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Part Time Unit Secretary

Decatur Memorial Hospital
Decatur, IL
Part-Time
Day Shift
$16.77 - $25.99

Hours: 6:45am – 7:15pm Saturday and Sundays Serves as the primary communication and information “hub&rdqu...

Part Time Unit Secretary

Decatur Memorial Hospital
Decatur, IL
Tracking Code 2025-28247

Position Summary

Part-Time
Day Shift
$16.77 - $25.99

Hours: 6:45am – 7:15pm

Saturday and Sundays

Serves as the primary communication and information “hub” for the unit, answering telephones and patient call lights and ensuring that appropriate parties receive information in an expeditious manner.  Enters patient orders into the electronic medical record in a timely manner with a high degree of accuracy.  Performs complex secretarial and receptionist functions including ordering and stocking needed supplies and equipment, filing, copying, and printing patient data reports for the department. Patient care tasks may be performed in accordance with established policies, procedures, and guidelines.  Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.

Highlights & Benefits

  • Memorial Childcare
  • Mental Health Services
  • Growth Opportunities
  • Continuing Education
  • Local and National Discounts
  • Pet Insurance
  • Medical, Dental, Vision

Required Skills

1. Communication

  • Promptly and courteously greets others in a friendly manner.
  • Receives and directs others by using AIDET and Greet & Feet.
  • Within scope of job description, responds to questions and provides direction.
  • Facilitates telephone, verbal, written, and electronic communication with nursing staff, physicians, patients, and visitors promptly, accurately, and professionally.
  • Consistently uses the Physician Profile to ascertain the correct method/number to page physicians.
  • Updates and maintains call light system assignments accurately and efficiently during each shift.
  • Appropriately utilizes the Patient Tracking system in communicating with the Patient Placement Office.
  1. Information Processing
  • Prioritizes stat orders and immediate needs.
  • Processes orders accurately.
  • Accurately inputs data into the electronic medical record and maintains accurate paper records for those items that are not computerized.
  • Refers patient/visitor concerns to nursing and/or customer service staff.
  • Refers news media to nursing or public relations staff.
  • Demonstrates safe, accurate, and effective use of office equipment.
  • Writes legibly and clearly.
  1. Medical Records Maintenance
  • Assembles chart forms.
  • Puts patient identifier on all chart forms.
  • Thins charts when needed and forwards documents to Medical Records.
  • Files patient data after review by nurse.
  • Sends discharge patient record to Medical Records.
  • Gathers and copies appropriate paperwork from the RN for patient transfers to other units and facilities.
  • Manages large amounts of sensitive and confidential information concerning patient and family information in medical documents.
  1. Service Requisitions
  • In partnership with the Nursing Material Specialists, assures adequate supplies are available.
  • Reviews receipts of new supplies and equipment upon arrival; validates accuracy and places supplies in assigned location.
  • Sends service requisitions to interdisciplinary departments.
  • Promptly and accurately enters data and maintains unit activity sheets as directed.
  • Maintains equipment logs and facilitate maintenance of equipment with Biomed or appropriate department.

 

  1. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:
  • SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.
  • COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.
  • QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
  • EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.
  1. Unit Operations
  • Utilizes time and resources effectively and efficiently.
  • Assists in maintaining safe environment and reports unsafe conditions.
  • Completes assigned tasks accurately and timely.
  • Completes basic patient care tasks as directed by registered nurse.
  • Freshens drinking water.
  • Serves/collects food trays.
  • Responds to call lights and bed/chair alarms.
  • Provides 1:1 direct and constant patient observation as delegated.
  • Expedites timely admission, discharge, and transfer of patients to facilitate patient flow.
  • Participates in QI activities; maintaining logs, statistical records, and data collection.
  • Acts as a preceptor as needed.
  • Handles medications delivered from pharmacy directly or through the pneumatic tube system. Relocates these medications, in original containers, to designated secure storage locations or delivers directly to appropriate licensed staff.
  • May serve as the second person to witness the wasted amount of a controlled substance in the Pyxis.
  • Assists with stocking unit supply stations.
  1. Accountability
  • Complies with established policies, procedures, standards, and guidelines.
  • Follows the chain of command.
  • Consistently utilizes time and resources effectively and efficiently.
  • Maintains cleanliness of unit, service area, and equipment.
  • Cooperates with all members of the healthcare team.
  • Enthusiastically supports and participates in planned changes.
  • Accepts responsibility for accurate and timely completion of tasks as assigned.
  • Upholds the mission and vision of MHS.
  1. Performs other related work as required or requested.

 

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Experience

Education:

·       High school graduate or GED required, associates or bachelor’s degree preferred.

Licensure/Certification/Registry:

·        

Experience:

·       Two (2) years secretarial or comparable clerical experience required. 

·       Medical Office Assistant certificate or one (1) year of business or other related college coursework may be considered in lieu of clerical experience.

Other Knowledge/Skills/Abilities:

·       Demonstrates excellent interpersonal and customer service skills.

·       Knowledge of medical terminology is strongly preferred.

·       Proficient with personal computers and software (including Microsoft Excel, Word, Outlook, and PowerPoint).

·       Demonstrates initiative, self-direction, motivation, and a proven ability to work successfully with a variety of people and disciplines. 

Decatur, IL

PATIENT REGISTRATION SPEC I

Decatur Memorial Hospital
Decatur, IL
Full-Time
Day Shift
$16.50 - $24.82

Our Patient Access Specialist plays a vital role in ensuring a smooth experience for patients at Memorial Health. Thi...

