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Clinic Assistant

Jacksonville Memorial Hospital
Jacksonville, IL
Full-Time
Day Shift

The Clinic Assistant positively represents Jacksonville Memorial Hospital to all our customers. This person works as ...

Clinic Assistant

Jacksonville Memorial Hospital
Jacksonville, IL
Tracking Code 2024-20392

Position Summary

Full-Time
Day Shift

The Clinic Assistant positively represents Jacksonville Memorial Hospital to all our customers. This person works as part of a team to ensure our patients and providers have what’s needed including correct order/script for service, and proper patient identification. They complete the front office duties which include answering the telephone and triaging calls and messages, accurately scheduling and registering patients, collecting correct patient data, verifying patient insurance, ordering supplies, and running errands. They are responsible for billing, collecting, and submitting charges. They verify that the diagnosis provided, and the testing ordered meet the Medicare’s Local Coverage (LCD) and National Coverage Decision (NCD), obtain insurance prior authorization, and ensure data collection meets requirements prior to service. Coordinates the financial and clerical duties, such as medical record preparation, to meet the needs of our patients and hospital.

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 & Voluntary Benefits
  • Employee Assistance Program & 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.
  • Keeps unit stocked in necessary supplies and keeps work area neat and organized.
  • Plays a vital role in representing JMH in a positive, compassionate manner with professional communication, mannerism, and appearance.
  • Assist patients/visitors throughout the enterprise, providing telephone support, one-on-one assistance and way finding.
  • Maintains a cooperative and productive working relationship with all co-workers, physicians, management, and external customers to coordinate for optimum patient flow and throughput.
  • Actively supports patient/family centered care by actions and attitude that demonstrates service excellence.
  • Identifies customer service concerns and resolves and/or initiates service recovery.
  • Accountable for coordinating patient scheduled services, insurance authorization, benefits verifications and to ensure accurate demographic/financial data is properly obtained, entered, and documented into required system(s). Initiates the Patient Revenue Cycle by proper identification, verification and entry of insurance and authorization information.
  • Notifies and explains financial obligation to the patient/guarantor in a compassionate manner.
  • Provides resources for financial assistance.
  • Stays abreast of insurance and billing codes updates.
  •  Issues and explains insurance waivers, as necessary.
  • Demonstrate a good understanding of the elements involved with the various procedures/exams and provide appropriate instructions to patients for specific testing ordered.

Required Experience

Education:

  • High School Diploma or GED required

Experience:

  • Medical terminology, 3-month direct experience in customer service preferred, previous medical scheduling experience highly desired

Other Knowledge/Skills/Abilities:

  • Strong written and verbal communication Skills
  • Outstanding customer service skills
  • Basic understanding of ICD-10 diagnosis codes and CPT-4 coding
  • Aptitude for detail and accuracy a must
  • Awareness and understanding that they will experience the common working conditions, which include, but not limited to, being exposed to stressful situations due to the highly critical nature of this position, contact with patients under a wide variety of circumstances, subject to many interruptions, subject to irregular hours/locations, etc.
  • Flexible and ready to handle change while maintaining and exceeding the standard customer service.
  • Able to multitask and prioritize requested.
Jacksonville, IL

Robert Wiley

Recruiter

Patient Access Specialist I

Springfield Memorial Hospital
Springfield, IL
Part-Time
Day Shift

Our Patient Access Specialist assists in providing access to services provided at the hospital and/or other service a...

Patient Access Specialist I

Springfield Memorial Hospital
Springfield, IL
Tracking Code 2024-20259

Position Summary

Part-Time
Day Shift

Our Patient Access Specialist assists in providing access to services provided at the hospital and/or other service area. Processes registration information for the patient visit, obtaining patient demographic and third party information with a high degree of accuracy, and performs financial collections.  Performs the timely completion, preparation, and deployment of legal, ethical and compliance related documents that must be presented and thoroughly explained to the patient at the time of registration. Maintains knowledge of JCAHO, Patient Rights and Responsibilities, HIPAA, HMOs, Commercial Payers, and departmental / system policies and procedures. Provides Mammography Screening scheduling services to patients. Work may be performed in a patient care area. Serves as a liaison between ancillary departments and other Patient Access Services areas.     

Highlights & Benefits

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

Required Skills

  • Completes all steps of pre-registration/registration; verifies patient identity and demographic information through appropriate tools. Identifies/captures appropriate health insurance benefit eligibility based on contract/regulatory differentiation. Facilitates appropriate billing of claims and hospital reimbursement. Obtains and validates proper consent for patient treatment.
  • Schedules patients for Mammography procedures efficiently, effectively, and according to established protocol for modality, location, facility capabilities, insurance requirements, type of exam, patient preferences, and urgency.
  • Educates patients/others regarding the resolution of billing, private pay options, collection efforts, coordination of benefits, third party and governmental payment criteria, insurance coverage, payments, and denials. May serve as a liaison between external resources and patients on issues requiring SMH involvement.
  • Coordinates with SMH Patient Financial Services, Utilization Management, physicians, and medical offices to ensure consistent financial documentation across the enterprise, and an interdisciplinary approach to patient and organizational needs.
  • Adheres to all CMS Conditions of Participation regulations and Section 1154(e) of the Social Security Act regarding delivery, explanation, and acquisition of patient/designated representative signatures.
  • Verifies medical necessity, and obtains appropriate signature on Advance Beneficiary Notice of non-coverage (ABN) per CMS regulations at points of patient access.
  • Negotiates with patients and families to collect patient co-pays and/or deposits at point of service. Supports Patient Access Services POS (Point of Service) collection goals as defined by Revenue Cycle leadership and best practice benchmarks.
  • Triages, documents, and initiates referrals of patients to Medicaid vendor and/or for financial assistance, per the Illinois Fair Patient Billing Act, Illinois Uninsured Patient Discount Act, and established SMH procedures.
  • Identifies/reviews services requiring pre-authorization/pre-certification by Medicare, Medicaid, Commercial, and Managed Care payers, to ensure provider eligibility requirements are met prior to receiving service. Utilizes appropriate technology and/or communicates with physician offices.
  • 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.
  • 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.
  • Ensures compliance with all applicable HIPAA, Joint Commission, CDC, SMH, 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, SMH, Joint Commission, and Illinois Department of Public Health grievance process as appropriate.
  • Maintains current knowledge of, and complies with, the Illinois Fair Patient Billing Act and Illinois Uninsured Patient Discount Act at all times.
  • Completes Illinois DHS legal forms for psychiatric admits, in compliance with State of Illinois and SMH statues and guidelines. Provides relevant patient/family education.
  • May rotate work settings, i.e., patient registration, bedside registration, or other SMH campus environments. May be required to provide coverage for the SMH Financial Lobby Office.
  • Develops and maintains a comprehensive knowledge of the health system organization and its functions. Completes all assigned annual organizational education
  • Meets expectations for productivity, accuracy, and point of service collections
  • Attendance at quarterly department meetings is mandatory unless absence is approved by PAS management prior to the meeting date.
  • Performs pre-registration functions as requested.
  • Performs other related work as required or requested.

