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Required Skills

1. Monitors the Procedure Pending Transaction (PPT) report to verify images have been read. Works with Radiologist to ensure all unread images are read timely. Resolves and/or communicates issues during the review of PPT reports with Medical Imaging IT or Specialist as needed.

1. Maintains and ensures the integrity of legal cases. Follows established risk management and health information management policies and procedures.

1. Assists the Radiologist and residents with the Tumor board conferences. Confirms all images needed have been pushed, reports scanned and merged with the Memorial medical record number (MRN). Communicates completion to the assigned physician in a timely manner.

1. Trains other staff as needed.

1. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.

• COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.
• QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.

• EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.

1. Utilizes customer service skills by providing support to patients, visitors, physicians, residents, medical students and staff. Greets, communicates effectively and registers/checks in outpatients in a positive, accurate and professional manner. Rounds regularly in the reception areas and acts as a liaison between modalities and patient and/or families.

1. Acts as a liaison between Radiologist and ordering clinician for reporting critical results in compliance with department policy.

1. Acts as a liaison between patient floors, staff, outside physicians, Radiology Information staff and Radiologists.

1. Reviews patients with procedures/exams identified for follow-up that meet criteria identified by the department. Communicates or schedules identified patients in accordance with department process.

1. Reviews and processes stat merges to maintain integrity and accuracy of all data.

1. Ensures proper recording and transmission of appropriate patient and exam indicator information.

1. Monitors the Radiology Information System (RIS) to ensure all operations are running, and relays issues to the appropriate personnel.

1. Provides assistance for and has functional knowledge of the web browser.

1. Prepares digital images for continuation of care, medical records, and patients.

1. Answers phones utilizing proper phone etiquette to provide great customer service and meet customer needs.

1. Performs other related work as required or requested.

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

Required Skills

1. Leadership:

• Personal and Professional Growth:
• Demonstrates responsibility for own personal and professional growth as reflected in ongoing education, projects, and annual professional development plan.
• Provides and receives formal peer-to-peer feedback among nurse leader colleagues.
• Empowers self and staff to enhance patient-focused nursing care and quality patient outcomes as reflected in patient satisfaction and quality improvement efforts.

• Fosters an environment which focuses on values, professionalism and accountability, where staff and management see each other as partners in the decision making process.

• Serves as a professional nurse role model and works to encourage and develop future nursing leaders as a function of succession planning.

• Clinical Knowledge:
• Maintains an understanding of the unit’s primary patient populations and their care needs/requirements.

• Keeps up-to-date on new clinical treatments/services being developed/implemented for primary patient populations.

• Maintains a sound knowledge base of current trends and developments in nursing practice in order to lead unit-based changes to improve patient care delivery.

• Collaborative Practice:
• Demonstrates ability and willingness to collaborate with peers and staff.

• Shows commitment to the development of inter-departmental/intraprofessional collaboration for improvement of patient care, unit efficiency and effectiveness.

• Develops working relationships with the medical staff that encourage problem solving on all levels.

• Builds and maintains a strong Unit-Based Council to facilitate shared decision-making process.

• Community Involvement:
• Involves self with professional organizations and community health-related services and agencies.

1. Communication Skill:

• Encourages and facilitates a work climate conducive to open, honest communication and incorporates an effective information sharing process to ensure staff are kept up to date on key changes/issues affecting their work processes.

• Demonstrates a communication style which is supportive and non-threatening, thus providing an environment that allows for open expression of ideas and problem solving.

• Attends Nurse Management Council and Department Managers’ meetings and relays pertinent information to staff.

1. Human Resource:

• Is accountable for recruitment, interviewing, selection and retention of unit-based staff.

• Is accountable for scheduling of personnel to assure quality patient care within budget requirements.

• Is accountable for staff performance monitoring/feedback/appraisal and initiating corrective/disciplinary action as necessary, in accordance with hospital policies.

• Holds regular staff meetings in order to facilitate communication of organizational imperatives/changes as well as unit issues.

• Encourages staff to identify personal and professional growth needs and facilitates appropriate opportunities for that growth.

• Maintains a climate which provides ongoing appreciation and recognition of achievements.

• Supports appropriate risk-taking efforts by staff and peers.

• Assists in the development of and supports divisional programs/initiatives that promote recruitment/retention and satisfaction of staff members.