PATIENT REGISTRATION SPEC I

Decatur Memorial Hospital
Decatur, IL
Tracking Code 2025-31512

Position Summary

Full-Time
Day Shift
$16.50 - $24.82

Our Patient Access Specialist plays a vital role in ensuring a smooth experience for patients at Memorial Health.

This position involves pre-registering and registering patients, scheduling procedures and tests, and collecting accurate demographic and billing information promptly.

The specialist interviews incoming patients or associates, entering essential details into all relevant software systems.

Additionally, they serve as a liaison between ancillary departments and other areas of Patient Access Services, facilitating effective communication and coordination for optimal patient care.

Highlights & Benefits

  • Paid Time Off (PTO)
  • Memorial Childcare
  • Mental Health Services
  • Growth Opportunities
  • Continuing Education
  • Local and National Discounts
  • Pet Insurance
  • Medical, Dental, Vision
  • Flexible Spending Account
  • 401(k)
  • Life Insurance and Voluntary Benefits
  • Employee Assistance Program and Colleague Wellness
  • Adoption Assistance

Required Skills

  • Greet and assist the majority of visitors and patients, answering questions via telephone or in person, and providing directional information.
  • Effectively perform general clerical and administrative functions.
  • Complete all steps of pre-registration and registration, including patient interviews, obtaining signatures, providing Advance Directive information, and distributing hospital-specific literature.
  • Pre-register and register all types of patients across multiple software systems.
  • Demonstrate flexibility, organization, and the ability to function well in stressful situations while maintaining a professional demeanor with patients and colleagues.
  • Conduct financial collections and referrals for Financial Counseling, interviewing and prescreening self-pay patients for potential financial assistance.
  • Understand and comply with state and federal regulations, as well as hospital, department, and The Joint Commission policies related to patient access.
  • Communicate effectively with ancillary departments, physicians, medical offices, and within the Patient Financial Services department.
  • Conduct insurance verification tasks, pre-certification, and referral information from MD offices and insurance companies for both elective and emergent patients.
  • Complete legal admission paperwork for psychiatric admissions in accordance with DHS guidelines.
  • Ensure accurate documentation of patient information.
  • Check and restock supplies as needed.
  • Participate in performance improvement activities for the department and organization.
  • Adhere to all HIPAA guidelines and maintain patient confidentiality.
  • Complete annual educational and training requirements.
  • Promote the mission, vision, and goals of the organization and department.
  • Perform other related duties as required or requested.

Required Experience

Education:

  • High School Graduate or equivalent required.

Experience:

  • One year of customer service experience preferred.
  • Previous experience in clerical work, medical terminology, medical office settings, registration, or billing is preferred.
  • Familiarity with word processing and computer applications is desirable.

Other Knowledge/Skills/Abilities:

  • Minimum typing speed of 40 WPM preferred.
  • Excellent interpersonal and communication skills are essential.
  • Ability to work independently and efficiently.
Decatur, IL

PATIENT REGISTRATION SPEC I

Decatur Memorial Hospital
Decatur, IL
Part-Time
Evening Shift
$16.50 - $24.82

Our Patient Access Specialist plays a vital role in ensuring a smooth experience for patients at Memorial Health. Thi...

PATIENT REGISTRATION SPEC I

Decatur Memorial Hospital
Decatur, IL
Tracking Code 2025-31397

Position Summary

Part-Time
Evening Shift
$16.50 - $24.82

Our Patient Access Specialist plays a vital role in ensuring a smooth experience for patients at Memorial Health.

This position involves pre-registering and registering patients, scheduling procedures and tests, and collecting accurate demographic and billing information promptly.

The specialist interviews incoming patients or associates, entering essential details into all relevant software systems.

Additionally, they serve as a liaison between ancillary departments and other areas of Patient Access Services, facilitating effective communication and coordination for optimal patient care.

Highlights & Benefits

  • Memorial Childcare
  • Mental Health Services
  • Growth Opportunities
  • Continuing Education
  • Local and National Discounts
  • Pet Insurance
  • Medical, Dental, Vision

Required Skills

  • Greet and assist the majority of visitors and patients, answering questions via telephone or in person, and providing directional information.
  • Effectively perform general clerical and administrative functions.
  • Complete all steps of pre-registration and registration, including patient interviews, obtaining signatures, providing Advance Directive information, and distributing hospital-specific literature.
  • Pre-register and register all types of patients across multiple software systems.
  • Demonstrate flexibility, organization, and the ability to function well in stressful situations while maintaining a professional demeanor with patients and colleagues.
  • Conduct financial collections and referrals for Financial Counseling, interviewing and prescreening self-pay patients for potential financial assistance.
  • Understand and comply with state and federal regulations, as well as hospital, department, and The Joint Commission policies related to patient access.
  • Communicate effectively with ancillary departments, physicians, medical offices, and within the Patient Financial Services department.
  • Conduct insurance verification tasks, pre-certification, and referral information from MD offices and insurance companies for both elective and emergent patients.
  • Complete legal admission paperwork for psychiatric admissions in accordance with DHS guidelines.
  • Ensure accurate documentation of patient information.
  • Check and restock supplies as needed.
  • Participate in performance improvement activities for the department and organization.
  • Adhere to all HIPAA guidelines and maintain patient confidentiality.
  • Complete annual educational and training requirements.
  • Promote the mission, vision, and goals of the organization and department.
  • Perform other related duties as required or requested.

Required Experience

Education:

  • High School Graduate or equivalent required.

Experience:

  • One year of customer service experience preferred.
  • Previous experience in clerical work, medical terminology, medical office settings, registration, or billing is preferred.
  • Familiarity with word processing and computer applications is desirable.

