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

Carle Health•Peoria, IL
•$18 - $29

About The Position

Creates accurate and thorough registration for each patient visit. The Patient Access Representative obtains demographic and financial information and required signatures to support successful, compliant billing submission. The role collects patient liability before or at the time of service according to the patient’s insurance plan and interacts with patients in a customer-focused, compassionate manner to meet their needs. The position supports registration and data integrity, customer service, financial services and billing, and collaboration across the team. It uses eligibility and estimate tools, including EPIC, to verify coverage, communicate patient benefits and financial liability, process collections, and maintain accurate records and cash reconciliation. The representative also supports department goals, assists coworkers and new hires, and contributes to performance improvement activities.

Responsibilities

  • Obtain and enter accurate demographic and insurance information from patients or their legal representatives, patients, and guarantors.
  • Schedule and register patients and obtain signatures in accordance with compliance requirements.
  • Follow policies and procedures that support optimal financial performance and maintain data integrity, including downtime procedures.
  • Use real-time eligibility responses, online resources, phone, or fax to verify eligibility and ensure information is accurate.
  • Understand and communicate patient benefit information and follow collection guidelines.
  • 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 calmly and professionally; assess urgency and route calls promptly and accurately.
  • Anticipate business needs and assist coworkers, including adapting to staff coverage 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 through work queues and understand authorization and medical-necessity requirements.
  • Use standardized tools to identify missing information and secure appropriate documentation.
  • Maintain billing-system financial integrity through accurate point-of-service collection reconciliation and cash drawer balancing.
  • 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 to support department goals.
  • Assist new hires with training processes.
  • Collaborate as a team, support team decisions, remain accountable for individual actions, and encourage, support, teach, mentor, and resolve conflict constructively.
  • Promote and celebrate team achievements.

Benefits

  • Comprehensive benefits package for team members and providers.
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