1. Fiscal Management:

• Budget Preparation:
• Participates in the preparation of the annual budget for areas of responsibility.

• Identifies capital equipment items needed.

• Identifies and evaluates present and future staffing needs.

• Budget Monitoring:
• Establishes quotas of supplies, analyzes financial and productivity reports.

• Reviews and evaluates monthly expenditures and operating statements and implements corrective action plans to address variances as necessary.

• Designs and implements cost-effective strategies that will enhance effective and efficient patient care delivery.

• Educates staff regarding operation of the unit and fiscal responsibilities.

• Maintains sound knowledge base of current trends and developments in health care related to reimbursement issues.

1. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.

• COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.

• QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.

• EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.

1. Planning:

• Engages staff in developing annual unit goals and individual goals consistent with MMC’s Strategic Priorities, the MHS Nursing Strategic Plan and the MMC annual Nursing goals.

• Develops mechanisms with staff to fulfill unit goals and objectives.

• Reviews goals and plans of action with staff on a regular basis.

1. Performance and Outcomes Improvement:

• Identifies quality improvement opportunities and uses appropriate QI tools/techniques to evaluate potential solutions.

• Leads intra-and inter-departmental problem solving to ensure resolution of clinical issues and adoption of “best practices.”

• Collaborates with staff in evaluating standards of care in relation to a particular patient population. Measures and validates that identified outcomes are met.

• Assures unit performance measurement data is gathered, monitored and reported and facilitates its use in improving quality and/or efficiency.

1. Research:

• Creates an environment that promotes analytical thinking in the resolution of identified clinical problems and the adoption of evidence-based nursing practice.

• Provides opportunities and resources to encourage staff to participate in nursing research/scholarship activities.

• Fosters collaborative research relationships with other healthcare institutions and healthcare providers.

1. Performs other related work as required or requested.

Required Skills

1. Performs cleaning, inspection and protective measures after instrumentation use to ensure proper operation. Promptly identifies any defects and malfunctions. Takes proper steps in plan for repair or loaners from external vendors.  Appropriately reports instrumentation and equipment removed from service for repair.  Inspects items returned from repair prior to replacing into service.

1. Consults with Sterile Processing Manager or Sterile Processing Lead Technician to facilitate daily plan for instrumentation need and turnaround.

1. Collaborates with instrument vendors, nursing and equipment tech personnel to actively contribute to the instrumentation turnaround planned for specific surgical cases are available and prepared for use.

1. Demonstrates competence in the use of decontamination equipment, flash/container sterilization and implements instrument sterilization.

1. Examines the surgical environment for conditions that pose a safety risk and takes action to minimize risk.

1. Verbally and nonverbally demonstrates a willingness to support organizational change and assists with the development of a plan to accomplish change. Functions to support a culture of teamwork and safety. 

1. Demonstrates knowledge of surgical attire, aseptic technique, event-related sterility, monitoring of environmental conditions, traffic patterns and other practices influencing maintenance of a sterile field.

1. Demonstrates compliance with safety principles. Recognizes and reports unsafe conditions and contributes to their resolution.  Demonstrates knowledge of fire safety and evacuation routes.

1. Handles floor stock medications or medications delivered from pharmacy directly or through the pneumatic tube system. Relocates these medications, in original containers, to designated secure storage locations or delivers to the appropriate licensed staff.

1. Performs other related work as required or requested.

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

Required Skills

1. Measures and accurately applies electrodes in a timely manner, according to the International 10-20 system. Ensures that electrode impedances meet laboratory standards.

1. Demonstrates positive interpersonal skills with patients, families, physicians and hospital staff.

1. Performs high quality electroneurodiagnostic studies according to laboratory standards.

1. Adapts procedures to clinical circumstances and implements alternative monitor and machine settings to better define abnormalities.

1. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.

• COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.

• QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.

• EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.

1. Recognizes, eliminates and/or monitors electrode artifacts in order to obtain an adequate test.

1. Learns to perform special procedure EEG tests, such as Neonatal recordings, Ambulatory EEG and Neurointensive Video EEG monitoring.
2. Performs work duties in accordance with all MMC Safety and Infection Control Standards.
3. Travels to shared service hospitals to perform EEGs.
4. Performs other related work as required or requested.

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

Required Skills

Job Responsibilities

• Completes all steps of pre-registration and registration; verifies patient identity and demographic information through appropriate tools.
• Identifies and 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.

