Patient Access Representative I- CMH Team A

Carle Health•Peoria, IL

13h•Onsite

About The Position

This position is responsible for creating accurate and thorough registration for each patient visit, obtaining demographic and financial information, and securing required signatures for compliant billing. The role involves collecting patient liability at or before the time of service, as defined by the patient's insurance plan, and interacting with patients in a customer-focused and compassionate manner to ensure their needs are met. Carle Health is committed to fostering a workplace where every team member feels valued, respected, and empowered, aiming to positively impact patients and communities. Carle Health comprises nearly 17,000 team members and providers, including eight award-winning hospitals and a multispecialty provider group with over 1,500 doctors and advanced practice providers. The organization is dedicated to developing future healthcare professionals through the Carle Illinois College of Medicine and Methodist College. Several of its hospitals hold Magnet® designations for nursing care, and it offers career opportunities across central Illinois.

Responsibilities

Engage with patient/legal representative to obtain and input accurate demographic and insurance data to ensure accuracy
Consistently schedules, registers, and obtains signatures in accordance with compliance regulations
Collect accurate, complete and compliant data from patient and or guarantor
Follow all policy and procedures related to optimal financial performance
Utilize tools such as real time eligibility responses, on-line resources, phone or fax to verify eligibility and ensure accuracy
Understand and communicate patient benefit information and follow collection guidelines
Understand and execute downtime procedures to ensure data integrity
Demonstrate UnityPoint’s FOCUS Values in all actions and interactions.
Consistently use AIDET and no point policy in all interactions
Greet all patients and visitors with quality customer service and professionalism to ensure an exceptional patient experience
Answer telephone calls in a clear, calm, and professional manner; screen calls by urgency and route calls promptly, accurately and professionally to appropriate team member or department
Anticipate the business needs to assist coworkers and adapt to staff coverage in any registration area or site
Understand basic self-pay or underinsured patient policies to refer to the appropriate teams for resolution
Ensure accuracy of data collection by resolving registration errors as assigned by work queues
Understand requirements for authorization and medical necessity
Use standardized tools to identify missed information and secure proper documentation
Ensure financial integrity of the billing system with accurate reconciliation for point of service collections and cash drawer balancing
Utilize estimate tools within EPIC to accurately present financial liability
Professionally process the collection of financial liability and facilitate payment arrangements
Support and contribute to department goals by attending department meetings and participating in performance improvement activities
Anticipate the need to assist coworkers and adapt to staff coverage at any registration areas/sites
Assist new hires in training processes
Demonstrate teamwork by working, acting, thinking and collaborating as a team while supporting team decisions
Maintain accountability for individual actions and encourage, support, teach, mentor and resolve conflict in a healthy manner
Promote and celebrate team achievements