Required Experience

Education:

High School diploma required. 

Licensure/Certification/Registry:

Must successfully complete assigned annual education through Healthcare Business Insights.

Experience:

One (1) years of business office experience, preferably in the areas of Patient Access, billing, collections, insurance principles/practices, or accounts receivable. Completion of 12 (twelve) hours of coursework in a business or healthcare related field of study may be considered in lieu of business office experience. Previous experience in Patient Access is highly desirable.  

Other Knowledge/Skills/Abilities:

  • Knowledge of all tasks performed in the various Patient Access Service areas is necessary to provide optimum internal and external customer satisfaction and provide the opportunity for accurate reimbursement. 
  • 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; promotes a positive work environment and contributes to the overall team efforts of the department and organization.
  • Working knowledge of computers is required, with the ability to enter and retrieve data, and electronically notate registration software, and other required applications/systems.
  • Must demonstrate detail orientation, critical thinking, and problem solving ability.
  • Must demonstrate excellent oral and written communication and customer service skills, with ability to maintain a calm and professional demeanor in high stress situations.
  • Demonstrated ability to remain flexible, and consistently exercise sound judgment and initiative in very stressful situations.
  • Ability to effectively manage competing priorities and work independently in a rapidly changing environment.
  • Must demonstrate ability to educate, persuade, and negotiate effectively with patients and families.
  • Knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD 10 CM) coding, and hospital billing claims preferred, but not required.
Springfield, IL

Robert Wiley

Recruiter

Patient Access Specialist I

Springfield Memorial Hospital
Springfield, IL
Part-Time
Evening Shift

Our Patient Access Specialist assists in providing access to services provided at the hospital and/or other service a...

Patient Access Specialist I

Springfield Memorial Hospital
Springfield, IL
Tracking Code 2024-20552

Position Summary

Part-Time
Evening Shift

Our Patient Access Specialist assists in providing access to services provided at the hospital and/or other service area. Processes registration information for the patient visit, obtaining patient demographic and third party information with a high degree of accuracy, and performs financial collections.  Performs the timely completion, preparation, and deployment of legal, ethical and compliance related documents that must be presented and thoroughly explained to the patient at the time of registration. Maintains knowledge of JCAHO, Patient Rights and Responsibilities, HIPAA, HMOs, Commercial Payers, and departmental / system policies and procedures. Provides Mammography Screening scheduling services to patients. Work may be performed in a patient care area. Serves as a liaison between ancillary departments and other Patient Access Services areas.     

Highlights & Benefits

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

Required Skills

  • Completes all steps of pre-registration/registration; verifies patient identity and demographic information through appropriate tools. Identifies/captures appropriate health insurance benefit eligibility based on contract/regulatory differentiation. Facilitates appropriate billing of claims and hospital reimbursement. Obtains and validates proper consent for patient treatment.
  • Schedules patients for Mammography procedures efficiently, effectively, and according to established protocol for modality, location, facility capabilities, insurance requirements, type of exam, patient preferences, and urgency.
  • Educates patients/others regarding the resolution of billing, private pay options, collection efforts, coordination of benefits, third party and governmental payment criteria, insurance coverage, payments, and denials. May serve as a liaison between external resources and patients on issues requiring SMH involvement.
  • Coordinates with SMH Patient Financial Services, Utilization Management, physicians, and medical offices to ensure consistent financial documentation across the enterprise, and an interdisciplinary approach to patient and organizational needs.
  • Adheres to all CMS Conditions of Participation regulations and Section 1154(e) of the Social Security Act regarding delivery, explanation, and acquisition of patient/designated representative signatures.
  • Verifies medical necessity, and obtains appropriate signature on Advance Beneficiary Notice of non-coverage (ABN) per CMS regulations at points of patient access.
  • Negotiates with patients and families to collect patient co-pays and/or deposits at point of service. Supports Patient Access Services POS (Point of Service) collection goals as defined by Revenue Cycle leadership and best practice benchmarks.
  • Triages, documents, and initiates referrals of patients to Medicaid vendor and/or for financial assistance, per the Illinois Fair Patient Billing Act, Illinois Uninsured Patient Discount Act, and established SMH procedures.
  • Identifies/reviews services requiring pre-authorization/pre-certification by Medicare, Medicaid, Commercial, and Managed Care payers, to ensure provider eligibility requirements are met prior to receiving service. Utilizes appropriate technology and/or communicates with physician offices.
  • 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.
  • 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.
  • Ensures compliance with all applicable HIPAA, Joint Commission, CDC, SMH, 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, SMH, Joint Commission, and Illinois Department of Public Health grievance process as appropriate.
  • Maintains current knowledge of, and complies with, the Illinois Fair Patient Billing Act and Illinois Uninsured Patient Discount Act at all times.
  • Completes Illinois DHS legal forms for psychiatric admits, in compliance with State of Illinois and SMH statues and guidelines. Provides relevant patient/family education.
  • May rotate work settings, i.e., patient registration, bedside registration, or other SMH campus environments. May be required to provide coverage for the SMH Financial Lobby Office.
  • Develops and maintains a comprehensive knowledge of the health system organization and its functions. Completes all assigned annual organizational education
  • Meets expectations for productivity, accuracy, and point of service collections
  • Attendance at quarterly department meetings is mandatory unless absence is approved by PAS management prior to the meeting date.
  • Performs pre-registration functions as requested.
  • Performs other related work as required or requested.

