- High School diploma or G.E.D required.
- Previous registration or related experience preferred.
- A basic understanding of medical terminology is preferred.
- Bilingual ability (Spanish/English) preferred.
- Customer service oriented and detail focused.
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Patient Access Representative - Chicago, United States - Community First Medical Center
Description
We are seeking a Patient Access Representative that is responsible for a variety of duties necessary to register and pre-register patients, ensure eligibility, verify insurance, issue Advanced Beneficiary Notices and order ancillary testing. The duties performed will illustrate what is best for the patients as well as the development of an awareness and cooperation reflecting the interrelationship of departments in caring, comforting and healing the sick and injured.
Position available: Full time, 9:30am-6:00pm with rotating weekends and holidays.
ESSENTIAL DUTIES AND RESPONSIBILITIES
1. Register and Pre-Register patients while maintaining productivity, accuracy, and quality standards. Explain the registration process to patients, anticipates and answers patients 'questions. Ensures that accurate and complete data is entered for all patient demographic, clinical, accident related, and insurance information. Completes all required legal documents, obtains, and scans all documents related to the revenue cycle.
2. Ensure that financial protocols and requirements are met during various points in the revenue cycle including pre-registration, registration, scheduling, and admitting. Verifies registration accuracy, insurance eligibility. Confirms authorizations prior to initial Outpatient visits. Completes the notification of admission for ER admissions. Communicates with other hospital departments as needed to complete registration process and to verify and confirm adequate insurance eligibility and coverage.
3. Performs POS collections as required by the individual insurance plan. Seeks assistance from financial counselors when needed to maintain patient flow and ensuring financial clearance of the account.
4. Schedules single and recurring outpatient ancillary and clinic appointments. Maintains and updates provider schedules. Screens referrals and physician orders to make sure they meet medical necessity for the individual provider and ensures that calls to physicians for further clarification of orders are completed. Schedule out to ensure ample time to obtain authorizations. Give patient any preps for tests being scheduled.
Community First Medical Center offers benefits to all its full-time and part-time employees:
United Healthcare Medical PPO/HMO Plans| MetLife Dental |MetLife Vision| 6 Paid Holidays | Paid Time Off | Company Paid Short-term & Long-term Disability | Company Paid Life Insurance | 401(k) | Voluntary Benefits: Hospital Indemnity & Critical Illness
Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
Education and/or Experience