Other Knowledge/Skills/Abilities:

  • Minimum typing speed of 40 WPM preferred.
  • Excellent interpersonal and communication skills are essential.
  • Ability to work independently and efficiently.
Decatur, IL

Referral Management Specialist

2401 Jefferson Building
Springfield, IL
Full-Time
Day Shift
$16.50 - $24.82

Full time Day shift The Referral Management Specialist I reports to the Manager of Ambulatory Care Management. Unde...

Referral Management Specialist

2401 Jefferson Building
Springfield, IL
Tracking Code 2025-31380

Position Summary

Full-Time
Day Shift
$16.50 - $24.82
  • Full time
  • Day shift

The Referral Management Specialist I reports to the Manager of Ambulatory Care Management. Under general supervision, the Referral Management Specialist I will utilize tools designed to facilitate the referral process and schedule appointments for multiple specialties for Memorial Care primary care patients. Working primarily in an office setting, the Referral Management Specialist I will partner with the Primary Care Physician team to provide a resource for timely referrals that will increase clinical and operational processes which will positively impact patient safety and quality. The Referral Management Specialist I will ensure timely arrangement of appointments at specialty clinics, ensure primary care provider preferences are met when possible, ensure payer requirements for referrals are met, complete necessary payer prior authorizations, and communicate appointment details to patients, primary care providers, and specialty offices. The Referral Management Specialist I will follow all applicable regulations, policies, and guidelines to ensure compliant and appropriate management of patient referrals to specialty care.     

Highlights & Benefits

  • Paid Time Off (PTO)
  • Memorial Childcare
  • Mental Health Services
  • Growth Opportunities
  • Continuing Education
  • Local and National Discounts
  • Pet Insurance
  • Medical, Dental, Vision
  • Flexible Spending Account
  • 401(k)
  • Life Insurance and Voluntary Benefits
  • Employee Assistance Program and Colleague Wellness
  • Adoption Assistance

Required Skills

  1. Responsible for working referrals based on various specialty procedures.
  1. Interacts with patients in a professional manner displaying courtesy and the ability to inform patient on procedure they will be receiving.
  1. Responsible for obtaining necessary referrals for patients in need of ancillary or specialty services. Maintains documentation accordingly and provides authorization codes and numbers to patients. Works directly with patients regarding the requirements and limitations of their health plan.
  1. Accountable for improving provider efficiency and effectiveness by performing referral process; allowing the care teams to spend more time with patient care.
  1. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:
  • SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.
  • COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.
  • QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
  • EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.
  1. Displays ability to understand insurance coverage and how to obtain pre-authorization for procedures.
  1. Faxes copies of medical records to insurance companies, managed care companies and physicians’ offices to ensure that the patient’s referral will be a covered service, and that the recipient physician is prepared for the visit.
  1. Maintains key contacts at insurance care companies, documenting all interactions, helping to facilitate referral process.
  1. Acts as a primary contact when change is forthcoming with insurance coverages.
  1. Functions under the direction of the Supervisor, Referral Management and referring Providers
  1. Must operate effectively with various levels of leadership and clinical expertise, while assisting with accomplishing department goals and objectives.
  1. Assists team members with completion of duties in a timely and accurate manner while being able to function independently with assigned duties.
  1. Maintains accurate and timely documentation and follow up when applicable.
  1. Interacts with co-workers, visitors, physicians and other healthcare personnel in a manner that enhances service delivery and promotes positive relationships.
  1. Behaves in accordance of the MHS Behavioral Standards.
  1. Adheres to all HIPAA guidelines and patient confidentiality policies. Applies the minimum necessary standard when accessing protected health information.
  1. Performs opening and close of day activities. This may include running reports and preparing for next day’s appointments.
  1. Performs other related work as required or requested.

 

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Experience

Education:

  • High school diploma required

Licensure/Certification/Registry:

  • Certified Nursing Assistant (CNA) through state of Illinois or two years previous experience in a Primary Care Physician medical office or clinical setting required.

Experience:

  • Previous clerical and EHR documentation experience preferred-specifically Allscripts EHR

Other Knowledge/Skills/Abilities:

  • Strong knowledge of local physician networks and their associated specialties, including Springfield Clinic, SIU, OCI, Prairie and others.
  • Strong general computer skills in Microsoft Office; especially Microsoft Excel spreadsheets, databases, and reporting tools strongly preferred.
  • Working knowledge of insurance requirements and coverage.
  • Understanding of insurance prior authorization processes and insurance referrals.
  • Possesses strong medical terminology.
  • Demonstrates understanding of evidence based healthcare.
  • Demonstrates ability to work in a fast changing and ambiguous environment.
  • Engaging service oriented skills required.
  • Excellent organizational skills required. Demonstrates ability to be flexible and function in stressful situations.
  • Excellent oral, written communications and interpersonal skills required.
  • Demonstrates initiative, self-direction, and motivation.
  • Demonstrates open/global communication skills with multiple requesters.
  • Ability to work with multiple care providers and maintain positive working relationships
Springfield, IL

PATIENT ACCESS TEAM LEADER

Decatur Memorial Hospital
Decatur, IL
Full-Time
Night Shift
$18.34 - $28.42

The team leader is responsible for the guidance and coordination of needs of their respective area. The team leader w...

PATIENT ACCESS TEAM LEADER

Decatur Memorial Hospital
Decatur, IL
Tracking Code 2025-31396

Position Summary

Full-Time
Night Shift
$18.34 - $28.42

The team leader is responsible for the guidance and coordination of needs of their respective area. The team leader will act in the absence of a supervisor/manager in various capacities. The team leader will help with assignment of duties for staff for a given shift. They will assist with calling in staff when volumes demand extra help. When needed, the team leader will also take the lead in organizing staff from their area to assist with any sudden increases or spikes in patient volumes.     