Required Experience

Education:

High School diploma required. 

Licensure/Certification/Registry:

Must successfully complete assigned annual education through Healthcare Business Insights.

Experience:

One (1) years of business office experience, preferably in the areas of Patient Access, billing, collections, insurance principles/practices, or accounts receivable. Completion of 12 (twelve) hours of coursework in a business or healthcare related field of study may be considered in lieu of business office experience. Previous experience in Patient Access is highly desirable.  

Other Knowledge/Skills/Abilities:

  • Knowledge of all tasks performed in the various Patient Access Service areas is necessary to provide optimum internal and external customer satisfaction and provide the opportunity for accurate reimbursement. 
  • 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; promotes a positive work environment and contributes to the overall team efforts of the department and organization.
  • Working knowledge of computers is required, with the ability to enter and retrieve data, and electronically notate registration software, and other required applications/systems.
  • Must demonstrate detail orientation, critical thinking, and problem solving ability.
  • Must demonstrate excellent oral and written communication and customer service skills, with ability to maintain a calm and professional demeanor in high stress situations.
  • Demonstrated ability to remain flexible, and consistently exercise sound judgment and initiative in very stressful situations.
  • Ability to effectively manage competing priorities and work independently in a rapidly changing environment.
  • Must demonstrate ability to educate, persuade, and negotiate effectively with patients and families.
  • Knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD 10 CM) coding, and hospital billing claims preferred, but not required.
Springfield, IL

Robert Wiley

Recruiter

Patient Access Specialist I

Springfield Memorial Hospital
Springfield, IL
Part-Time
Day Shift

Our Patient Access Specialist assists in providing access to services provided at the hospital and/or other service a...

Patient Access Specialist I

Springfield Memorial Hospital
Springfield, IL
Tracking Code 2024-20260

Position Summary

Part-Time
Day Shift

Our Patient Access Specialist assists in providing access to services provided at the hospital and/or other service area. Processes registration information for the patient visit, obtaining patient demographic and third party information with a high degree of accuracy, and performs financial collections.  Performs the timely completion, preparation, and deployment of legal, ethical and compliance related documents that must be presented and thoroughly explained to the patient at the time of registration. Maintains knowledge of JCAHO, Patient Rights and Responsibilities, HIPAA, HMOs, Commercial Payers, and departmental / system policies and procedures. Provides Mammography Screening scheduling services to patients. Work may be performed in a patient care area. Serves as a liaison between ancillary departments and other Patient Access Services areas.     

Highlights & Benefits

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

Required Skills

  • Completes all steps of pre-registration/registration; verifies patient identity and demographic information through appropriate tools. Identifies/captures appropriate health insurance benefit eligibility based on contract/regulatory differentiation. Facilitates appropriate billing of claims and hospital reimbursement. Obtains and validates proper consent for patient treatment.
  • Schedules patients for Mammography procedures efficiently, effectively, and according to established protocol for modality, location, facility capabilities, insurance requirements, type of exam, patient preferences, and urgency.
  • Educates patients/others regarding the resolution of billing, private pay options, collection efforts, coordination of benefits, third party and governmental payment criteria, insurance coverage, payments, and denials. May serve as a liaison between external resources and patients on issues requiring SMH involvement.
  • Coordinates with SMH Patient Financial Services, Utilization Management, physicians, and medical offices to ensure consistent financial documentation across the enterprise, and an interdisciplinary approach to patient and organizational needs.
  • Adheres to all CMS Conditions of Participation regulations and Section 1154(e) of the Social Security Act regarding delivery, explanation, and acquisition of patient/designated representative signatures.
  • Verifies medical necessity, and obtains appropriate signature on Advance Beneficiary Notice of non-coverage (ABN) per CMS regulations at points of patient access.
  • Negotiates with patients and families to collect patient co-pays and/or deposits at point of service. Supports Patient Access Services POS (Point of Service) collection goals as defined by Revenue Cycle leadership and best practice benchmarks.
  • Triages, documents, and initiates referrals of patients to Medicaid vendor and/or for financial assistance, per the Illinois Fair Patient Billing Act, Illinois Uninsured Patient Discount Act, and established SMH procedures.
  • Identifies/reviews services requiring pre-authorization/pre-certification by Medicare, Medicaid, Commercial, and Managed Care payers, to ensure provider eligibility requirements are met prior to receiving service. Utilizes appropriate technology and/or communicates with physician offices.
  • 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.
  • 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.
  • Ensures compliance with all applicable HIPAA, Joint Commission, CDC, SMH, 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, SMH, Joint Commission, and Illinois Department of Public Health grievance process as appropriate.
  • Maintains current knowledge of, and complies with, the Illinois Fair Patient Billing Act and Illinois Uninsured Patient Discount Act at all times.
  • Completes Illinois DHS legal forms for psychiatric admits, in compliance with State of Illinois and SMH statues and guidelines. Provides relevant patient/family education.
  • May rotate work settings, i.e., patient registration, bedside registration, or other SMH campus environments. May be required to provide coverage for the SMH Financial Lobby Office.
  • Develops and maintains a comprehensive knowledge of the health system organization and its functions. Completes all assigned annual organizational education
  • Meets expectations for productivity, accuracy, and point of service collections
  • Attendance at quarterly department meetings is mandatory unless absence is approved by PAS management prior to the meeting date.
  • Performs pre-registration functions as requested.
  • Performs other related work as required or requested.

