Patient Registration Rep Clinic
3 months ago
Position Summary:
Responsible for obtaining registration information, insurance information and verification, and authorizations from new and established patients. Responsible for screening, scheduling and directing patients to appropriate providers and services. Conveys a positive image of Carle and providers information to patients to fully utilize and benefit from Carle services both on the telephone and face-to-face and to ensure that needs of patients are met. Checks patients in upon their arrival for scheduled appointments and facilitates up-front collection of co-payments.Richland Ambulatory Business Service Rep Areas: All Primary and Specialty Care Clinics in the Carle Health South Service Area
Qualifications:
EDUCATIONAL REQUIREMENTS
Associate's Degree in related field. One year of relevant Business, Healthcare or Finance work experience will be considered in lieu of an Associate's Degree.
CERTIFICATION & LICENSURE REQUIREMENTS
None Specified.
EXPERIENCE REQUIREMENTS
One (1) year of relevant customer service, business, healthcare or finance work experience
SKILLS AND KNOWLEDGE
Must have strong communication skills and work well with all employees and the public at large; observes high standard of confidentiality. Must maintain positive attitude when working. Ability to deal with a large volume of calls and multiple tasks concurrently, memory for details essential. Must be able to prioritize and complete tasks under stressful conditions with interruptions. Ability to accept and implement change and function in instances where decisions are not always apparent. Required to apply routine decisions to defined problems. Responsible for selecting courses of action that have substantial effect on customer satisfaction and revenues, where decisions are guided only by general policy; required to deal with issues of a complex nature, requiring good judgment. Must be self-motivated and dependable, must possess knowledge and skills to work effectively with patients and their families.
Essential Functions:
- Confirms patient identification, register/check-in patients upon their arrival for scheduled and walk-in appointments/visits, transcribe orders, answer phone calls, and direct patients as needed.
- Competent in telephone system, takes and delivers messages to physicians, nurses and others. Reports medical information obtained from patients and referring physicians accurately, completely and in a timely manner. Distributes all messages according to practice communication standards.
- Manage all incoming patient care requests related to in-basket activities, referrals, work que activity, and incoming telephone calls.
- Requests, locates, sends, receives, and scans patient medical records as needed.
- Receives and posts co-payments as identified by third-party payers or patient insurance cards. Maintains cash drawers and balances according to procedures.
- Performs insurance eligibility verification by using Real Time Eligibility (RTE) for payer information when possible. Understands terms and information listed on RTE reports.
- Proficient with insurance coverage rules. Proficient with coverage and rules that apply to eligibility, network coverage, and benefits.
- Interviews and identifies patients with the potential for financial hardship and/or without third-party coverage and works with the patient for resolution. Provide essential information regarding Carle's Financial Assistance Program or payment arrangements.
- Accurately explains and completes registration and admitting forms. Obtains signatures from patients and policyholders. Explains and gets patient signatures for Consents, Assignment of Benefits, ABN's and Notice of Non Coverage forms.
- Completes Medicare Secondary Payer (MSP) form in accordance with Medicare laws. Follows up on necessary information.
- Understands computer applications common to the desk areas.
- Successful completion of mandatory EPIC and insurance training and ongoing competency refreshers.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.
Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.
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