Highlights & Benefits

  • Paid Time Off (PTO)
  • Memorial Childcare
  • Mental Health Services
  • Growth Opportunities
  • Continuing Education
  • Local and National Discounts
  • Pet Insurance
  • Medical, Dental, Vision
  • Flexible Spending Account
  • 401(k)
  • Life Insurance and Voluntary Benefits
  • Employee Assistance Program and Colleague Wellness
  • Adoption Assistance

Required Skills

  • Provide support, leadership, and guidance for staff working in their department on their designated shift. 
  • Work with the manager of PAS to ensure proper staffing of the area. Assist in coordinating staffing for open shifts as directed.
  • Work with staff in PAS in order to coordinate timely patient flow and services.
  • Develop a strong technical knowledge of all clerical aspects of PAS in order to help facilitate any problems or opportunities for improvement within the department.
  • Coordinate implementation of quality improvement initiatives in the department in order to better serve the patients and the volumes fluctuations throughout the day.
  • Monitor the patient volumes and flow throughout the day – adjust staffing as needed without the direction of the manager.
  • Contribute to the positive customer relations and work to address any issues that arise when patients are present in order to maintain the positive experience.
  • Responsible for providing training and education to those new hires on the various areas/aspects of the department and help orientate them to the area after they have been through the training for PAS.
  • Maintain current knowledge of department policies, procedures, goals and employee progress.
  • Coordinate educational needs within the department.
  • Take part in ongoing leadership development opportunities to further develop skills to assist with the department needs.
  • Work closely with Supervisors/Coordinators/Managers ensuring Great Patient Experience.
  • Recognize the need for communication with other department managers, supervisors, etc. and PAS management as needed for patient flow, expectations, and exceeding customer needs.
  • Assists in the performance appraisal process of PAS staff by providing input to Manager on individual performance.
  • Assist with completing payroll tasks when manager is not available.
  • May participate in an on-call rotation.
  • Perform all tasks associated with the PAS department. This includes scheduling, pre-registering, and registering patients of ALMH, performing financial collections for all patients, verifying insurance, interviewing incoming patients/entering information into all appropriate software, and completing patient placement duties.
  • Performs other related work as required or requested.

Required Experience

Education:

  • High School Diploma required.

Associates or higher degree preferred.

Licensure/Certification/Registry:

Certified Healthcare Access Associate (CHAA) or Certified Healthcare Access Manager (CHAM) certification preferred, not required.

Experience:

  • Minimum of two years previous experience as a Patient Access Associate/Specialist or related healthcare payor, collections or clinical office experience required.

Minimum of 1 year experience within the Patient Access department or previous supervisory experience required.

Other Knowledge/Skills/Abilities:

  • Possess a high degree of organization and ability to prioritize immediate needs of area.
  • Possess excellent customer service and human relation skills with the ability to work with a diverse group of staff and ensure proper and timely patient care.
  • Demonstrate excellent oral and written communication, problem-solving, training, interpersonal, and planning skills.
  • Self-directed and highly motivated to perform functions without direct supervision.
  • Possess a working knowledge of word processing, spreadsheet, data base, presentation, and project computer application software.

Experience with Microsoft Office products (Word, Excel, Access, Power Point, Publisher and Project) is strongly preferred.  

Decatur, IL

Insurance Pre-Auth Specialist I

Memorial Health Administrative Building
Springfield, IL
Full-Time
Day Shift
$16.50 - $24.82

Responsible for the completion of prior authorization, pre-certification, and notification for third party and govern...

Insurance Pre-Auth Specialist I

Memorial Health Administrative Building
Springfield, IL
Tracking Code 2025-29729

Position Summary

Full-Time
Day Shift
$16.50 - $24.82

Responsible for the completion of prior authorization, pre-certification, and notification for third party and government payers for all pre-scheduled elective inpatient,  Direct Admits, Emergency Room Admits and outpatient procedures. Utilizes a thorough working knowledge of insurance plans and benefit structures to obtain detailed benefit information and maximize plan benefits. Coordinates with third party payers, physicians, nursing staff and other health care providers, providing education/direction around the prior authorization/pre-certification process and requirements to ensure all government and other payer requirements are met for accurate organizational reimbursement.  Tracks, documents, and monitors prior authorization and pre-certification status.  Performs dynamic coding of outpatient services and urgent admits, correlating and documenting accurate procedural and diagnosis codes with physician orders. Responsible for providing notification of delays or denials of pre-authorization/pre-certification approvals to clinical staff within various service lines, and to the Managed Care, Utilization Management, and Patient Financial Services units.  May provide direction to patients on the appropriate appeal procedures for denials.  Understands insurance/payer policy language, benefits and authorization requirements upon admission, during hospital stay, and discharge, including concurrent reviews while patient is being treated.

Highlights & Benefits

  • Paid Time Off (PTO)
  • Memorial Childcare
  • Mental Health Services
  • Growth Opportunities
  • Continuing Education
  • Local and National Discounts
  • Pet Insurance
  • Medical, Dental, Vision
  • Flexible Spending Account
  • 401(k)
  • Life Insurance and Voluntary Benefits
  • Employee Assistance Program and Colleague Wellness
  • Adoption Assistance