Required Experience

Education:

High School diploma required. 

Licensure/Certification/Registry:

Must successfully complete assigned annual education through Healthcare Business Insights.

Experience:

One (1) years of business office experience, preferably in the areas of Patient Access, billing, collections, insurance principles/practices, or accounts receivable. Completion of 12 (twelve) hours of coursework in a business or healthcare related field of study may be considered in lieu of business office experience. Previous experience in Patient Access is highly desirable.  

Other Knowledge/Skills/Abilities:

  • Knowledge of all tasks performed in the various Patient Access Service areas is necessary to provide optimum internal and external customer satisfaction and provide the opportunity for accurate reimbursement. 
  • 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; promotes a positive work environment and contributes to the overall team efforts of the department and organization.
  • Working knowledge of computers is required, with the ability to enter and retrieve data, and electronically notate registration software, and other required applications/systems.
  • Must demonstrate detail orientation, critical thinking, and problem solving ability.
  • Must demonstrate excellent oral and written communication and customer service skills, with ability to maintain a calm and professional demeanor in high stress situations.
  • Demonstrated ability to remain flexible, and consistently exercise sound judgment and initiative in very stressful situations.
  • Ability to effectively manage competing priorities and work independently in a rapidly changing environment.
  • Must demonstrate ability to educate, persuade, and negotiate effectively with patients and families.
  • Knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD 10 CM) coding, and hospital billing claims preferred, but not required.
Springfield, IL

Robert Wiley

Recruiter

Patient Access Specialist I

Springfield Memorial Hospital
Springfield, IL
Part-Time
Evening Shift

[$2,500/1 year commitment sign-on bonus] Our Patient Access Specialist assists in providing access to services provid...

Patient Access Specialist I

Springfield Memorial Hospital
Springfield, IL
Tracking Code 2024-20120

Position Summary

Part-Time
Evening Shift

[$2,500/1 year commitment sign-on bonus]

Our Patient Access Specialist assists in providing access to services provided at the hospital and/or other service area. Processes registration information for the patient visit, obtaining patient demographic and third party information with a high degree of accuracy, and performs financial collections.  Performs the timely completion, preparation, and deployment of legal, ethical and compliance related documents that must be presented and thoroughly explained to the patient at the time of registration. Maintains knowledge of JCAHO, Patient Rights and Responsibilities, HIPAA, HMOs, Commercial Payers, and departmental / system policies and procedures. Provides Mammography Screening scheduling services to patients. Work may be performed in a patient care area. Serves as a liaison between ancillary departments and other Patient Access Services areas.   

Highlights & Benefits

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

Required Skills

  • Completes all steps of pre-registration/registration; verifies patient identity and demographic information through appropriate tools. Identifies/captures appropriate health insurance benefit eligibility based on contract/regulatory differentiation. Facilitates appropriate billing of claims and hospital reimbursement. Obtains and validates proper consent for patient treatment.
  • Schedules patients for Mammography procedures efficiently, effectively, and according to established protocol for modality, location, facility capabilities, insurance requirements, type of exam, patient preferences, and urgency.
  • Educates patients/others regarding the resolution of billing, private pay options, collection efforts, coordination of benefits, third party and governmental payment criteria, insurance coverage, payments, and denials. May serve as a liaison between external resources and patients on issues requiring SMH involvement.
  • Coordinates with SMH Patient Financial Services, Utilization Management, physicians, and medical offices to ensure consistent financial documentation across the enterprise, and an interdisciplinary approach to patient and organizational needs.
  • Adheres to all CMS Conditions of Participation regulations and Section 1154(e) of the Social Security Act regarding delivery, explanation, and acquisition of patient/designated representative signatures.
  • Verifies medical necessity, and obtains appropriate signature on Advance Beneficiary Notice of non-coverage (ABN) per CMS regulations at points of patient access.
  • Negotiates with patients and families to collect patient co-pays and/or deposits at point of service. Supports Patient Access Services POS (Point of Service) collection goals as defined by Revenue Cycle leadership and best practice benchmarks.
  • Triages, documents, and initiates referrals of patients to Medicaid vendor and/or for financial assistance, per the Illinois Fair Patient Billing Act, Illinois Uninsured Patient Discount Act, and established SMH procedures.
  • Identifies/reviews services requiring pre-authorization/pre-certification by Medicare, Medicaid, Commercial, and Managed Care payers, to ensure provider eligibility requirements are met prior to receiving service. Utilizes appropriate technology and/or communicates with physician offices.
  • 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.
  • 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.
  • Ensures compliance with all applicable HIPAA, Joint Commission, CDC, SMH, 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, SMH, Joint Commission, and Illinois Department of Public Health grievance process as appropriate.
  • Maintains current knowledge of, and complies with, the Illinois Fair Patient Billing Act and Illinois Uninsured Patient Discount Act at all times.
  • Completes Illinois DHS legal forms for psychiatric admits, in compliance with State of Illinois and SMH statues and guidelines. Provides relevant patient/family education.
  • May rotate work settings, i.e., patient registration, bedside registration, or other SMH campus environments. May be required to provide coverage for the SMH Financial Lobby Office.
  • Develops and maintains a comprehensive knowledge of the health system organization and its functions. Completes all assigned annual organizational education
  • Meets expectations for productivity, accuracy, and point of service collections
  • Attendance at quarterly department meetings is mandatory unless absence is approved by PAS management prior to the meeting date.
  • Performs pre-registration functions as requested.
  • Performs other related work as required or requested.

