Patient Access Specialist PRN Night
2 weeks ago
UChicago Medicine AdventHealth Great Lakes is seeking a Patient Access Specialist PRN Night to join our team. As a Patient Access Specialist, you will be responsible for ensuring patients are appropriately registered for all service lines, performing eligibility verification, obtaining pre-cert and/or authorizations, making financial arrangements, requesting and receiving payments for services, performing cashiering functions, clearing registration errors and edits pre-bill, and other duties as required.
Responsibilities- Registers patients for all services (i.e. emergency room, outpatient, inpatient, observation, same day surgery, outpatient in a bed, etc.) and achieves the department specific goal for accuracy
- Responsible for registering patients by obtaining critical demographic elements from patients (e.g., name, date of birth, etc.)
- Confirms whether patients are insured and, if so, gathers details (e.g., insurer name, plan subscriber)
- Performs Medicare compliance review on all applicable Medicare accounts in order to determine coverage. Identifies patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs). Issues ABN forms as needed
- Performs eligibility check on all Medicare inpatients to determine HMO status and available days. Communicates any outstanding issues with Financial Counselors and/or case management staff
- Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries
- Properly identifies patients, ensures armband accuracy, inputs demographics information, and secures the required forms to ensure compliance with regulatory policies
- Creates accurate estimates to maximize up-front cash collections and adds collections documentation where required
- Calculates patients' co-pays, deductibles, and co-insurance. Provides patients with personalized estimates of their financial responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services
- Advises patients of expected costs and collects payments or makes appropriate payment agreements in adherence to the AdventHealth TOS Collection Policy
- Attempts to collect patient cost-sharing amounts (e.g., co-pays, deductibles) and outstanding balances before service. Establishes payment plan arrangements for patients per established AdventHealth policy; clearly communicates due dates and amount of each installment. Collects payment plan installments, out-of-pocket costs, outstanding previous balances, and any other applicable amount from patients per policy. Informs patients of any convenient payment options (e.g., portal, mobile apps) and follows deferral procedure as required
- Connects patients with financial counseling or Medicaid eligibility vendor as appropriate
- Contacts patient to advise them of possible financial responsibility and connects them with a financial counselor if necessary
- Performs cashiering functions such as collections and cash reconciliation with accuracy in support of the preestablished legal and financial guidelines of AdventHealth when required
- Discusses financial arrangements for newborn(s), informs patient of the timeframe for enrolling a newborn in coverage, provides any documentation or guidance for the patient to enroll their child prior to or after the anticipated delivery date, and communicates appropriate information to registration staff as needed
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Patient Access Specialist PRN Days
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Patient Access Specialist PRN Night
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