Required Skills

  1. Identifies, reviews, and facilitates pre-authorization/pre-certification by Medicare, Medicaid, Commercial, and Managed Care payers, for all required services, to ensure provider eligibility requirements are met prior to receiving service. Utilizes appropriate systems/applications/portals and/or communicates with physician offices and third party payers as necessary. 
  1. Interprets a patient requisitions and accurately assigns correct diagnosis and procedural codes to visits in accordance with guidelines, maintaining accuracy of dynamic coding and sequencing of codes. Uses all available tools, including software, physicians offices, HIM coding staff etc. to ensure diagnosis codes assigned are correct and accurately represent patient signs, symptoms, and results, and ensures compliant billing and reimbursement.
  1. Participates in required continuing education and compliance training programs to maintain an understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques to support the effective application of ICD-10-CM and CPT coding guidelines to outpatient diagnoses and procedures. Staff will maintain up-to-date knowledge of best practices, standards, regulations, Joint Commission on Accreditation of Health Organizations (JCAHO), Centers for Medicare and Medicaid (CMS), Federal Intermediary (FI) and other related organizations. 
  1. Responsible for analyzing & evaluating patients’ eligibility and benefits and reviewing reason for visit criteria to ensure all required documentation has been supplied by the ordering/referring physicians, and meets payer specific guidelines for each patient and health plan prior to patients admission for service to reduce claim denials, retrospective medical necessity reviews, and member benefit reductions.
  1. Maintains current payer reference manuals based on managed care, commercial, and governmental coverage weekly/monthly updates. Ensures all insurance requirements are met prior to patients’ arrival, including, but not limited to, researching, identifying, and completing pre-authorization requests. Independently tracks status/outcomes of all requests.
  1. Maintain current knowledge/database of payers with additional prior authorization requirements for certain specialty services and/or expansions to care coordination programs/networks.
  1. Develops a thorough understanding of and a practical knowledge base of the proper use of all payor websites to accurately deliver appropriate information to patients regarding coverage and requirements for precertification of treatment, verification of benefits and self pay information. Assures pre-certification and pre authorization documentation are communicated by physicians offices and entered correctly in the hospital billing system.  Notifies appropriate parties when pre-certification problem/issues arises so that it can be dealt with in a timely fashion minimizing hospital losses as observed by Management, Patient Access Manager and as indicated by Patient Financial Services feedback.
  1. Provides administrative support to licensed health professionals to gather and enter pertinent information, supporting Medical Management functions for the Clinical Concurrent Review Team. Interacts with contracted providers and facilities to research issues, collect required information and/or communicate requirements or approval determinations.
  1. Provides coordination of benefits for primary, secondary, and tertiary coverage, establishing a uniform order of benefit determination under which plans pay claims, reducing duplication of benefits by permitting a reduction of benefits to be paid by plans that, pursuant to established rules, do not pay primary benefits, and providing greater efficiency in the processing of claims when patients are covered under more than one plan.
  1. Coordinates with MMC Patient Financial Services, Managed Care, Social Services, Case Management, Scheduling, and clinical departments to ensure consistent financial documentation across the enterprise, and an interdisciplinary approach to patient and organizational needs.
  1. Contacts third party payers and patients as necessary to facilitate timely payments or other required transactions that result in appropriate reimbursement. Maintains revenue cycle integrity.
  1. Effectively negotiates with patients and families to explain, collect, and record patient co-pays and/or deposits, within electronic payment system and Cerner registration module. Supports Patient Access Services POS (Point of Service) collection goals as defined by Revenue Cycle leadership and best practice benchmarks.
  1. Effectively triages, documents, and initiates referrals of patients to Medicaid vendor and/or for financial assistance. Maintains current knowledge of, and complies with the Illinois Fair Patient Billing Act, Illinois Uninsured Patient Discount Act, and established MMC procedures at all times.  Follows departmental productivity and quality control measures that support the operational goals and benchmarks.
  1. Analyzes reports containing rejected accounts from a variety of hospital sources, including Non-Patient Access registration departments, and resolves toward verification of patient benefit eligibility, and subsequent reimbursement from all possible payer sources, or determines suitability for financial assistance.
  1. Orients and cross-trains others within assigned area of responsibility as directed and defined by management. May assist other areas within the unit or department, as necessary, during times of special needs or staff absences. May be required to work night or weekend shifts.
  1. Understands the functionality of all computer systems related to job function. Assists in mentoring, training, and development of other Patient Access staff; serves as a resource to staff for questions and problem solving. Demonstrates an advanced understanding of third party payer requirements.
  1. Ensures compliance with all applicable HIPAA, Joint Commission, CDC, MMC, and state and federal statues, providing required associated literature to patients at all PAS access points. Educates patients regarding Advance Directives, Medicare D prescription coverage, and both Memorial and Illinois Department of Public Health grievance process as appropriate.
  1. Meets department and team benchmarks for productivity, accuracy, call abandonment, and point of service collections. Consistently meets or exceeds given goals for each area on a monthly basis.
  2. Participates in, and/or leads special projects as requested/assigned by management.
  1. Stays abreast of all applicable regulation changes related to Patient Access. Completes all departmental and team required Revenue Cycle education.  Achieves and maintains any/all assigned Revenue Cycle Certification requirements.
  1. Recognizes the need for changes in daily routine, willingly alters schedule, completes assignments before leaving, including but not limited to departmental/team assignment lists/reports; giving more than the designated shift assignment when workload dictates and in case of increased work volumes or special projects, works additional hours at least 75% of the time as requested/observed by Management or Patient Access Coordinator.
  1. Demonstrates superior patient relations and interpersonal skills; demonstrates an appropriate level of mental and emotional tolerance and even temperament when dealing with staff, patients and general public, using tact, sensitivity and sound judgment.
  1. Minimum requirements of an average of 40-45 encounters processed/submitted per day. Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient satisfaction and attendance.
  1. Attendance at quarterly department meetings mandatory unless absence approved by PAS Management prior to meeting date.
  1. Performs other related work as required or requested.

Required Experience

Education:

  • High school diploma or equivalent required.

