Patient Registration & Financial Services Specialist

Carle Health; Urbana (IL); On-site; USD 25,000 - 40,000; Full time

Job summary

Carle Health in Urbana, IL seeks a Registration/Billing Clerk to support patient admissions, registration, and financial clearance. You will explain forms, obtain signatures, verify demographics, and determine financial responsibility to assure proper reimbursement for the hospital and patient.

The role includes performing prior authorizations for admissions, advising on insurance coverage, and assisting with denials management.

Qualifications

• Accurately explains and completes registration and admitting forms.
• Obtains signatures from patients and policyholders. Explains and gets patient signatures for Consents, Assignment of Benefits, ABN's and Notice of Non Coverage forms.
• Communicates detailed information clearly, concisely, actively, and in a timely manner.
• Performs insurance eligibility verification by using Nebo for payer information when possible.
• Maintains cash drawers and balances according to procedures.

Responsibilities

• Accurately explains and completes registration and admitting forms.
• Obtains signatures from patients and policyholders. Explains and gets patient signatures for Consents, Assignment of Benefits, ABN's and Notice of Non Coverage forms.
• Communicates detailed information clearly, concisely, actively, and in a timely manner.
• Completes Medicare Secondary Payer (MSP) form in accordance with Medicare laws.
• Follows up on necessary information.
• Interprets insurance coverage and benefits to patients.
• Interviews and identifies patients with the potential for financial hardship and/or without third-party coverage and works with the patient for resolution.
• Provide essential information regarding Carle's Financial Assistance Program or payment arrangements Obtains, updates and verifies patient demographics, insurance and co-pays and Primary Physicians.
• Performs chart management duties proficiently by ordering, sending, and receiving charts when necessary.
• Creates new clinic charts and medical record numbers for new patients.
• Performs insurance eligibility verification by using Nebo for payer information when possible.
• Understands terms and information listed on Nebo reports.
• Performs prior authorizations for patients admission/surgeries to ensure reimbursement for services and participates in denials management activities. Receives and posts co-payments as identified by third-party payers or patient insurance cards.
• Maintains cash drawers and balances according to procedures.
• Registers all patients at each visit utilizing established policies for the capture of complete and up-to-date patient and insurance information.
• Reviews, analyzes, and communicates registration errors to HRC management for quality improvement.
• Strives 5% or less error rate.
• Scans all required patient information into software systems so that information is retrievable and accessible by hospital staff. Understands, reviews and explains Patient Rights & Responsibilities, Notice of Privacy, and other pertinent admitting information to the patient and/or family member.

Skills

Experience in related field

Customer service

Education

Associate's Degree in Related Field

Job description

Carle Health in Urbana, IL seeks a Registration/Billing Clerk to support patient admissions, registration, and financial clearance. You will explain forms, obtain signatures, verify demographics, and determine financial responsibility to assure proper reimbursement for the hospital and patient.

The role includes performing prior authorizations for admissions, advising on insurance coverage, and assisting with denials management.