Scheduling & Patient Coordination

• Schedules patients for Mammography procedures efficiently and effectively according to established protocol, including modality, location, facility capabilities, insurance requirements, type of exam, patient preferences, and urgency.

Patient Education & Financial 

• Educates patients and others regarding resolution of billing issues, 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 and an interdisciplinary approach to patient and organizational needs.
• Negotiates with patients and families to collect co-pays and/or deposits at point of service and supports Patient Access Services (POS) collection goals as defined by Revenue Cycle leadership and best practice benchmarks.

Compliance & Regulatory Requirements

• Adheres to CMS Conditions of Participation regulations and Section 1154(e) of the Social Security Act regarding delivery, explanation, and acquisition of patient or representative signatures.
• Verifies medical necessity and obtains appropriate signature on Advance Beneficiary Notice of Non-Coverage (ABN) per CMS regulations at point of patient access.
• Ensures compliance with HIPAA, Joint Commission, CDC, SMH, and all applicable state and federal statutes, providing required literature at all Patient Access Service access points.
• Educates patients regarding Advance Directives, Medicare Part D prescription coverage, SMH, Joint Commission, and Illinois Department of Public Health grievance processes as appropriate.
• Maintains current knowledge of and compliance with the Illinois Fair Patient Billing Act and Illinois Uninsured Patient Discount Act.

Financial Clearance, Insurance & Authorization

• Triages, documents, and initiates referrals to Medicaid vendors and/or financial assistance programs per applicable Illinois laws and SMH procedures.
• Identifies and reviews services requiring pre-authorization or pre-certification by Medicare, Medicaid, Commercial, and Managed Care payers to ensure eligibility requirements are met prior to service; communicates with physician offices and uses appropriate technology.
• Analyzes rejected account reports from hospital sources, including Non-Patient Access registration departments, to resolve eligibility issues, secure reimbursement, or determine financial assistance eligibility.

Operational Support & Additional Duties

• Orients and cross-trains others within assigned area of responsibility as directed by management.
• Assists other areas within the unit or department during times of special need or staffing shortages.
• May be required to work night or weekend shifts.
• May rotate work settings, including patient registration, bedside registration, and other SMH campus environments.
• May provide coverage for the SMH Financial Lobby Office.
• Develops and maintains comprehensive knowledge of the health system organization and completes all assigned annual organizational education.
• Meets expectations for productivity, accuracy, and point-of-service collections.
• Attends quarterly department meetings unless absence is approved by management in advance.
• Performs pre-registration functions as requested.
• Performs other related duties as required or assigned.

Required Skills

1. In collaboration with supervising physician(s), practices within professional scope and current standards to assess, diagnose, and treat patients.

1. Follows protocols according to supervising physician’s direction, which includes encouraging the patient to follow up with their primary care physician accordingly. Partners with the physician(s) to promote effective patient care. Provides to physician visit documentation and associated testing for review and signature. Effectively communicates with physician when needing clarification when deviating from protocol and prior to ordering costly tests, treatments, or referrals.

1. Completes thorough and timely documentation according to standards put forth by Medicare, Medicaid, and other relevant payer sources, as well as MHS policies pertaining to medical records.

1. Coordinates the resources required by the patient.

1. Collaborates, as needed, with other health care professionals, patient advocates, teachers, and family counselors in the formulation and initiation of a health care plan for patients. Routinely evaluates the plan and modifies the plan to improve outcomes.

1. Assumes responsibility for the development, implementation, and evaluation of plans for adherence to evidence-based quality indicators.

1. Serves as a clinical consultant to other healthcare professionals.

1. Reviews and utilizes current literature and research findings relevant to the health care of patients and their families.

1. Assists with implementing research findings and monitoring the impact on patient care outcomes.

1. Utilizes available data to analyze performance and develop plans to improve outcomes.

1. Works to further establish advanced clinical expertise and skills with regards to their specialty area.

1. Assists with the development, implementation, and evaluation of educational activities specific to their specialty area.

1. Maintains an active role in community and professional programs.

1. Assists in meeting financial goals related to revenue and expense. Maintains productivity according to budget. Communicates when expected volumes are not met or when opportunities exist to improve productivity or decrease cost.