Experience:

  • Three years of healthcare registration, billing/claims, scheduling, or Physicians office experience required.
  • Experience with and/or working knowledge of Call Center processes preferred.

Other Knowledge/Skills/Abilities:

  • Demonstrated sound working knowledge of medical terminology, medical procedural/diagnosis coding, and hospital billing workflow and procedures is required.
  • Demonstrated technical knowledge and proficiency to work in any area of unit responsibility (as assigned) is required.
  • Demonstrated awareness/understanding of health care industry business trends and developments including, but not limited to, Health Care Reform required.
  • Must be proficient with Microsoft Office Suite, including Outlook, Excel and Word. Must have sufficient computer skills to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, and electronically notate registration software, and other required applications/systems. 
  • Demonstrated ability to communicate clearly and concisely, both verbally and in writing, with peers, supervisors, payers, physicians, patients, other departments.
  • Skill in analyzing information, problems, situations, practices, and procedures; identifying patterns and tendencies/ cause-and-effect relationships; formulating logical and objective conclusions; and recognizing alternatives and their implications, in order to formulate comprehensive solutions.
  • Demonstrated ability to remain flexible, and consistently exercise sound judgment and initiative in stressful situations. Ability to effectively manage competing priorities and work independently, with minimal supervision.
  • Must demonstrate ability to educate, persuade, and negotiate effectively with patients and families toward compliance with payer requirements and collections goals.
  • Flexibility of hours necessary to ensure business needs are met. Recognizes the need for change in daily routines due to staffing, cross training, departmental requirements, etc. and provides coverage, completing assignments before leaving.
  • Ability to process an average of 40-45 scheduled patient accounts/visits per day.
Springfield, IL

Call Center

Memorial Health Administrative Building
Springfield, IL
Full-Time
Day Shift
$17.14 - $26.56

Responsible for the collection and follow-up of all outstanding self pay and liability balances of ALMH and TMH Patie...

Call Center

Memorial Health Administrative Building
Springfield, IL
Tracking Code 2025-30989

Position Summary

Full-Time
Day Shift
$17.14 - $26.56

Responsible for the collection and follow-up of all outstanding self pay and liability balances of ALMH and TMH Patient Accounts in accordance with policies and procedures, and determines customers’ eligibility for financial assistance programs. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.

Highlights & Benefits

  • Paid Time Off (PTO)
  • Memorial Childcare
  • Mental Health Services
  • Growth Opportunities
  • Continuing Education
  • Local and National Discounts
  • Pet Insurance
  • Medical, Dental, Vision
  • Flexible Spending Account
  • 401(k)
  • Life Insurance and Voluntary Benefits
  • Employee Assistance Program and Colleague Wellness
  • Adoption Assistance

Required Skills

  1. Greets customers via telephone and determines nature of inquiry. Assists customers as necessary or refers them to internal or external sources.
  2. Reviews and prepares past due accounts for collection. Ensures appropriate collection code used for such accounts. Maintains appropriate information needed for Medicare Bad Debt.
  3. Assists patients with Financial Assistance applications and bank loans in a timely manner.
  4. Researches all sources of potential financial assistance based on the specifics of each application. This may include Medicare, Medicaid, Financial Assistance, bank loans, COBRA, etc.
  5. Requests and ensures the receipt of all pertinent information and supplemental documentation for the processing of financial assistance applications. Processes applications and monitors status to ensure an expedient decision involving each case, generating approval/denial letters.
  6. Responds to all mail inquiries or requests in a timely manner.
  7. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:
  • SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.
  • COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.
  • QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
  • EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.
  1. Sets up and reviews terms accounts according to policy and procedure.
  2. Identifies self pay accounts at time of service, reviews for potential discounts and/or financial assistance and works with patient regarding payment options.
  3. Corresponds with collection agencies regarding payments and other situations with accounts including: review and report of bad debt payments, and review and approval of suit authorizations.
  4. Receives reviews and prepares accounts for bankruptcy purposes.
  5. Monitors estates and files appropriate paper work when needed.
  6. Reviews settlement offers and approves as appropriate.
  7. Researches and resolves complex issues associated with patient accounts. As applicable, identifies, documents, and reports problematic trends to leadership.
  8. Prepares and monitors monthly contract account.
  9. Reviews nursing home correspondence for potential care overlap and the appropriateness of billing Medicare vs. the nursing facility. Ensuring proper billing of those accounts.
  10. Identifies opportunities for account consolidation and takes the necessary steps to combine appropriate accounts.
  11. Processes and track all payroll deduct activity
  12. Processes credit card transaction payments on accounts.
  13. Performs other related work as required or requested.

 

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Experience

Experience:

·     One or more years of health care insurance and/or health care billing experience is required, preferably in the areas of billing, collections, or accounts receivable. Previous experience as a collector is highly desirable.

·      

Other Knowledge/Skills/Abilities:

·       Experience with Microsoft Office products such as Word and Excel preferred.

·       Basic working knowledge of personal computers required and their associate user software is preferred, with the ability to enter, retrieve, and electronically notate system screens.

·       Familiarity with medical terminology, medical procedural (CPT) and diagnosis (ICD-9 & 10) coding and hospital billing claims form UB-04 highly preferred.

·       Ability to multi-task while working on multiple responsibilities simultaneously.

·       Ability to work successful with internal customers and external customers.

·       Highly-developed critical thinking and problem solving-ability to work through complex situations.

·       Knowledge of poverty guidelines, internal/external financial assistance programs and options, medical billing and insurance principles/practices.

·       Demonstrates excellent oral and written communication, customer relations, and listening skills. Must demonstrate the ability to persuade and negotiate effectively.

