Patient Access Representative I- CMH- 3:00pm-11:30 pm

Carle Health•Peoria, IL

15h

About The Position

Creates accurate and thorough registration for each patient visit. The role obtains demographic and financial information and required signatures to support successful, compliant billing submission. It collects patient liability before or at the time of service as defined by the patient’s insurance plan and interacts with patients in a customer-focused, compassionate manner to meet their needs. The representative registers and schedules patients, verifies insurance eligibility and benefits, communicates financial liability, processes collections and payment arrangements, and maintains accurate registration and billing data. The role also provides professional customer service, collaborates with coworkers, supports department goals, and assists with training new hires.

Responsibilities

Engage with patients or their legal representatives to obtain and enter accurate demographic and insurance information.
Schedule and register patients and obtain signatures in accordance with compliance regulations.
Collect complete, accurate, and compliant information from patients or guarantors.
Follow policies and procedures that support optimal financial performance.
Use eligibility responses, online resources, phone, or fax to verify insurance eligibility and ensure accuracy.
Understand and communicate patient benefit information and follow collection guidelines.
Follow downtime procedures to preserve data integrity.
Demonstrate UnityPoint’s FOCUS Values and consistently use AIDET and the no-point policy in interactions.
Greet patients and visitors professionally and provide quality customer service.
Answer telephone calls clearly and professionally; screen by urgency and route promptly and accurately.
Anticipate business needs and adapt to staff coverage needs in registration areas or sites.
Understand basic self-pay and underinsured patient policies and refer patients to appropriate teams for resolution.
Resolve assigned registration errors from work queues and ensure accurate data collection.
Understand authorization and medical-necessity requirements.
Use standardized tools to identify missing information and obtain proper documentation.
Reconcile point-of-service collections accurately and balance the cash drawer to maintain financial integrity of the billing system.
Use EPIC estimate tools to present financial liability accurately.
Process financial-liability collections professionally and facilitate payment arrangements.
Attend department meetings and participate in performance-improvement activities.
Assist coworkers and adapt to coverage needs across registration areas or sites.
Assist with training new hires.
Collaborate as a team, support team decisions, remain accountable for individual actions, encourage and mentor others, resolve conflict constructively, and celebrate team achievements.