Required Experience

Education:

High School diploma required. 

Licensure/Certification/Registry:

Must successfully complete assigned annual education through Healthcare Business Insights.

Experience:

One (1) years of business office experience, preferably in the areas of Patient Access, billing, collections, insurance principles/practices, or accounts receivable. Completion of 12 (twelve) hours of coursework in a business or healthcare related field of study may be considered in lieu of business office experience. Previous experience in Patient Access is highly desirable.  

Other Knowledge/Skills/Abilities:

  • Knowledge of all tasks performed in the various Patient Access Service areas is necessary to provide optimum internal and external customer satisfaction and provide the opportunity for accurate reimbursement. 
  • 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; promotes a positive work environment and contributes to the overall team efforts of the department and organization.
  • Working knowledge of computers is required, with the ability to enter and retrieve data, and electronically notate registration software, and other required applications/systems.
  • Must demonstrate detail orientation, critical thinking, and problem solving ability.
  • Must demonstrate excellent oral and written communication and customer service skills, with ability to maintain a calm and professional demeanor in high stress situations.
  • Demonstrated ability to remain flexible, and consistently exercise sound judgment and initiative in very stressful situations.
  • Ability to effectively manage competing priorities and work independently in a rapidly changing environment.
  • Must demonstrate ability to educate, persuade, and negotiate effectively with patients and families.
  • Knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD 10 CM) coding, and hospital billing claims preferred, but not required.
Springfield, IL

Robert Wiley

Recruiter

Patient Access Specialist-Summer Employment

Springfield Memorial Hospital
Springfield, IL
PRN
Day Shift

Assists in providing access to services provided at the hospital and/or other service area. Processes registration in...

Patient Access Specialist-Summer Employment

Springfield Memorial Hospital
Springfield, IL
Tracking Code 2024-20513

Position Summary

PRN
Day Shift

Assists in providing access to services provided at the hospital and/or other service area. Processes registration information for the patient visit, obtaining patient demographic and third party information with a high degree of accuracy, and performs financial collections.  Performs the timely completion, preparation, and deployment of legal, ethical and compliance related documents that must be presented and thoroughly explained to the patient at the time of registration. Maintains knowledge of JCAHO, Patient Rights and Responsibilities, HIPAA, HMOs, Commercial Payers, and departmental / system policies and procedures. Provides Mammography Screening scheduling services to patients. Work may be performed in a patient care area. Serves as a liaison between ancillary departments and other Patient Access Services areas.     

Highlights & Benefits

Required Skills

  • Completes all steps of pre-registration/registration; verifies patient identity and demographic information through appropriate tools. Identifies/captures appropriate health insurance benefit eligibility based on contract/regulatory differentiation. Facilitates appropriate billing of claims and hospital reimbursement. Obtains and validates proper consent for patient treatment.
  • Schedules patients for Mammography procedures efficiently, effectively, and according to established protocol for modality, location, facility capabilities, insurance requirements, type of exam, patient preferences, and urgency.
  • Educates patients/others regarding the resolution of billing, private pay options, collection efforts, coordination of benefits, third party and governmental payment criteria, insurance coverage, payments, and denials. May serve as a liaison between external resources and patients on issues requiring MH involvement.
  • Coordinates with MH Patient Financial Services, Utilization Management, physicians, and medical offices to ensure consistent financial documentation across the enterprise, and an interdisciplinary approach to patient and organizational needs.
  • Adheres to all CMS Conditions of Participation regulations and Section 1154(e) of the Social Security Act regarding delivery, explanation, and acquisition of patient/designated representative signatures.
  • Verifies medical necessity, and obtains appropriate signature on Advance Beneficiary Notice of non-coverage (ABN) per CMS regulations at points of patient access.
  • Negotiates with patients and families to collect patient co-pays and/or deposits at point of service. Supports Patient Access Services POS (Point of Service) collection goals as defined by Revenue Cycle leadership and best practice benchmarks.
  • Triages, documents, and initiates referrals of patients to Medicaid vendor and/or for financial assistance, per the Illinois Fair Patient Billing Act, Illinois Uninsured Patient Discount Act, and established MH procedures.
  • Identifies/reviews services requiring pre-authorization/pre-certification by Medicare, Medicaid, Commercial, and Managed Care payers, to ensure provider eligibility requirements are met prior to receiving service. Utilizes appropriate technology and/or communicates with physician offices.
  • 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.
  • 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.
  • Ensures compliance with all applicable HIPAA, Joint Commission, CDC, MH, 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, MH, Joint Commission, and Illinois Department of Public Health grievance process as appropriate.
  • Maintains current knowledge of, and complies with, the Illinois Fair Patient Billing Act and Illinois Uninsured Patient Discount Act at all times.
  • Completes Illinois DHS legal forms for psychiatric admits, in compliance with State of Illinois and MH statues and guidelines. Provides relevant patient/family education.
  • May rotate work settings, i.e., patient registration, bedside registration, or other MH campus environments. May be required to provide coverage for the MH Financial Lobby Office.
  • Develops and maintains a comprehensive knowledge of the health system organization and its functions. Completes all assigned annual organizational education
  • Meets expectations for productivity, accuracy, and point of service collections.
  • Attendance at quarterly department meetings is mandatory unless absence is approved by PAS management prior to the meeting date.
  • Performs pre-registration functions as requested.
  • Performs other related work as required or requested.

Required Experience

Education:

High School diploma required. 

Licensure/Certification/Registry:

Must successfully complete assigned annual education through Healthcare Business Insights.

Experience:

One (1) years of business office experience, preferably in the areas of Patient Access, billing, collections, insurance principles/practices, or accounts receivable. Completion of 12 (twelve) hours of coursework in a business or healthcare related field of study may be considered in lieu of business office experience. Previous experience in Patient Access is highly desirable.  

