Scheduler & Pre Access Rep

4 weeks ago

Tinley Park, United States Advocate Aurora Health Full time
Department:

10010 Advocate Sleep Centers - Administration

Status:

Part time

Benefits Eligible:

No

Hours Per Week:

0

Schedule Details/Additional Information:

Coverage dates will vary department hours are M-F 8:00-4:30pm remote.

Major Responsibilities:
  • Using AIDET, collects, analyzes and records accurate and compliant demographic and clinical information in the scheduling system. Meets or exceeds productivity standards.
    • 2)Using approved identification standards, positively identifies the patient before accessing existing medical record numbers or creating new patient entries.
    • 3)Provides patients with site and appointment date and time options, scheduling per patient preference or first appointment at optimal site.
    • 4)Accurately enters all required patient demographic and clinical data in scheduling application.
    • 5)Checks receipt of faxed orders and reviews for accuracy. Documents record if new or revised written orders are needed on day of service.
    • 6)Schedules with proper test sequencing when multiple tests are ordered, ensures there are no clinical, equipment or physician conflicts.
    • 7)Engages in frequent communication with all departments to ensure scheduling openings are current and time blocks are administered as needed.
    • 8)Explains procedures and provides patients/customers with accurate preparation information prior to exam. Ensures understanding of pre-procedure clinical requirements.
    • 9)Provides directions for patients to follow on day of service and ensures understanding of where to park, where to check-in, when to arrive, etc.
    • 10)Maintains synchronicity between the scheduling and registration systems when rescheduling, canceling or editing accounts.
    • 1)Identifies and respond appropriately to callers' communication needs, secures interpreter to complete scheduling and documents record for future visit.
  • Accurately collects, records and analyzes all required demographic, insurance/financial and clinical data necessary to preregister/preadmit patients from all payer classes. Meets standards for productivity defined as 100% scheduled patients pre-registered prior to arrival.
    • 3)Scans (or ensures) printed orders into the patient's account or validates the patient is to bring on the day of service.
    • 4)Completes the MSP (Medicare Secondary Payer Questionnaire) thoroughly. Uses appropriate insurance codes accounts when Medicare is deemed secondary to other insurance.
    • 5)Perfoms an abbreviated screening of insurance benefits and attempts to fast pass pre-registered accounts when able.
    • 6)Records accounts notes and appropriately codes accounts for hand-off to financial clearance.
    • 7)Reviews physician orders and other documentation against Medicare payer coverage and medical necessity criteria; translates text into code and uses screening software to determine whether services being provided meet third-party requirements for payments. Sends electronic requests to physicians to obtain additional diagnoses on orders as needed.
    • 8)Identifies if authorization/prior approvals are required for scheduled services. Requests and documents as appropriate.
    • 9)Schedules patients without authorization at least three days out to allow sufficient time to financially clear account. Escalates accounts to appropriate persons if time frame is shortened and account needs higher priority.
    • 10)Pre-authorizes patient for services with insurance company.
    • 1)Collects and records accurate and thorough patient, guarantor, insured and insurance information when preregistering patient accounts.
    • 2)Pre-registers accounts using appropriate clinic and service codes; and establishes account parameters to ensure revenue is properly recorded and accurate bills are produced.
  • Performs revenue cycle activities that prevent payment denials, increase cash collections and assures appropriate financial disposition of account balances. Meets defined standards for quality. i.e., all components of the pre-reg process must be completed pre-service, including discussions with patients when necessary. Accounts should require minimal registrar intervention on the actual date of service.
    • 1)Verifies insurance eligibility, reviews and if applicable, notifies the patient's primary, secondary and tertiary insurance companies of the scheduled service and obtains benefit information and service authorizations.
    • 2)Follows up any accident, injury, or third party liability diagnosis appropriately and documents coverage determinations.
    • 3)Reviews the pass/fail of Medicare patients' outpatient testing per passed medical necessity guidelines and follows up with physician as necessary to request additional (if applicable) orders/diagnosis prior to a patient's service date.
    • 4)Identifies payment obstacles for Medicaid patients and takes appropriate action including following up on billing codes and other State specific program requirements
    • 5)Communicates with appropriate persons regarding all aspects of pre-registration, registration, verification, precertification and date of service / insurance issues.
    • 6)Alerts Financial Counselors when presented with out of network plans, insurance denials, and high dollar deductible and out of pocket maximums.
    • 7)Enters thorough account notes in system and documents accounts with applicable financial clearance information.
    • 8)Enters verification flag in system as applicable.
    • 9)Contacts the patient/representative, physician, insurance company or others if additional information is needed to financially clear patients on the date of service.
  • Places reminder calls to pre-registered patients 24-48 hours prior to service date and ensures each accounts' financial clearance disposition is correct and easily identified for the date of service registrar.
    • 1)Reviews reports to determine who needs reminder calls.
    • 2)Refers to coordinator/manager any accounts that do not meet standards for financial clearence disposition.
    • 3)Confirms service date/time/place with patients and reschedule services as needed.
    • 4)Informs callers of insurance company findings (i.e. deductible, co-insurance and co-payment), collects pre-visit deposits or secures payment promises.
    • 5)Provides patients with information about their arrival and service area needs. i.e., what time to arrive, where to park, where to go, what to bring with them. etc.
    • 6)Review accounts for completeness and accuracy and updates account documentation/finanical cleareance disposition as needed.
    • 7)Indexes and names faxes located in fax storage system.
    • 8)Accepts and completes other duties and special projects as assigned.
    • 9)Performs other duties as assigned.


