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Admitting Worker 

UCI Series Concepts

Class Specifications - H.45
Admitting Worker Supervisor - 9030
Principal Admitting Worker - 9031
Senior Admitting Worker - 9032
Admitting Worker - 9033

October, 1975

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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.

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