Patient Access Rep

3 days ago

Oak Brook, IL, United States Advocate Aurora Health Full time
Department:

10485 Enterprise Revenue Cycle - PCC Patient Access

Status:

Part time

Benefits Eligible:

Yes

Hours Per Week:

20

Schedule Details/Additional Information:

This is an onsite position.
Monday 2pm - 6pm
Tuesday and Thursday 12pm - 8:30pm
Must have some flexibility (AM/PM shifts) and work one calendar holiday.

Pay Range
$21.45 - $32.20

Major Responsibilities:
  • Demonstrate superior skills in three of five areas of Patient Access. Proficiency will be demonstrated by being ranked as "exceeds expectations" in three key areas: quality of work (using measures for accuracy and completeness), patient satisfaction ( using measures in the area of friendliness, courtesy and ease of registration process), and efficiency (using measures related to timeliness of work, and work volume).
    • 1)Hospital Inpatient; the main admitting functions related to patients moving from ER or outpatient areas to bedded status as well as the processes of managing direct admissions
    • 3)Hospital Outpatient: The main outpatient registration areas of the hospitals, including but not limited to procedural areas and diagnostic testing areas.
    • 4)Pre-Access Scheduling: all areas under the scope of the scheduler job description.
    • 2)Pre-Access Insurance Verification: all areas under the scope of the Verifier job description
  • When creating new registrations for walk-in patients, responsible for the identifying insurance coverage, the benefits available, patient out-of-pocket expenses, and collecting co-insurance and co-payments.
    • 1)Uses electronic systems to confirm coverage while patient is present and discussing the findings with the patient. Follow established department policies to resolve issues related to patient's eligibility for coverage or issues in in-network status for the patient using Advocate's network.
    • 2)When working uninsured patients, screen for urgent status cases and follow charity procedure. Refer as appropriate for additional financial counseling. Engage leaders to resolve questions on urgent versus non-urgent/elective care.
    • 3)When assisting walk-in patients, screen orders for compliance with policy. Work with physicians, Care Coordinators, and clinical department leaders to communicate and resolve issues related to order quality and acceptable standards.
    • 4)Collecting appropriate out of pocket expenses in accordance with policy.
    • 5)Screens physician orders against medical necessity criteria using compliance checker software. Follows procedures to obtain additional diagnosis information from physicians and initiates the Medicare Advance Beneficiary Notice of Non-Coverage to patients as appropriate.
  • Responsible for performing all job duties in a way that conforms to our customer service philosophy and consistent with our "AIDET" standards
    • 1)Explain the nature of our work, why we ask for demographic, socio-economic, and financial information. Explain how we safeguard their information and use it to provide better care for them.
    • 3)Hand-patients off to the next area with a clear "thank you."
    • 4)Introduce the patient to our services, what they can expect while under our care. Utilize appropriate etiquette in all communications.
    • 2)Provide the patient with information on the likely time spent in the service area (duration) including time in registration and time in clinical service.
  • Provides point of entry reception service in all Patient Access departments in order to create the highest levels of patient satisfaction, to minimize wait times, and to assist with patient throughput during the patient arrival process.
    • 1)Interacts with patients using AIM. Greets patients and families promptly and with courtesy, assisting with questions and directions.
    • 2)Begins financial clearance process by reviewing patient orders and confirming reason for patient visit verbally. Communicate discrepancies or questions to clinical partners. Obtain verbal/fax orders from physicians if needed. Ensure that complete narrative diagnosis and signatures are written on order.
    • 3)Partners effectively with ancillary units to facilitate patient arrival. Must be familiar with testing requirements (i.e. fasting) in order to gauge appropriateness of patient arrival. Communicates patient arrival to departments and call areas if STAT process is required.
    • 4)Maintains knowledge of hospital locations and services. Able to communicate with clear directions
    • 5)Answers all incoming telephone calls according to established department procedure.
    • 6)Directs or escorts patients to service location if required. Works in conjunction with Guest Services to provide escort service to patients.
    • 7)Works as a team player to assist with patient flow management during peak patient volume times.
  • Assumes responsibility as a preceptor/trainer. Provide registration quality reviews as requested by leader.
    • 1)Serves as a preceptor/trainer for new hires in training or for low performers who require mentoring for registration accuracy. May be called upon to perform registration QA reviews for patient access associates or decentralized associates when needed.
    • 2)Participates on the Peer Interview team for Patient Access departments or decentralized points of registration.
    • 3)Participates in pilot patient access projects and provides feedback on process improvements for registration.
Education/Experience Required:
  • -High school diploma - 2 years of direct experience in an acute hospital or hospital-based ambulatory environment preferred. -Knowledge of third party payers, regulatory compliance, and industry standards. -Knowledge of medical terminology through completion of either coursework or certification
Knowledge, Skills & Abilities Required:
  • -Typing 25 words per minute -Excellent communication and customer service skills. -Office equipment knowledge, including computer skills -Demonstrated competency in the tools in use in the Patient Access department.
  • None
Physical Requirements and Working Conditions:
  • Ability to work weekends, holidays, and different shifts in order to accommodate staffing needs may be required. Must be flexible and possess ability to work in any patient access setting required. Must possess communication skills in order to perform complete patient interviews, type information into the appropriate fields, and to verbalize patient instructions. These tasks may be performed face to face with patients and family members, or over the phone with hospital departments and physician offices.
  • Must be able to sit, stand, walk, lift, carry, squat, and bend frequently as well as twist, rotate, and kneel occasionally throughout the workday.
  • Frequently lifts up to 10 lbs. and occasionally lifts between 20 lbs. or more. This occurs when moving equipment and supplies and when transporting patients and/or charts.
  • Must be able to push/pull up to 50 lbs. with assistance.
  • Must have functional speech and hearing.
  • Must be able to use hands with fine motor skills for keyboard data entry.
  • Exposed to a normal office environment.
  • Operates all equipment necessary to perform the job.
  • Must be able to work a flexible schedule to support the needs of the department.
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.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:

Compensation
  • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance
Benefits and more
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program


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.

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