Education/Experience Required:
  • HS diploma or equivalent. 2-3 years related experience, preferably in a healthcare setting (revenue cycle experience preferred), hospital, physician office or insurance company. Applicable education may be substituted. Basic knowledge of medical terminology.


Knowledge, Skills & Abilities Required:
  • Effective organizational and prioritization skills Exhibits sophisticated interviewing, communication and negotiation skills. Possesses intermediate math and business writing skills Knowledge of office equipment Computer literate Demonstrated customer service skills.
  • N/A


Physicial Requirements and Working Conditions:
  • Ability to work in a fast-paced environment with established time constraints and emotional and sensitive situations. Employee is regularly required to sit, stand, walk, talk and hear. Must possess visual acuity and manual dexterity to perform computer data entry and other clerical aspects of the job. May bend, stoop, twist and reach in conjunction with the job requirements. May lift files, reference books, supplies, and other documents up to 10 lbs. May walk and push a wheeled cart with a computer and supplies weighing up to 50 lbs. This is both a sedentary and active position. Employee is regularly exposed to noise associated with working around others in an office setting. May be exposed to a variety of illness and medical conditions. Must be able and willing to work weekends, holidays and occasionally other shifts. Must be able and willing to rotate work environments. May need to work shifts at off-site locations.
  • If position has direct patient care or direct patient contact the following lifting requirement supersedes any previous lifting requirement effective 06/01/2015. Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting/movement situations will be assessed on a case-by-case basis.


This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

  • Patient Access Rep

    15 hours ago

    Tinley Park, United States Advocate Aurora Health Full time

    Major Responsibilities: Using AIDET, collects, analyzes and records accurate and compliant demographic and clinical information in the scheduling system. Meets or exceeds productivity standards. 2)Using approved identification standards, positively i Patient Access, Patient, Financial, Insurance, Healthcare, Physician, Scheduling

  • Customer Service Rep

    1 month ago

    Valley Park, United States BEIS PLUMBING, LLC Full time

    At Beis Plumbing, LLC in Valley Park, MO, we know that great service starts with a great team. That's why we don't just fix pipes-we build careers and celebrate every win along the way. We're not your typical plumbing company-we treat our employees like family and recognize your achievements, big or small. Plus, we invest in your future with competitive pay...

