- Responsible for performing all job duties in a way that conforms to our customer service philosophy and consistent with our "AIDET" standards
- 1)Greet and Acknowledge all patients and family members in a welcoming and prompt manner.
- 2)Introduce the patient to our services, what they can expect while under our care. Utlize appropriate etiquette in all communications.
- 3)Provide the patient with information on the likely time spent in the service area (duration) including time in registration and time in clinical service.
- 4)Explain the nature of our work, why we ask for demographic, socio-economic, and financial information. Explain how we safeguard their information and use it to provide better care for them.
- 5)Hand-patients off to the next area with a clear "thank you."
- When creating new registrations for walk-in patients, responsible for the identifying insurance coverage, the benefits available, patient out-of-pocket expenses, and collecting co-insurance and co-payments.
- 4)Collecting appropriate out of pocket expenses in accordance with policy.
- 1)Uses electronic systems to confirm coverage while patient is present and discussing the findings with the patient. Follow established department policies to resolve issues related to patient's eligiblity for coverage or issues in in-network status for the patient using Advocate's network.
- 2)When working uninsured patients, screen for urgent status cases and follow charity procedure. Refer as appropriate for additional financial counseling. Engage leaders to resolve questions on urgent versus non-urgent/elective care.
- 3)When assisting walk-in patients, screen orders for compliance with policy. Work with physicians, Care Coordinators, and clinical department leaders to communicate and resolve issues related to order quality and acceptable standards.
- Responsible for security authorization and precertification of inpatient and outpatient services.
- 5)Notify Financial Counseling, physicians, Care Coordinators, and Utilization Management on cases were patients are found to be uninsured, or where the only insurance is Third Party Liability or Workers Compensation
- 1)Maintains knowledge of all stand-alone computer software programs to verify eligibility.
- 6)Identify at risk balances related to Medicare co-days, lifetime reserve days and other Medicare coverage limits and communicate to Financial Counseling, UM and physicians
- 7)Identify at risk balances relate to Medicaid eligibility rules and communicate to Financial Counseling, UM and physicians
- 8)Initiates communication to patient when authorization is not obtained and explain the potential financial impact and the patient responsibility for unauthorized services
- 9)Accurately collects and analyzes clinical data in support of prior authorization, and precertification as required by payor guidelines
- 10)Acquires and maintains current knowledge of all insurance requirements as it relates to patient/hospital responsibility and hospital billing.
- 2)Stays current of all Federal and State regulations regarding billing.
- 3)Ensures completion of all established policies and procedures for identification and notification of the Primary Care Physician in the case of HMO coverage plans.
- 4)Informs Financial counseling, physicians, Care Coordinators and Utilization Management of out of network or noncovered service limitations of managed care/commercial insurance where benefits are at risk
- Responsible the pre-registration and registration accuracy.
- 6)Maintains knowledge of State & Federal regulations governing Medicare, Medicaid and Mental Health registrations.
- 1)Ensure accurate entry of patient demographic, insurance information in the ADT system with special attention to carrier code assignment, complete benefit, eligibility record and authorization data
- 2)Pre-registers and registers patients using established procedures for computer entry for all ancillary and nursing units, keeping current with their specialized needs and preparing necessary documents/records when necessary.
- 3)During the pre-registration or registration encounter, provide detailed education to the patient the contents of documents and forms requiring patient signature.
- 4)Manage incoming and outgoing calls in order to complete pre-registrations with patients
- 5)Generates, assembles and processes all required documents for completion of each registration.
- Participates in departmental team building activities and in-services and other miscellaneous duties as assigned by leader.
- 1)Contributes to the quality initiatives and mission by participating in team projects.
- 2)Attends all required departmental in-services to stay current of all job changes and responsibilities.
- 3)Assist leader in special assignments as may be needed to fulfill the mission of the department and the organization.
- High School Diploma with 2 years of experience in either Patient Access or any of the following related experience; general physician office support or billing office, insurance office, hospitality, or call center (any industry) Intermediate math skills acquired through classroom work or through work experience
- Typing 25 WPM Basic understanding of web-based systems, proficiency in data entry
- N/A
- Ability to prioritize and organize workload Sophisticated interviewing, communication and negotiation skills Independent decision making Ability to work hours that verify based on needs of the organization including evenings, weekends and holidays. Ability to work as a team member
- Must be able to sit, stand, walk, lift, carry, squat, and bend frequently as well as twist, rotate, and kneel occasionally throughout the workday.
