PRN Patient Access Representative I- CMH Team A

Carle HealthPeoria, IL
Onsite

About The Position

This role is responsible for creating accurate and thorough registrations for each patient visit. The Patient Access Representative is tasked with obtaining necessary demographic and financial information, as well as securing required signatures for successful and compliant billing submission. A key responsibility includes collecting patient liability before or at the time of service, in accordance with the patient's insurance plan. The position requires interacting with patients in a customer-focused and compassionate manner to ensure their needs are met.

Requirements

  • Carle Health Company Overview Find it here.
  • Discover the job, the career, the purpose you were meant for.
  • At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities.
  • Find it all at Carle Health.
  • Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois.
  • We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers.
  • We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College.
  • Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care.
  • We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
  • We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
  • Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.

Responsibilities

  • Engage with patient/legal representative to obtain and input accurate demographic and insurance data to ensure accuracy.
  • Consistently schedule, register, and obtain 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 the appropriate team member or department.
  • Anticipate 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.

Benefits

  • A comprehensive benefits package for team members and providers.
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