Springfield, IL

Central Scheduler

Decatur Memorial Hospital
Decatur, IL
Full-Time
Day Shift
$16.50 - $24.82

Under the supervision of the Patient Access Manager, and according to specified procedures, responsible for the effic...

Central Scheduler

Decatur Memorial Hospital
Decatur, IL
Tracking Code 2025-31389

Position Summary

Full-Time
Day Shift
$16.50 - $24.82

Under the supervision of the Patient Access Manager, and according to specified procedures, responsible for the efficient and orderly scheduling of patients for hospital services. Collection of patient data needed by the serving department to perform service. Ensure Practitioner ordered services are scheduled as directed by office staff and order/script. Responsible for verifying that the diagnosis provided and the testing ordered meet Medicare’s Local Coverage Decisions (LCD) and National Coverage Decision (NCD), prior to the testing. Ensure data collection for scheduled services meet the requirements defined by the servicing department

Highlights & Benefits

  • Paid Time Off (PTO)
  • Memorial Childcare
  • Mental Health Services
  • Growth Opportunities
  • Continuing Education
  • Local and National Discounts
  • Pet Insurance
  • Medical, Dental, Vision
  • Flexible Spending Account
  • 401(k)
  • Life Insurance and Voluntary Benefits
  • Employee Assistance Program and Colleague Wellness
  • Adoption Assistance

Required Skills

  • Professionally and courteously interact with the general public, physicians and hospital personnel.
  • Receive Physician orders for patient testing and ensures orders comply with Medicare’s Local Coverage (LCD) and National Coverage Decision’s (NCD).
  • Obtain patient clinical and demographic data to appropriately provide the medical service identified by the practitioner and to provide the service at the time that best meets the patient schedule.
  • Demonstrate a good understanding of the elements involved with the various procedures/exams and provide appropriate instructions to patients for specific testing ordered.
  • Receive and interview incoming patients and/or relatives to obtain necessary information for scheduling walk-in testing.
  • Coordinate and communicate necessary information to the Registration personnel to facilitate the pre-registration of scheduled patients.
  • Communicate scheduling information to effected departments and physicians.
  • Maintain computer system master files to optimize system/resource effectiveness.
  • Coordinate and assist Financial Representative to ensure pre-certification/pre-authorizations are completed prior to service(s) being rendered.
  • Provide excellent customer service to patients, visitors, physicians, hospital staff and co-workers.
  • Keep supervisor informed of all potential problems.
  • Displays a needs no reminder attitude.
  • Ability to multitask and work in high call volume stressful environment.
  • Coordinate with hospital staff to ensure patients are scheduled.
  • Performs other related work as required or requested.

Required Experience

Education:

  • High school diploma or equivalent required

Experience:

  • Basic understanding of ICD-10 diagnosis codes and CPT-4 coding
  • Previous medical scheduling experience highly desired

Other Knowledge/Skills/Abilities/Working Conditions-Physical Requirements & Atmosphere:

  • Outstanding customer service skills
  • Aptitude for detailed and accuracy a must
  • Medical terminology
  • Modern office environment.
  • 80/95% Sedentary in high volume call center, calls are managed by an automated attendant
  • Moderate to high stress due to urgency to reduce customer call wait times
  • Moderate noise environment.
  • May be subject to verbal abuse by patients
  • Potential exposed to clinically infectious diseases
  • Mild amount of walking is involved, both inter- and intra-departmental
Decatur, IL

Billing Specialist

Memorial Health Administrative Building
Springfield, IL
Full-Time
Day Shift
$18.34 - $28.42

Analyzes, investigates, and resolves claims/billing information and/or errors associated with the more complex inpati...

Billing Specialist

Memorial Health Administrative Building
Springfield, IL
Tracking Code 2025-31250

Position Summary

Full-Time
Day Shift
$18.34 - $28.42

Analyzes, investigates, and resolves claims/billing information and/or errors associated with the more complex inpatient/outpatient medical insurance claims. Ensures compliance with managed care guidelines and MMC organizational policies.  Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.

Highlights & Benefits

  • Paid Time Off (PTO)
  • Memorial Childcare
  • Mental Health Services
  • Growth Opportunities
  • Continuing Education
  • Local and National Discounts
  • Pet Insurance
  • Medical, Dental, Vision
  • Flexible Spending Account
  • 401(k)
  • Life Insurance and Voluntary Benefits
  • Employee Assistance Program and Colleague Wellness
  • Adoption Assistance

Required Skills

  1. Receives and examines daily listings for assigned billing claims and determines which require further analysis and action.
  1. Investigates assigned billing claims with incomplete/incorrect information and resolves the more complex problems or errors to ensure complete and compliant information accompanies the claim.
  1. Prioritizes claims based on specified criteria and files the claim, either electronically or via paper claim. Ensures careful adherence to insurance guidelines, timeliness, accuracy, and processing procedures.
  1. Researches and resolves complex issues associated with patient insurance accounts. As applicable, identifies, documents, and reports problematic trends to management.
  1. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:
  • SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.
  • COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.
  • QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
  • EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.
  1. Analyzes reports containing rejected account information and performs the necessary research to resolve the reason(s) for the rejection and secures any other required information.
  1. Provides input regarding system edits designed to identify and ensure consistent and compliant data necessary for processing medical insurance claims.
  1. Responds to requests from internal departments regarding the proper coding, billing, and processing of medical insurance claims.
  1. Communicates and resolves issues with a variety of internal and external sources regarding medical insurance claims. This may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies.
  1. Initiates corrections to charges and contractuals / allowances within scope of expertise and authority granted.
  1. Identifies and researches the appropriateness of late charges and, as necessary, adjusts the charge / patient account based on research findings
  1. Identifies and calculates write-off amounts and secures the necessary approvals from management for processing.
  1. Documents online systems and electronic files to ensure accurate data is noted regarding the status of claims and payments.
  1. Ensures compliance to managed care contract guidelines and processes at each work step to facilitate accurate and timely reimbursements to the organization.
  1. May assist with special projects, analyses, or audits.
  1. As directed and defined by management, orients and cross-trains on other unit duties which are outside of regularly assigned area of responsibility. May serve as a back-up for other areas within the unit or department, especially during times of special needs or staff absences.
  1. Performs other related work as required or requested.