  • Massage Therapist

    6 days ago

    Tinley Park, United States Soothe Full time

    Massage Therapist - Flexible Schedule and Competitive Pay at Soothe summary: As a Traveling Massage Therapist with Soothe, you have the opportunity to work independently with a flexible schedule and competitive pay. Enjoy the benefits of receiving a sign-on bonus, keeping all tips, and accessing appointment requests from across the country. This role...

  • Scheduling and Patient Access Coordinator

    4 weeks ago

    Hot Springs National Park, Arkansas, United States EngageMED, Inc. Full time

    Job OverviewWe are seeking an experienced Scheduling and Patient Access Coordinator to join our team at EngageMED, Inc.The ideal candidate will have a strong background in medical office administration and excellent communication skills. This role is responsible for scheduling appointments, managing patient access, and providing exceptional customer...

  • Business Services Rep

    3 weeks ago

    Baldwin Park, United States Kaiser Permanente Full time

    Job Summary: Under indirect supervision, verifies insurance eligibility and benefits, interviews patient and/or their representative to obtain demographic and financial information, identify available payer sources and records information required for admission and/or registration; Collects deposits, and/or fees; initiates billable jacket in support of all...

  • Outside Sales Rep

    3 weeks ago

    Forest Park, United States United Rentals Full time

    Great company. Great people. Great opportunities.If you'd like the chance to make your mark with the world's largest equipment rental provider, come build your future with United Rentals! As a Sales Representative for our Reliable Onsite Services (ROS) division, you will drive profitable revenue in your assigned geography, and act as a single point of...

  • Patient Access Site Director II

    4 weeks ago

    Oak Park, United States Disability Solutions Full time

    JOB SUMMARY Manage the daily operations of a Patient Access department to effectively implement process improvements and ensure the safe, timely, accurate processes of patients through the Patient Access flow. ESSENTIAL DUTIES AND RESPONSIBILITIESInclude the following. Others may be assigned. Implement process improvement initiatives as directed and needed...

  • CWR-Customer Service Rep II

    1 week ago

    Tinley Park, United States ManpowerGroup Full time

    **Now Hiring! Customer Service Representative II** **Schedule:** Tuesday - Saturday, 7:00 AM - 7:00 PM Payrate: 18.50/hr Overtime: 27.75/hr We are looking for a dedicated **Customer Service Representative II** to join our team and help us deliver outstanding service. In this role, you will work directly with drivers, customers, and business partners...

  • Patient Access Representative

    2 months ago

    Bethel Park, United States Medix Full time

    We are currently seeking a Patient Access Representative to join one of our Ophthalmology Clients in Bethel Park, PA! Please note - this position is in person role Title: Patient Access Representative/Medical Front Desk Location: Bethel Park (10% of travel to second closest location to home) Shift: M-F Day Shift. Start time is 7:45 AM. End time varies on the...

  • Patient Access Specialist

    3 days ago

    Orland Park, Illinois, United States UChicago Medicine AdventHealth Great Lakes Full time

    About the JobWe are seeking a highly skilled Patient Access Specialist to join our team at UChicago Medicine AdventHealth Great Lakes. This is a per diem position, with shifts ranging from 3:00pm - 11:30pm, including nights and rotating weekends/holidays.The successful candidate will be responsible for ensuring patients are appropriately registered for all...

  • Front Desk Service Rep

    2 months ago

    Villa Park, United States Trinity Health Full time

    Employment Type:Full timeShift:Description:If you want to join an organization that truly cares about its employees, consider continuing your career with Loyola!We offer: Medical/Dental/Vision Benefits on your FIRST DAY!!!competitive wagesgreat work atmosphere403(b)Employee Assistance ProgramEmployee DiscountsTuition ReimbursementThe role of a Front Desk...