Other Knowledge/Skills/Abilities:

  • Knowledge of all tasks performed in the various Patient Access Service areas is necessary to provide optimum internal and external customer satisfaction and provide the opportunity for accurate reimbursement. 
  • 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; promotes a positive work environment and contributes to the overall team efforts of the department and organization.
  • Working knowledge of computers is required, with the ability to enter and retrieve data, and electronically notate registration software, and other required applications/systems.
  • Must demonstrate detail orientation, critical thinking, and problem solving ability.
  • Must demonstrate excellent oral and written communication and customer service skills, with ability to maintain a calm and professional demeanor in high stress situations.
  • Demonstrated ability to remain flexible, and consistently exercise sound judgment and initiative in very stressful situations.
  • Ability to effectively manage competing priorities and work independently in a rapidly changing environment.
  • Must demonstrate ability to educate, persuade, and negotiate effectively with patients and families.
  • Knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD 10 CM) coding, and hospital billing claims preferred, but not required.
Springfield, IL

Robert Wiley

Recruiter

Patient Access Specialist -Summer Employment

Springfield Memorial Hospital
Springfield, IL
PRN
Evening Shift

Assists in providing access to services provided at the hospital and/or other service area. Processes registration in...

Patient Access Specialist -Summer Employment

Springfield Memorial Hospital
Springfield, IL
Tracking Code 2024-20512

Position Summary

PRN
Evening Shift

Assists in providing access to services provided at the hospital and/or other service area. Processes registration information for the patient visit, obtaining patient demographic and third party information with a high degree of accuracy, and performs financial collections.  Performs the timely completion, preparation, and deployment of legal, ethical and compliance related documents that must be presented and thoroughly explained to the patient at the time of registration. Maintains knowledge of JCAHO, Patient Rights and Responsibilities, HIPAA, HMOs, Commercial Payers, and departmental / system policies and procedures. Provides Mammography Screening scheduling services to patients. Work may be performed in a patient care area. Serves as a liaison between ancillary departments and other Patient Access Services areas.      

Highlights & Benefits

Required Skills

  • Completes all steps of pre-registration/registration; verifies patient identity and demographic information through appropriate tools. Identifies/captures appropriate health insurance benefit eligibility based on contract/regulatory differentiation. Facilitates appropriate billing of claims and hospital reimbursement. Obtains and validates proper consent for patient treatment.
  • Schedules patients for Mammography procedures efficiently, effectively, and according to established protocol for modality, location, facility capabilities, insurance requirements, type of exam, patient preferences, and urgency.
  • Educates patients/others regarding the resolution of billing, private pay options, collection efforts, coordination of benefits, third party and governmental payment criteria, insurance coverage, payments, and denials. May serve as a liaison between external resources and patients on issues requiring SMH involvement.
  • Coordinates with SMH Patient Financial Services, Utilization Management, physicians, and medical offices to ensure consistent financial documentation across the enterprise, and an interdisciplinary approach to patient and organizational needs.
  • Adheres to all CMS Conditions of Participation regulations and Section 1154(e) of the Social Security Act regarding delivery, explanation, and acquisition of patient/designated representative signatures.
  • Verifies medical necessity, and obtains appropriate signature on Advance Beneficiary Notice of non-coverage (ABN) per CMS regulations at points of patient access.
  • Negotiates with patients and families to collect patient co-pays and/or deposits at point of service. Supports Patient Access Services POS (Point of Service) collection goals as defined by Revenue Cycle leadership and best practice benchmarks.
  • Triages, documents, and initiates referrals of patients to Medicaid vendor and/or for financial assistance, per the Illinois Fair Patient Billing Act, Illinois Uninsured Patient Discount Act, and established SMH procedures.
  • Identifies/reviews services requiring pre-authorization/pre-certification by Medicare, Medicaid, Commercial, and Managed Care payers, to ensure provider eligibility requirements are met prior to receiving service. Utilizes appropriate technology and/or communicates with physician offices.
  • 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.
  • 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.
  • Ensures compliance with all applicable HIPAA, Joint Commission, CDC, SMH, 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, SMH, Joint Commission, and Illinois Department of Public Health grievance process as appropriate.
  • Maintains current knowledge of, and complies with, the Illinois Fair Patient Billing Act and Illinois Uninsured Patient Discount Act at all times.
  • Completes Illinois DHS legal forms for psychiatric admits, in compliance with State of Illinois and SMH statues and guidelines. Provides relevant patient/family education.
  • May rotate work settings, i.e., patient registration, bedside registration, or other SMH campus environments. May be required to provide coverage for the SMH Financial Lobby Office.
  • Develops and maintains a comprehensive knowledge of the health system organization and its functions. Completes all assigned annual organizational education
  • Meets expectations for productivity, accuracy, and point of service collections
  • Attendance at quarterly department meetings is mandatory unless absence is approved by PAS management prior to the meeting date.
  • Performs pre-registration functions as requested.
  • Performs other related work as required or requested.

Required Experience

Education:

High School diploma required. 

Licensure/Certification/Registry:

Must successfully complete assigned annual education through Healthcare Business Insights.

Experience:

One (1) years of business office experience, preferably in the areas of Patient Access, billing, collections, insurance principles/practices, or accounts receivable. Completion of 12 (twelve) hours of coursework in a business or healthcare related field of study may be considered in lieu of business office experience. Previous experience in Patient Access is highly desirable.  

