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13 Patient Services Jobs
Reset FilterPatient Access Specialist I
Monday-Friday 10:00AM – 02:00PM Our Patient Access Specialist assists in providing access t...
Position Summary
- Monday-Friday 10:00AM – 02:00PM
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.
Patient Access Specialist I
Assists in providing access to services provided at the hospital and/or other service area. Processes registration in...
Position Summary
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
- 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
- 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.
Patient Access Specialist I - PRN
Our Patient Access Specialist plays a vital role in ensuring a smooth experience for patients at Memorial Health. Th...
Position Summary
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
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.
Patient Access Specialist I
Monday-Friday 10:00AM – 02:00PM/Part Time [With Weekend Rotation] Our Patient Access Specialist assists...
Position Summary
- Monday-Friday 10:00AM – 02:00PM/Part Time [With Weekend Rotation]
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.
Patient Access Specialist I
Assists in providing access to services provided at the hospital and/or other service area. Processes registration in...
Position Summary
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.
Patient Access Specialist I - PRN
Assists in providing access to services provided at the hospital and/or other service area. Processes registration in...
Position Summary
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.
- PRN
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.
Patient Access Specialist I
Patient Registration: Collecting patient demographic and insurance information accurately, ensuring all necessary d...
Position Summary
-
Patient Registration: Collecting patient demographic and insurance information accurately, ensuring all necessary details are entered into the system for the visit.
-
Financial Collection: Handling the collection of any payments due at the time of registration, which could involve verifying insurance or discussing financial obligations with patients.
-
Legal and Compliance: Preparing and explaining legal, ethical, and compliance-related documents to patients during the registration process, ensuring that they understand their rights and responsibilities.
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Knowledge of Healthcare Regulations: Familiarity with various healthcare regulations such as JCAHO (Joint Commission on Accreditation of Healthcare Organizations), HIPAA (Health Insurance Portability and Accountability Act), and understanding the policies related to different insurance plans (HMOs, Commercial Payers).
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Mammography Screening: Coordinating the scheduling of mammography screenings, which might involve working with the patients directly and ensuring they are scheduled for appropriate services.
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Interdepartmental Liaison: Acting as a bridge between different departments within the hospital or healthcare facility to ensure seamless access to services.
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Shift and Schedule: This position is part-time and requires early hours from 4:00 AM to 10:30 AM with every other weekend.
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.
PATIENT REGISTRATION SPEC I
Our Patient Access Specialist plays a vital role in ensuring a smooth experience for patients at Memorial Health. Th...
Position Summary
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.
- Hours of Shift: 08:30AM – 04:30PM
- Days
- Weekends: Rotation: As specified by the department
- FTE: 1.0
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.
PATIENT REGISTRATION SPEC I
Our Patient Access Specialist plays a vital role in ensuring a smooth experience for patients at Memorial Health. Th...
Position Summary
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.
- Hours of Shift: 09:00AM – 05:30PM
- Days
- Weekends: Rotation: As specified by the department
- FTE: 1.0
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.
PATIENT ACCESS TEAM LEADER/Emergency Room - Sign-On Bonus
$5,000 sign on bonus with 1 year commitment. The team leader is responsible for the guidance and coordination of need...
PATIENT ACCESS TEAM LEADER/Emergency Room - Sign-On Bonus
Position Summary
$5,000 sign on bonus with 1 year commitment.
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.