  • Physician Family or Internal Medicine

    3 weeks ago

    Melrose Park, IL, United States ACCESS Community Health Network Full time

    Physician Family or Internal Medicine - ACCESS Melrose Park 8321 W North Ave, Melrose Park, IL 60160, USA Req #1612 Tuesday, October 15, 2024 We are an equal opportunity employer. All qualified applicants will receive consideration for employment. We do not discriminate for any reason. We welcome talented individuals who believe in our mission, drive...

  • Pipeline Supply Scheduler

    2 months ago

    Galena Park, United States AmeriGas Propane, Inc. Full time

    Requistion Number:25051When you work for AmeriGas, you become a part of something BIG! Founded in 1959, AmeriGas is the nation’s premiere propane company, serving over 1.5 million residential, commercial, industrial and motor fuel propane customers. Together, over 6,500 dedicated professionals will deliver over 1 billion gallons of propane from 1,800+...

  • Enterprise Sales Professional

    4 weeks ago

    Tinley Park, Illinois, United States Empire Today Full time

    Unlock Your Earning Potential with Empire TodayAre you a driven sales professional seeking new challenges and unlimited earning opportunities? Look no further than Empire Today, a renowned company with over 60 years of experience serving customers across the nation.Earn top dollar in commissions, bonuses, and incentives as an Outside Sales Consultant for...

  • Pipeline Supply Scheduler

    2 months ago

    Galena Park, United States AmeriGas Propane, Inc. Full time

    Requistion Number: 25051 When you work for AmeriGas, you become a part of something BIG! Founded in 1959, AmeriGas is the nations premiere propane company, serving over 1.5 million residential, commercial, industrial and motor fuel propane customers. Together, over 6,500 dedicated professionals will deliver over 1 billion gallons of propane from 1,800+...

  • Healthcare Access Specialist

    3 days ago

    Orland Park, Illinois, United States UChicago Medicine AdventHealth Great Lakes Full time

    About UsUChicago Medicine AdventHealth Great Lakes is a leading healthcare provider in the region, dedicated to delivering high-quality patient care and innovative medical services.Job SummaryWe are seeking a skilled Consumer Access Specialist ED PRN to join our team. The ideal candidate will have excellent communication skills, a strong understanding of...

  • Patient Access Representative

    1 month ago

    Oak Park, United States TEKsystems Full time

    Job DescriptionJob DescriptionJob DescriptionWe are seeking a dedicated Patient Access Representatives.  You will be bedside registering patients and gathering all insurance and demographic information that is needed. The shift is 7am-7p or 7p-7a, 3 days on 2 days off, 2 days on, 3 days off With this schedule you will work every other weekend and holidays...

  • Patient Service/Referral

    4 weeks ago

    Overland Park, United States The University of Kansas Health System Full time

    Position Title Patient Service/Referral & Consult Center Rep Indian Creek Main Position Summary / Career Interest: The Patient Service Representative (PSR) is an important member of the physician's care team and critical for creating a pleasant and seamless patient experience within an ambulatory clinic. This work role is responsible for front desk...

  • Sales Consultant

    3 weeks ago

    Tinley Park, Illinois, United States Empire Today Full time

    Job Title: Sales Consultant - Flooring Expert **Company Overview:** Empire Today is a leading provider of flooring solutions, serving customers for over 60 years. We're seeking a motivated and results-driven Sales Consultant to join our team.**Estimated Salary Range:** $50,000 - $70,000 per year, with top performers earning well over $100,000.**Job...

  • Healthcare Access Coordinator

    3 days ago

    Orland Park, Illinois, United States UChicago Medicine AdventHealth Great Lakes Full time

    Job Description:The Patient Financial Services team at UChicago Medicine AdventHealth La Grange is seeking a Per Diem Patient Access Representative. As a key member of our team, you will play a vital role in ensuring the smooth operation of our patient access services.We offer a competitive salary range of $28-$35 per hour, depending on experience. This rate...