational level; Principal Admitting Worker is the advanced operational or working supervisory level; and Admitting Worker Supervisor is the full supervisory level.
Class Concepts
Admitting Worker Supervisor
Under direction, incumbents supervise the work of Admitting Workers and other clerical personnel, and coordinate the activities of the hospital's admitting services with other hospital departments. This class is distinguished from Principal Admitting Worker in that incumbents have final responsibility for the full supervision of hospital admitting functions such as planning and assignment of duties, resolving difficult problems concerning financial arrangements. for admission to the hospital, and recommending changes in policies and procedures within their department.
Incumbents typically select and train Admitting Workers and other clerical personnel; distribute work loads and review work of personnel; schedule working hours; develop and modify admitting procedures; handle problems of a difficult or non-routine nature, as well as complaints from patients, physicians and relatives; accept reservations from attending staff; assign beds to patients and maintain bed control; interpret departmental policies and procedures to physicians, patients and other departmental personnel; and recommend policy changes to supervisors or Hospital Administration.
Principal Admitting Worker
Under general supervision, incumbents serve as working supervisors of Admitting Workers and other clerical personnel; and assist in planning and assigning duties, developing new procedures and coordinating activities with other departments; or act at an advanced operational level in dealing with patients who have particularly difficult problems concerning eligibility, billing or financial arrangements; who need resource development; and/or who require continuing support and follow-up.
Typical examples of non-supervisory positions in hospitals or out-patient clinics include: interpreting or resolving complex problems involving third party payment and/or multiple billings from several hospital sources; actively developing all possible sources of financial assistance including Medi-cal, Crippled Children's Services, other agencies, health insurance, research and other special hospital funds; and providing close, continuing follow-up for patients who have difficulty meeting their outpatient costs including coordination with hospital Social Services and Accounts Receivable.
In hospitals, incumbents may assist in the control and supervision of advance reservations and bed control for departmental and personal private patients; work with resident house staff, private physicians, nursing staff, hospital administration and outside agencies to resolve difficult or non-routine problems regarding authorization of admission/placement of patients; and perform the duties of Admitting Worker Supervisors in their absence.
In outpatient clinics, incumbents may select and train personnel; distribute work loads; schedule working hours; handle problems of a difficult or non-routine nature, such as granting special ratings of subsidized care or credit extension; develop and modify admitting procedures on the basis of eligibility patterns; recommend policy changes to Outpatient Clinics Administration; and coordinate the activities of the Central Appointment Desk and the Clinics through the Nursing Supervisor, Cashier's Desk, and the Hospital Administrator's Office.
This class is distinguished from the class of Senior Admitting Worker in that incumbents act as working supervisors; or resolve difficult problems concerning eligibility, billing or financial arrangements; or act as case workers for patients requiring resource development or continuous support and follow up; and recommend changes in policy and procedure.
Senior Admitting Worker
Under supervision, Senior Admitting Workers assigned to hospitals estimate length of hospitalization from the doctor's diagnosis and arrange for a deposit on the estimated cost of hospitalization; secure necessary authorization for patients sponsored by private or public agencies; recommend assignment of available teaching funds for patients within established standards; and verify and evaluate insurance benefits.
In outpatient clinics, incumbents verify insurance and make financial arrangements for clinic patients, or obstetrical patients who are going to be hospitalized; contact sponsoring private or public agencies to obtain authorization of payment for clinic care; and may refer ineligible applicants to other agencies.
This class is distinguished from Admitting Worker in that incumbents perform at the operational level, and handle more complex assignments involving in-patient care arrangements, third party sponsorships, or insurance and credit work.
Admitting Worker
Under close supervision, incumbents interview applicants for subsidized outpatient and inpatient care, and explain the basis for availability of such care; obtain specified personal and financial data, and physician or agency by whom referred; determine, in accordance with prescribed standards, the eligibility of applicants for clinic care on the basis of financial status, possible duration of illness, probable expense involved, and teaching value as indicated by the examining physician; assign pay rates for accepted patients in accordance with patient's ability to pay; determine the period of time such rates will be effective, and at that expiration date review the patient's financial status for re-assignment or change in rate, or referral elsewhere.
This class is the entry level in the Admitting Worker series. Guidelines exist for the performance of work, add there is review of the work performed.
Minimum Qualifications
Admitting Worker Supervisor
Graduation from high school or a General Education Diploma and four years of clerical experience, including three years in a hospital admitting department; or an equivalent combination of education and experience; and knowledges and abilities essential to the successful performance of the duties assigned to the position.
Principal Admitting Worker
Graduation from high school or a General Education Diploma and three years of clerical experience, including two years in a hospital admitting department; or an equivalent combination of education and experience; and knowledges and abilities essential to the successful performance of the duties assigned to the position.
Senior Admitting Worker
Graduation from high school or a General Education Diploma and two years of clerical experience, including one year in a hospital admitting department; or an equivalent combination of education and experience; and knowledges and abilities essential to the successful performance of the duties assigned to the position.
Admitting Worker
Graduation from high school or a General Education Diploma and one year of general clerical experience; or an equivalent combination of education and experience; and knowledges and abilities essential to the successful performance of the duties assigned to the position.