Patient Service Representative and Insurance Verifier, Rehab Services – Days, Evenings, Rotating

Endeavor Health•Arlington Heights, IL

1d•Onsite

About The Position

Under general supervision and according to established policies and procedures, this role is responsible for providing out-patient, rehabilitation patients with timely and accurate pre-registrations, registrations, order management, charge capture, and medical information systems. The position involves collecting, analyzing, and recording demographic, insurance/financial, and clinical data from multiple sources, and obtaining other necessary information and signatures. It also includes screening for third-party eligibility and entering medical necessity coding to ensure accurate payment. The role requires interacting in a customer-focused manner to ensure the needs of patients and their families are met.

Requirements

High School diploma or GED required.
Valid driver’s license is required if the incumbent is selected to perform related duties at an off-site location. If incumbent uses their personal vehicle, the incumbent must maintain automobile liability coverage as required by law and evidence of such coverage may be requested.
Minimum of one to two years of registration, scheduling, or customer service experience in a healthcare setting preferred.
Manual dexterity to operate various office machines required.
Basic level of analytical ability is required in order to read and understand simple instructions, enter date into logs, charts, and records, maintain files and the like.
Significant level of interpersonal and verbal communication skills are required in using tact and sensitivity to conduct interviews for the exchange of information on factual matters, understand and transmit instructions, and interact with patients, physician offers, various administrators, other hospital personnel and external contacts.
Work is performed in accordance with detailed hospital and department policies and procedures but it does require technical knowledge or in-depth, experience-based knowledge in order to analyze and interpret information.

Nice To Haves

Associates Degree Preferred.
Knowledge of health insurances, medical terminology and anatomy preferred.
Strong data entry and keyboarding skills preferred.
Knowledge of Microsoft Office Suite preferred.

Responsibilities

Performs patient registration functions in a courteous and professional manner according to established policies and procedures.
Greets and registers patients.
Collects and analyzes all required data necessary to pre-register and register patients.
Interacts with patients, their representatives, employers and others in person or over the telephone, and reviews new and previously recorded information.
Analyzes and electronically records data and processes transactions into the hospital computer system.
Follows HIPAA, payer and other applicable regulations and standards for registration.
Uses on-line physician ordering systems to retrieve and interpret physician orders/HMO authorizations for service and/or appointment schedules, enters appropriate codes into computer system.
Contacts physicians or physician office staff for additional clinical information.
Explains, secures and witnesses all required signatures.
Completes the Medicare Secondary Payer (MSP) questionnaire when applicable.
Scans insurance cards, IDs, insurance referrals and authorizations, consents, physician orders, HIPAA, Medicare Advance Beneficiary Notice and other regulatory paperwork into hospital’s document imaging system.
Prepares required forms, documents and reports including labels, medical record forms, Medicare ABN and other special documents.
Produces and distributes these as appropriate.
Escorts patients to and from treatment areas as needed.
Processes generated paperwork.
Assembles and disassembles patient charts as required and prepares charts for Medical Records pick-up.
Scans medical records in accordance with the guidelines set by Medical Records Department.
Prepares and maintains logs and reports of various data of patient registrations.
Converts to manual processes and procedures for scheduled and unscheduled computer system downtimes, organizes and maintains all data to ensure a prompt and accurate recovery.
Reconciles daily cash receipts with the day’s cash activity, credit card journal report and computer cash drawer.
Attends mandatory staff meetings, maintains familiarity with all memos, emails and pertinent information regarding policy and procedure updates retaining them for future reference, understands changes and incorporates them into personal routines.
Communicates with Supervisor or Director any problems or questions pertaining to duties and established policies and procedures or, prior to implementation, to any revised protocols.
Receives, properly responds to, or redirects telephone, electronic, and in-person inquiries from patients, their representative, payers, physicians and their staff, internal departments, and other persons and entities.
Diffuses tense situations, problem solves, keeps situations from escalating, has a calming effect on all external and internal customers.
Maintains confidentiality of patient’s personal health information.
Performs related duties as assigned including, but not limited to, filing, assisting patients to complete the computerized rehab outcome database, sorting mail, photocopying information, replenishing supplies and organizing/cleaning/disinfecting work area before shift completion, and performing next day set-up, including appointment confirmation, pre-registrations, and chart prep.
Assists and contributes to the training of new employees.
Accepts and completes special assignments, projects and other duties as required or assigned under the supervision of the Supervisor, Manager, or Director.
Ability to maintain flexible work schedules including weekends and multiple registration locations.