- Frequently lifts up to 10 lbs. and occasionally lifts between 20 lbs. or more. This occurs when moving equipment and supplies and when transporting patients and/or charts.
- Must be able to push/pull up to 50 lbs. with assistance.
- Must have functional speech and hearing.
- Must be able to use hands with fine motor skills for keyboard data entry.
- Exposed to a normal office environment.
- Operates all equipment necessary to perform the job.
- Must be able to work a flexible schedule to support the needs of the department.
-
Patient Access Rep
1 week ago
Northshore Lombard, United StatesPosition Highlights: Position: Patient Service Representative · Location: Lombard, IL · Per Diem · Hours: · M-F Availability 7a to 8p · Sat Availability 6:30a to 4p · Sun Availability 8a to 4p · What you will need:Required Education and/or Experience: · High School diplom ...
-
Patient Access Rep
2 days ago
Northshore Bolingbrook, United StatesJob Summary: · Under general supervision and according to established policies and procedures, responsible for providing in-patient, out-patient, emergency room, immediate care and same day surgery patients with timely and accurate pre-registrations, registrations, order managem ...
-
Patient Access Rep
1 week ago
Advocate Aurora Health Park Ridge, United StatesDepartment: · 10260 Revenue Cycle - Emergency Svcs Reg: LGH · Status: · Part time · Benefits Eligible: · Yes · Hours Per Week: · 20 · Schedule Details/Additional Information: · Part time position with rotating weekend shifts. Shift time of 2:00pm-10:30pm · Major Respons ...
-
Patient Access Rep
2 days ago
Northshore Oak Park, United StatesJob Summary: · Under general supervision and according to established policies and procedures, responsible for providing in-patient, out-patient, emergency room, immediate care and same day surgery patients with timely and accurate pre-registrations, registrations, order managem ...
-
Patient Access Rep
1 week ago
Axelon Chicago, United StatesOnsite position. FMLA. Takes upward of inbound calls per day using multiple system applications. Must have customer service/call center, scheduling experience. Healthcare background, Epic required · South Palos Campus- 7500 W College Drive, 60462 · ...
-
Patient Access Rep
1 week ago
Cardiovascular Institute of the South Warrenville, United States**Nature of Duties**: · Operates a multi-line switchboard for the assigned MCI location by answering and accurately directing incoming calls in a timely manner. Schedules patients appropriately according to clinic guidelines and templates set up accurately in practice management ...
-
Patient Access Rep Lead
1 week ago
Northshore Oak Park, United StatesPosition Highlights: Position: Patient Service Rep Lead · Location: Oak Park · Full Time · Hours: M-F 7a to 5:30p, with as needed weekend, on-call and 1-3 holidays/yr. · What you will need:Required Education and/or Experience: High School diploma or GED · Proficiency with c ...
-
Remote Patient Access Rep
2 weeks ago
TRC Talent Solutions Chicago, United StatesJob Description · Job Description100% Remote · $18-$22/hr · If you have experience with pre-authorizations, financial clearance, or pre-registration type work for Hospital and/or Physician Billing services, this is your opportunity to shine · Our team assists healthcare provide ...
-
Patient Access Rep I
12 hours ago
Advocate Aurora Health Park Ridge, United StatesMajor Responsibilities:Responsible for performing all job duties in a way that conforms to our customer service philosophy and consistent with our "AIDET" standards 1)Greet and Acknowledge all patients and family members in a welcoming and prompt man Patient Access, 3rd Shift, Pa ...
-
Patient Access Rep I
2 weeks ago
Advocate Aurora Health Oak Lawn, United States Full timeMajor Responsibilities:Responsible for performing all job duties in a way that conforms to our customer service philosophy and consistent with our "AIDET" standards. When creating new registrations for walk-in patients, responsible for the identifyin Patient Access, 2nd Shift, Pa ...
-
Patient Access Rep I
1 week ago
Advocate Aurora Health Oak Lawn, United StatesMajor Responsibilities:Responsible for performing all job duties in a way that conforms to our customer service philosophy and consistent with our "AIDET" standards. When creating new registrations for walk-in patients, responsible for the identifyin Patient Access, Patient, Pati ...
