Patient Access Specialist - PRN

O.N.E Purpose

Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity

This position pays between $17.00 - $18.15/hr based on experience
This position is an onsite role and candidates must be able to work on-site at HSHS- St. Francis Hospital in Litchfield, IL

Job Responsibilities

• Perform admitting duties for all patients admitted for services at the hospital.
  Responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements.
  Work within the policies and processes as they are being performed across the entire organization.
• Assign accurate MRNs, complete medical necessity/compliance checks, provide proper patient instructions, collect insurance information, receive and process physician orders, and utilize a overlay tool while providing excellent customer service as measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable. Adhere to policies and provide excellent customer service in these interactions with the appropriate level of compassion.
• Conduct audits of accounts and assure that all forms are completed accurately, timely to meet audit standards and provide statistical data to Patient Access leadership.
• Pre-register patient accounts prior to patient visits. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.
• Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witnesses name.
• Distribute patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.
• Review eligibility responses in insurance verification system and appropriately select the applicable insurance plan code, enter benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
• Screens of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribute the ABN as appropriate.
• Distribute and document other designated forms and pamphlets.

Experience

• 1+ years of customer service experience
• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Required Education

High School Diploma/GED

Required Certification

• CRCR

Required within 6 months of hire (Company Paid)