Patient Access Representative II - Pulmonary Call Center

Position Highlights

Position: Patient Access Representative II - Pulm Call Center
Location: 3040 Salt Creek Lane, AND 1614 W Central Rd, Arlington Heights, IL
Full-Time: 40 hours/weekly
Hours: Monday – Friday, 8:30 AM - 5:00 PM.
Travel Required: This role includes some travel to other locations and requires flexible hours to meet operational needs

What You Will Do

• Performs complete and accurate registration and/or admission functions across multiple access services areas or sites to provide information to maximize reimbursement, and ensures timely and thorough information to all other providers and users of patient data.
• Verifies insurance requirements, obtains and understands insurance benefits. Collects non-covered fees.
• Registers and pre-registers outpatients in more than one clinical and diagnostic location within their primary area of responsibility and multiple access areas outside hiring location.
• Access areas include but may not be limited to Busse Center, Emergency/Admitting Department, Immediate Care Centers, Laboratory and Cancer Services.
• Interacts with patients and their representatives to collect and interpret all required demographic, insurance, financial, and clinical data necessary to facilitate patient check in and registration at point of service. Offers and/or schedules interpreter services for patients when necessary. Obtains and scans general consent for treatment, identification and insurance cards, Coordination of Benefits and other appropriate documents.
• Obtains and submits National Provider Identification (NPI) for providers not on staff ordering outpatient diagnostic tests. Interpret physician orders for completeness and compliance with regulatory agencies and NCH policies. Informs patients of registration processes and privacy notification, establishes financial responsibility to meet internal, regulatory or payer requirements.
• Completes the Medicare Secondary Payer (MSP) questionnaire and discusses potential deferral of services according to NCH policy. Initiates the Medicare Advance Beneficiary Notice (ABN), as appropriate, and explains payer policies to patients.
• Streamlines check in process for patient previously pre-registered and appropriately updates the account for changes identified upon arrival. Reviews physician’s orders for compliance with the Illinois Department of Public Health (IDPH), and the Center for Medicare & Medicaid Services (CMS) regulations and NCH and medical staff office policies.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Provides support to primary care practices and specialty care providers regarding utilization, authorization and referral activities. Communicates effectively with service delivery areas when unresolved financial issues impact appointment schedules.
• Utilize estimator to determine financial responsibility and attempt to secure all financial responsibility prior to the date of service. Meet monthly cash collection goals as determined collaboratively by Department Director/Manager. Maintain registration accuracy by meeting or exceeding expectations with 97% or higher accuracy score. Resolve all work queues within Department standards determined time period to release bill holds to ensure timely reimbursement. Log cash collected receipts and maintain balanced cash at all times.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Communicates effectively with service delivery areas when unresolved financial issues impact appointment schedules.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services.
• Collaborates with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas.
• Maintains current knowledge of insurance requirements communicated