 

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Experience

Education:

·       Education equivalent to graduation from high school or GED is required. 

Licensure/Certification/Registry:

Experience:

·       Two or more years as a Billing Specialist (or comparable medical claims/billing experience), with the technical knowledge to process all types of applicable claims and resolve errors and complex issues associated with them.

Other Knowledge/Skills/Abilities:

·       Demonstrates thorough knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claim form UB04 is required.

·       Demonstrates a comprehensive knowledge of the electronic billing system and key contract billing guidelines and possess the ability to train others on the entire billing process.

·       Basic working knowledge of personal computers and their associate user software is required. Experience with Microsoft Office products Word and Excel is preferred.

·       Ability to work within the guidelines of defined managed care contract policy provisions and company procedures.

·       Demonstrates ability to work successfully with internal customers and external contacts is required.

·       Possesses a highly-developed detail orientation, critical thinking, and problem solving ability.

·       Demonstrates excellent oral and written communication, keyboarding, and basic math skills.

·       Demonstrates ability to work unsupervised as well as the ability to work in a group setting.

Springfield, IL

Billing Adjustment Specialist

Memorial Health Administrative Building
Springfield, IL
Full-Time
Day Shift
$18.34 - $28.42

Identifies and researches the basis for credit amounts due on the more complex patient health insurance claims. Initi...

Billing Adjustment Specialist

Memorial Health Administrative Building
Springfield, IL
Tracking Code 2025-31403

Position Summary

Full-Time
Day Shift
$18.34 - $28.42

Identifies and researches the basis for credit amounts due on the more complex patient health insurance claims. Initiates contractual adjustments on the account and/or processes refunds to patients, governmental agencies, or insurance companies.  Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.

Highlights & Benefits

  • Paid Time Off (PTO)
  • Memorial Childcare
  • Mental Health Services
  • Growth Opportunities
  • Continuing Education
  • Local and National Discounts
  • Pet Insurance
  • Medical, Dental, Vision
  • Flexible Spending Account
  • 401(k)
  • Life Insurance and Voluntary Benefits
  • Employee Assistance Program and Colleague Wellness
  • Adoption Assistance

Required Skills

  1. Identifies patient accounts with credit balances and prioritizes the daily reconciliation and processing of each account.
  1. Analyzes credit balances on patient accounts and confirms the reason and validity of refunds or contractual adjustments prior to processing.
  1. Approves and processes individual account refunds, contractual adjustments, or write-offs up to authority limit granted. Refers items above this level to supervisor or manager for approval prior to processing.
  1. Identifies situations in which contractual adjustments are warranted by determining the original billed amounts as compared to the amounts allowed and prescribed by Medicare / Medicaid and/or managed care contracts, as applicable.
  2. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:
  • SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.
  • COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.
  • QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
  • EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.
  1. Uses an electronic spreadsheet to calculate contractual or credit adjustments and documents/posts these amounts to the appropriate account using system software.
  1. Communicates orally and in writing with internal and external insurance representatives and/or governmental agencies (as applicable) to obtain insurance verification and to resolve account questions and billing issues.
  1. Identifies errors or omissions and initiates corrections on accounts with credit balances.
  1. Researches and reconciles unidentified payments and posts such payments to the appropriate account or initiates refunds as appropriate.
  1. Researches and resolves payment issues associated with patient accounts. As applicable, identifies, documents, and reports problematic trends to management.
  1. Provides input regarding system edits designed to identify and ensure consistent and compliant data necessary for processing medical claims.
  1. Responds to requests from internal departments regarding the billing, adjustments, and crediting of medical claims.
  1. Documents online systems and electronic files to ensure accurate data is noted regarding the status payment and credit adjustment of claims.
  1. Ensures compliance to Medicare/Medicaid and/or managed care contract guidelines and processes at each work step to facilitate accurate and timely reimbursements to the organization.
  1. May assist with special projects, analyses, or audits.
  1. As directed and defined by management, orients and cross-trains on other unit duties which are outside of regularly assigned area of responsibility. May serve as a back-up for other areas within the unit or department, especially during times of special needs or staff absences.
  1. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Experience

Education:

·       Education equivalent to graduation from high school or GED is required.

Licensure/Certification/Registry:

Experience:

·       Two or more years as a Billing Adjustment Specialist, or comparable insurance, accounting, and/or health care billing experience is required. Must possess the technical knowledge to process credit amounts due on routine and the more complex claims and resolve errors and complex issues associated with them.

Other Knowledge/Skills/Abilities:

·       Demonstrates thorough knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD-9) coding, and hospital billing claim form UB-04.

·       Basic working knowledge of personal computers and their associate user software is required. Experience with Microsoft Office products Word and Excel is preferred.

·       Ability to multi-task while working on multiple responsibilities simultaneously.

·       Demonstrated ability to work successfully with internal customers and external contacts is required.

·       Possesses a highly developed critical thinking and problem solving-ability to work through complex situations.

·       Demonstrates excellent oral and written communication, keyboarding, basic math, and problem solving skills.

Springfield, IL

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