Patient Access Representative I- CMH Team A

6 days ago

Peoria, United States Carle Health Full time

Overview

Creates accurate and thorough registration for each patient visit. Responsible for obtaining demographic and financial information as well as obtaining signatures required for successful and compliant billing submission. Collects patient liability before or at the time of service as defined by the patient's insurance plan. Interact in a customer focused and compassionate manner to ensure patient's needs are met.
Qualifications

License/Certifications:

Education:

Other Knowledge/Skills:

Responsibilities

Registration and Data Integrity
Engage with patient/legal representative to obtain and input accurate demographic and insurance data to ensure accuracy
Consistently schedules, registers, and obtains signatures in accordance with compliance regulations
Collect accurate, complete and compliant data from patient and or guarantor Follow all policy and procedures related to optimal financial performance
Utilize tools such as real time eligibility responses, on-line resources, phone or fax to verify eligibility and ensure accuracy
Understand and communicate patient benefit information and follow collection guidelines
Understand and execute downtime procedures to ensure data integrity Customer Service
Demonstrate UnityPoint's FOCUS Values in all actions and interactions.
Consistently use AIDET and no point policy in all interactions
Greet all patients and visitors with quality customer service and professionalism to ensure an exceptional patient experience
Answer telephone calls in a clear, calm, and professional manner; screen calls by urgency and route calls promptly, accurately and professionally to appropriate team member or department
Anticipate the business needs to assist coworkers and adapt to staff coverage in any registration area or site Financial Services/ Billing
Understand basic self-pay or underinsured patient policies to refer to the appropriate teams for resolution Ensure accuracy of data collection by resolving registration errors as assigned by work queues
Understand requirements for authorization and medical necessity
Use standardized tools to identify missed information and secure proper documentation
Ensure financial integrity of the billing system with accurate reconciliation for point of service collections and cash drawer balancing
Utilize estimate tools within EPIC to accurately present financial liability
Professionally process the collection of financial liability and facilitate payment arrangements Collaboration and Team Synergy
Support and contribute to department goals by attending department meetings and participating in performance improvement activities
Anticipate the need to assist coworkers and adapt to staff coverage at any registration areas/sites
Assist new hires in training processes
Demonstrate teamwork by working, acting, thinking and collaborating as a team while supporting team decisions
Maintain accountability for individual actions and encourage, support, teach, mentor and resolve conflict in a healthy manner
Promote and celebrate team achievements
About Us

Find it here.

Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health.

Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

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.

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