Other Knowledge/Skills/Abilities:

  • Knowledge of all tasks performed in the various Patient Access Service areas is necessary to provide optimum internal and external customer satisfaction and provide the opportunity for accurate reimbursement. 
  • 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; promotes a positive work environment and contributes to the overall team efforts of the department and organization.
  • Working knowledge of computers is required, with the ability to enter and retrieve data, and electronically notate registration software, and other required applications/systems.
  • Must demonstrate detail orientation, critical thinking, and problem solving ability.
  • Must demonstrate excellent oral and written communication and customer service skills, with ability to maintain a calm and professional demeanor in high stress situations.
  • Demonstrated ability to remain flexible, and consistently exercise sound judgment and initiative in very stressful situations.
  • Ability to effectively manage competing priorities and work independently in a rapidly changing environment.
  • Must demonstrate ability to educate, persuade, and negotiate effectively with patients and families.
  • Knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD 10 CM) coding, and hospital billing claims preferred, but not required.
Springfield, IL

Robert Wiley

Recruiter

Patient Registration Clerk- Summer Employment

Jacksonville Memorial Hospital
Jacksonville, IL
PRN
All Shifts Available Shift

Assists in providing access to services provided at the hospital and/or other service area. Processes registration in...

Patient Registration Clerk- Summer Employment

Jacksonville Memorial Hospital
Jacksonville, IL
Tracking Code 2024-20515

Position Summary

PRN
All Shifts Available Shift

Assists in providing access to services provided at the hospital and/or other service area. Processes registration information for the patient visit, obtaining patient demographic and third party information with a high degree of accuracy, and performs financial collections.  Performs the timely completion, preparation, and deployment of legal, ethical and compliance related documents that must be presented and thoroughly explained to the patient at the time of registration. Maintains knowledge of JCAHO, Patient Rights and Responsibilities, HIPAA, HMOs, Commercial Payers, and departmental / system policies and procedures. Work may be performed in a patient care area. Serves as a liaison between ancillary departments and other Patient Access Services areas.      

Highlights & Benefits

Required Skills

  • Plays a vital role in representing JMH in a positive, compassionate manner with professional communication, mannerism, and appearance
  • Assist patients/visitors throughout the enterprise, providing telephone support, one-on-one assistance and way finding.
  • Maintains cooperative and productive working relationships with all co-workers, physicians, management, and external customers to coordinate for optimum patient flow and throughput.
  • Actively supports patient/family centered care by actions and attitude that demonstrates service excellence.
  • Identifies customer service concerns and resolves and/or initiates service recovery.
  • Accountable for Admissions and/or Registrations (Outpatient/ED/Pre), to ensure accurate demographic/financial data is properly obtained, entered, and documented into required system(s), which includes Bedside registrations, Pre-Registration, Point of Service Registrations, Bed Assignments and Facility to Facility Transfers, Initiates the Patient Revenue Cycle by proper identification, verification and entry of insurance and authorization information.
  • Notifies and explains financial obligation to the patient/guarantor in a compassionate manner.
  • Provides resources for financial assistance.
  • Stays abreast of insurance and billing codes updates.
  • Verifies Medicare Medical Necessity and issues ABNs for none covered services.
  • Issues and explains insurance waivers, as necessary.
  • Ensures outpatient physician orders are scanned and attached to the patient visit and tests are ordered via the order entry system accurately.
  • Performs other related work as required or requested.

Required Experience

Education:

High School diploma or equivalent required. 

Experience:

One (1) years of business office experience, preferably in the areas of Patient Access, billing, collections, insurance principles/practices, or accounts receivable. Completion of 12 (twelve) hours of coursework in a business or healthcare related field of study may be considered in lieu of business office experience. Previous experience in Patient Access is highly desirable.  

Other Knowledge/Skills/Abilities:

Knowledge of all tasks performed in the various Patient Access Service areas is necessary to provide optimum internal and external customer satisfaction and provide the opportunity for accurate reimbursement. 
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; promotes a positive work environment and contributes to the overall team efforts of the department and organization.
Working knowledge of computers is required, with the ability to enter and retrieve data, and electronically notate registration software, and other required applications/systems.
Must demonstrate detail orientation, critical thinking, and problem solving ability.
Must demonstrate excellent oral and written communication and customer service skills, with ability to maintain a calm and professional demeanor in high stress situations.
Demonstrated ability to remain flexible, and consistently exercise sound judgment and initiative in very stressful situations.
Ability to effectively manage competing priorities and work independently in a rapidly changing environment.
Must demonstrate ability to educate, persuade, and negotiate effectively with patients and families.
Knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claims preferred, but not required.

Jacksonville, IL

Robert Wiley

Recruiter

Patient Registration Clerk

Jacksonville Memorial Hospital
Jacksonville, IL
Part-Time
Evening Shift

Our Patient Registration Clerk assists in providing access to services provided at the hospital and/or other service ...

Patient Registration Clerk

Jacksonville Memorial Hospital
Jacksonville, IL
Tracking Code 2024-19846

Position Summary

Part-Time
Evening Shift

Our Patient Registration Clerk assists in providing access to services provided at the hospital and/or other service area. Processes registration information for the patient visit, obtaining patient demographic and third party information with a high degree of accuracy, and performs financial collections.  Performs the timely completion, preparation, and deployment of legal, ethical and compliance related documents that must be presented and thoroughly explained to the patient at the time of registration. Maintains knowledge of JCAHO, Patient Rights and Responsibilities, HIPAA, HMOs, Commercial Payers, and departmental / system policies and procedures. Work may be performed in a patient care area. Serves as a liaison between ancillary departments and other Patient Access Services areas.      

