Patient Access Specialist I

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

Benefits offered by this job

Health insurance

Job summary

Carle Health is seeking a Registration/Patient Access team member to gather demographic and insurance information, obtain signatures, and ensure accurate data for compliant billing submission.

Responsibilities include customer service, verifying eligibility, and communicating benefit information while maintaining data integrity and policy adherence across registration areas in Illinois.

Responsibilities

• 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 data from patient and guarantor; follow policies for optimal financial performance
• Utilize tools such as real time eligibility responses, online 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 appropriate team member or department
• Anticipate the 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

Job description

Carle Health is seeking a Registration/Patient Access team member to gather demographic and insurance information, obtain signatures, and ensure accurate data for compliant billing submission.

Responsibilities include customer service, verifying eligibility, and communicating benefit information while maintaining data integrity and policy adherence across registration areas in Illinois.