1. Assists in meeting customer service goals by delivering care in a manner consistent with a high level of patient satisfaction. Reviews survey results and looks for ways to improve.

1. Demonstrates support for and participates in accomplishing team goals and objectives.

1. Performs other related work as required or requested.

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 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 Skills

• Greet the majority of visitors and patients, answer patient questions (via telephone/ in person) and give directional information.

• Effectively perform general clerical/administrative functions.

• Responsible for completing all steps of pre-registration/registration including patient interview, obtaining of signatures, providing Advance Directive information and distributes hospital specific literature.

• Pre-register and register all types of patients in multiple software systems.

• Demonstrates an ability to be flexible, organized and function well in stressful situations.

• Maintains a professional demeanor in respect to patients and fellow employees.

• Ability to conduct financial collections and referrals for Financial Counseling. Ability to interview/prescreen self pay patients for possible financial assistance.

• Understands and complies with state and federal regulations as well as hospital, department and The Joint Commission policies and procedures related to patient access.

• Communicates with ancillary department, physicians, medical offices and within Patient Financial Services department.

• Conducts insurance verification tasks, pre-certification, or referral information from MD offices and/or insurance companies and authorization for elective and emergent patients.

• Ability to complete legal admission paperwork for psychiatric admits in accordance to DHS guidelines.

• Ensures accurate documentation of patient information.

• Responsible for checking and re-stocking supplies as needed.

• Participates in performance improvement activities for the department and organization.

• Adheres to all HIPAA guidelines and patient confidentiality policies.

• Completes annual educational and training requirements.

• Promotes the mission, vision, and goals of the organization and department.

• Performs other related work as required or requested.

Required Skills

• Pre-Registration/Registration: Completes all steps of pre-registration/registration, verifies patient identity and demographic information, and captures health insurance benefit eligibility based on contract/regulatory requirements. Ensures proper consent for patient treatment is obtained.

• Mammography Scheduling: Schedules patients for Mammography procedures according to established protocols, ensuring proper modality, location, insurance requirements, patient preferences, and urgency.

• Billing and Payment Education: Educates patients on billing resolution, private pay options, collection efforts, coordination of benefits, third-party payments, insurance coverage, payments, and denials. Acts as a liaison between external resources and patients for issues requiring SMH involvement.

• Coordination of Financial Documentation: Works with Patient Financial Services, Utilization Management, physicians, and medical offices to maintain consistent financial documentation and interdisciplinary collaboration.

• Regulatory Compliance: Adheres to CMS Conditions of Participation and Section 1154(e) of the Social Security Act, ensuring proper patient signature acquisition. Verifies medical necessity and obtains signatures on Advance Beneficiary Notice of non-coverage (ABN) per CMS regulations.

• Co-Pay and Deposit Collection: Negotiates with patients and families to collect co-pays and/or deposits at the point of service, supporting POS collection goals.

• Financial Assistance Referrals: Triage, document, and refer patients to Medicaid vendors or financial assistance per the Illinois Fair Patient Billing Act and SMH procedures.

• Pre-Authorization/Pre-Certification: Identifies services requiring pre-authorization and works with physicians to meet eligibility requirements prior to service.

• Account Rejection Resolution: Analyzes and resolves rejected accounts from various hospital sources, ensuring verification of patient benefit eligibility and reimbursement from all payer sources, or suitability for financial assistance.

• Staff Training and Coverage: Orients and cross-trains others within the department and provides coverage during staff absences or special needs.

• HIPAA and Regulatory Compliance: Ensures compliance with all HIPAA, Joint Commission, CDC, SMH, and state and federal regulations. Educates patients about Advance Directives, Medicare D coverage, and the grievance process as appropriate.

• Knowledge Maintenance: Maintains up-to-date knowledge of applicable regulations, including the Illinois Fair Patient Billing Act and Illinois Uninsured Patient Discount Act, and completes all required annual organizational education.

• Legal Forms Compliance: Completes Illinois DHS legal forms for psychiatric admits in compliance with state and hospital policies, providing relevant education to patients and families.

• Flexible Work Settings: May rotate between different work settings such as patient registration, bedside registration, or SMH campus environments, and provide coverage for the SMH Financial Lobby Office.

• Productivity and Accuracy: Meets expectations for productivity, accuracy, and point of service collections. Attends quarterly department meetings unless otherwise approved.

• Additional Duties: Performs other related work as assigned.