Admitting Officer IV

5 months ago


Chicago, United States UI Health Full time
Responsibilities: Verifies patient demographics. Contacts patient and reviews / updates demographic information. Documents any changes in UI Health systems. When applicable, leaves patients voicemail and documents failed attempt to reach patient. Verifies and documents coverage and guarantor who is eligible for service. Determines if a patient is eligible for intended care at UI Health. If necessary, contacts patients to obtain correct insurance information, or informs patient of UI Health self-pay/out-of-network policy. Updates all insurance / eligibility information in UI Health system. Ability to resolve missing registration errors in pre-registration and DNB work queues. Within UI Health work queues, documents and closes tasks upon completion. Updates work in progress on outstanding tasks. Maintains expected lead times and organization while completing tasks. May perform patient estimates and deposits, as necessary. Identifies and documents co-pay and estimated liability. Collects appropriate patient payment and processes receipts. Completes all required legal documentation and obtains and scans all appropriate documents. Secures patient authorizations and financial clearance in the pre-access workflows. Consistently performs and exceeds departmental expected productivity goals. Provides excellent customer services to patients, providers, and clinic staff in person and via telephone. Completes interactions with respect and courtesy. Provides general information regarding UI Health when appropriate. Conducts primary research of complaints received. Continues education on payers / payer requirements. Maintains technical knowledge of items necessary for financial clearance at UI Health for intended services. Stays up to date as policies and necessary documentation changes. Daily, assigns work to staff. Verifies staffing levels daily and reassigns work as needed. Completes Days out Report and day-to-day administration of incoming digital faxes. Audits staff productivity and phone recordings for customer service and appropriate greetings monthly. Conducts team huddles in absence of supervisor/manager or as directed. Performs other related duties as assigned.

Minimum Qualifications Required: 

1. High school diploma or equivalent.

2. Any one or combination totaling five (5) years (60 months) from the categories below:

A. College coursework or training from a vocational, technical, or armed forces program in business, communication, health care administration, health information technology, health sciences, public health, social sciences, or a closely related field, as measured by the following conversion table or its proportional equivalent:

30 semester hours equals one (1) year (12 months) Associate’s Degree (60 semester hours) equals eighteen months (18 months) 90 semester hours equals two (2) years (24 months) Bachelor’s Degree (120 semester hours) equals three (3) years (36 months)

B. Work experience in a medical setting which could include business administration (office administration, billing, collections), customer service, health information technology, medical insurance, patient admission/registration, patient services, or closely related experience.

3. One (1) year (12 months) of supervisory experience in a medical setting which could include medical insurance, patient admission/registration, patient services, or closely related experience.

Preferred Qualifications:

Fluency in English and Spanish
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