Highlights & Benefits

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

Required Skills

  • Plays a vital role in representing JMH in a positive, compassionate manner with professional communication, mannerism, and appearance
  • Assist patients/visitors throughout the enterprise, providing telephone support, one-on-one assistance and way finding.
  • Maintains cooperative and productive working relationships with all co-workers, physicians, management, and external customers to coordinate for optimum patient flow and throughput.
  • Actively supports patient/family centered care by actions and attitude that demonstrates service excellence.
  • Identifies customer service concerns and resolves and/or initiates service recovery.
  • Accountable for Admissions and/or Registrations (Outpatient/ED/Pre), to ensure accurate demographic/financial data is properly obtained, entered, and documented into required system(s), which includes Bedside registrations, Pre-Registration, Point of Service Registrations, Bed Assignments and Facility to Facility Transfers, Initiates the Patient Revenue Cycle by proper identification, verification and entry of insurance and authorization information.
  • Notifies and explains financial obligation to the patient/guarantor in a compassionate manner.
  • Provides resources for financial assistance.
  • Stays abreast of insurance and billing codes updates.
  • Verifies Medicare Medical Necessity and issues ABNs for none covered services.
  • Issues and explains insurance waivers, as necessary.
  • Ensures outpatient physician orders are scanned and attached to the patient visit and tests are ordered via the order entry system accurately.
  • Performs other related work as required or requested.

Required Experience

Education:

High School diploma or equivalent required. 

Experience:

One (1) years of business office experience, preferably in the areas of Patient Access, billing, collections, insurance principles/practices, or accounts receivable. Completion of 12 (twelve) hours of coursework in a business or healthcare related field of study may be considered in lieu of business office experience. Previous experience in Patient Access is highly desirable.  

Other Knowledge/Skills/Abilities:

Knowledge of all tasks performed in the various Patient Access Service areas is necessary to provide optimum internal and external customer satisfaction and provide the opportunity for accurate reimbursement. 
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; promotes a positive work environment and contributes to the overall team efforts of the department and organization.
Working knowledge of computers is required, with the ability to enter and retrieve data, and electronically notate registration software, and other required applications/systems.
Must demonstrate detail orientation, critical thinking, and problem solving ability.
Must demonstrate excellent oral and written communication and customer service skills, with ability to maintain a calm and professional demeanor in high stress situations.
Demonstrated ability to remain flexible, and consistently exercise sound judgment and initiative in very stressful situations.
Ability to effectively manage competing priorities and work independently in a rapidly changing environment.
Must demonstrate ability to educate, persuade, and negotiate effectively with patients and families.
Knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claims preferred, but not required.

Jacksonville, IL

Robert Wiley

Recruiter

Patient Registration Clerk

Jacksonville Memorial Hospital
Jacksonville, IL
Part-Time
Evening Shift

Assists in providing access to services provided at the hospital and/or other service area. Processes registration in...

Patient Registration Clerk

Jacksonville Memorial Hospital
Jacksonville, IL
Tracking Code 2024-19958

Position Summary

Part-Time
Evening Shift

Assists in providing access to services provided at the hospital and/or other service area. Processes registration information for the patient visit, obtaining patient demographic and third party information with a high degree of accuracy, and performs financial collections.  Performs the timely completion, preparation, and deployment of legal, ethical and compliance related documents that must be presented and thoroughly explained to the patient at the time of registration. Maintains knowledge of JCAHO, Patient Rights and Responsibilities, HIPAA, HMOs, Commercial Payers, and departmental / system policies and procedures. Work may be performed in a patient care area. Serves as a liaison between ancillary departments and other Patient Access Services areas.      

Part-Time [04:30PM  – 10:30PM/ 09:30AM – 08:00PM]

Highlights & Benefits

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

Required Skills

  • Plays a vital role in representing JMH in a positive, compassionate manner with professional communication, mannerism, and appearance
  • Assist patients/visitors throughout the enterprise, providing telephone support, one-on-one assistance and way finding.
  • Maintains cooperative and productive working relationships with all co-workers, physicians, management, and external customers to coordinate for optimum patient flow and throughput.
  • Actively supports patient/family centered care by actions and attitude that demonstrates service excellence.
  • Identifies customer service concerns and resolves and/or initiates service recovery.
  • Accountable for Admissions and/or Registrations (Outpatient/ED/Pre), to ensure accurate demographic/financial data is properly obtained, entered, and documented into required system(s), which includes Bedside registrations, Pre-Registration, Point of Service Registrations, Bed Assignments and Facility to Facility Transfers, Initiates the Patient Revenue Cycle by proper identification, verification and entry of insurance and authorization information.
  • Notifies and explains financial obligation to the patient/guarantor in a compassionate manner.
  • Provides resources for financial assistance.
  • Stays abreast of insurance and billing codes updates.
  • Verifies Medicare Medical Necessity and issues ABNs for none covered services.
  • Issues and explains insurance waivers, as necessary.
  • Ensures outpatient physician orders are scanned and attached to the patient visit and tests are ordered via the order entry system accurately.
  • Performs other related work as required or requested.

Required Experience

Education:

High School diploma or equivalent required. 

Experience:

One (1) years of business office experience, preferably in the areas of Patient Access, billing, collections, insurance principles/practices, or accounts receivable. Completion of 12 (twelve) hours of coursework in a business or healthcare related field of study may be considered in lieu of business office experience. Previous experience in Patient Access is highly desirable.  

Other Knowledge/Skills/Abilities:

Knowledge of all tasks performed in the various Patient Access Service areas is necessary to provide optimum internal and external customer satisfaction and provide the opportunity for accurate reimbursement. 
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; promotes a positive work environment and contributes to the overall team efforts of the department and organization.
Working knowledge of computers is required, with the ability to enter and retrieve data, and electronically notate registration software, and other required applications/systems.
Must demonstrate detail orientation, critical thinking, and problem solving ability.
Must demonstrate excellent oral and written communication and customer service skills, with ability to maintain a calm and professional demeanor in high stress situations.
Demonstrated ability to remain flexible, and consistently exercise sound judgment and initiative in very stressful situations.
Ability to effectively manage competing priorities and work independently in a rapidly changing environment.
Must demonstrate ability to educate, persuade, and negotiate effectively with patients and families.
Knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claims preferred, but not required.

Jacksonville, IL

Robert Wiley

Recruiter

All Fields Required

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