Patient Access Representative I- CPKH Patient Access-1030-7am

Carle Health; Peoria (IL); On-site; USD 24,000 - 39,000; Full time

Job summary

Carle Health is seeking a Registration Specialist to create accurate patient registrations and collect required signatures for compliant billing.

You will interact with patients, verify demographics and insurance details, collect payments when due, and support data integrity across registration and billing processes. A collaborative, patient-focused approach is essential.

Responsibilities

• Engage with patient/legal representative to obtain and input accurate demographic and insurance data.
• Register patients and obtain signatures in compliance with regulations.
• Collect accurate data from patient or guarantor and ensure data integrity.
• Verify eligibility using real time resources and communicate benefit information.
• Understand authorization requirements and medical necessity for billing.
• Input data to ensure accurate financial reconciliation at point of service.
• Support department goals and assist coworkers to maintain team coverage.

Job description

Overview

Creates accurate and thorough registration for each patient visit. Responsible for obtaining demographic and financial information as well as obtaining signatures required for successful and compliant billing submission. Collects patient liability before or at the time of service as defined by the patient's insurance plan. Interact in a customer focused and compassionate manner to ensure patient's needs are met.

Qualifications

Certifications: , Education: , Work Experience:

Responsibilities

Registration and Data Integrity

• 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 integrityCustomer Service

Customer Service

• 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

Financial Services/ Billing

• 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

Collaboration and Team Synergy

• 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

About Us

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 Health 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. | For more information: [e-mail].

Compensation and Benefits

The compensation range for this position is $17.67per hour - $28.63per hour.

This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model.

Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.