-
Patient Access Rep I
1 week ago
Advocate Aurora Health Oak Lawn, United StatesDepartment: · 10246 Revenue Cycle - Outpatient/Admit: Christ · Status: · Part time · Benefits Eligible: · No · Hours Per Week: · 0 · Schedule Details/Additional Information: · Teammates must be available to work a minimum of 32 hours per month, including a weekend rotati ...
-
Patient Access Rep I
3 weeks ago
Advocate Health Downers Grove, United States Part timeMajor Responsibilities:Responsible for performing all job duties in a way that conforms to our customer service philosopy and consistent with our "AIDET" standards 1)Greet and Acknowledge all patients and family members in a welcoming and prompt manner. · 2)Introduce the patient ...
-
Patient Access Rep I
3 weeks ago
Advocate Aurora Health Downers Grove, United States Part timeMajor Responsibilities: Responsible for performing all job duties in a way that conforms to our customer service philosopy and consistent with our "AIDET" standards 1)Greet and Acknowledge all patients and family members in a welcoming and prompt man Patient Access, Part Time, Em ...
-
Patient Access Rep I COND
12 hours ago
Advocate Aurora Health Libertyville, United StatesMajor Responsibilities: Accurately collects and analyzes all required demographic, insurance/financial, and clinical data necessary to register/admit patients from all payer classes. 1)Recognizes communication obstacles for patients with loss of hear Patient Access, Patient, Phys ...
-
Patient Access Rep I COND
23 hours ago
Advocate Health Libertyville, United StatesMajor Responsibilities:Accurately collects and analyzes all required demographic, insurance/financial, and clinical data necessary to register/admit patients from all payer classes. 1)Recognizes communication obstacles for patients with loss of hearing and/or sight, and those tha ...
-
Patient Access Rep Lead
2 weeks ago
Northshore Oak Park, United StatesPosition Highlights:Position: Patient Service Rep LeadLocation: Oak ParkFull TimeHours: M-F 7a to 5:30p, with as needed weekend, on-call and 1-3 holidays/yr.What you will need: · Required Education and/or Experience:High School diploma or GEDProficiency with computer programs · ...
-
Patient Access Rep I
2 weeks ago
Advocate Health Oak Lawn, United States Full timeMajor Responsibilities: · Responsible for performing all job duties in a way that conforms to our customer service philosophy and consistent with our "AIDET" standards · When creating new registrations for walk-in patients, responsible for the identifying insurance coverage, th ...
-
Patient Access Rep I
2 weeks ago
Advocate Aurora Health Oak Lawn, United StatesPATIENT ACCESS REPRESENTATIVE Major Responsibilities:Responsible for performing all job duties in a way that conforms to our customer service philosophy and consistent with our "AIDET" standards. When creating new registrations for walk-in patients, Patient Access, 3rd Shift, Eme ...
-
Patient Access Rep I CONDELL
2 weeks ago
Advocate Health Libertyville, United StatesMajor Responsibilities: · Accurately collects and analyzes all required demographic, insurance/financial, and clinical data necessary to register/admit patients from all payer classes. · Performs revenue cycle activities that prevent payment denials, increase cash collections a ...
Patient Access Rep 1 - Carol Stream, United States - Advocate Health
![Default job background](https://contents.bebee.com/public/img/bg-user-ex-1.jpg)
Description
Major Responsibilities:
Education/Experience Required:
Knowledge, Skills & Abilities Required:
Physical Requirements and Working Conditions:
Addendum: In addition to the Accountabilities and Job Activities outlined in Sects. I. A. - I. D. of the Position Description for Patient Access Registrar the following accountabilities and job activities are applicable for registrars staffed at offsite imaging centers: E. Performs additional activities that facilitate patient flow and transition from registration to the clinical testing area including: 1. Performs Computerized Provider Order Entry (CPOE) for exams accurately and completely to transcribe written physician orders. Seeks clarification from technician and physician if needed. 2. Performs light duty cleaning of changing areas as needed. 3. Prints patient's results CDs when required and distributes finished exam results CD to patient while complying with application HIPAA considerations. 4. Escorts patients to changing areas as needed.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.