Patient Service Representative I--Main Hospital Elmhurst

Endeavor Health; Elmhurst (IL); On-site; USD 27,000 - 40,000; Full time

Job summary

Endeavor Health in Elmhurst, IL is seeking a Patient Service Representative I to support front desk operations at EMH Main Hospital. This role handles pre-registrations, registrations, order management, cash collection and data entry for in-patient, out-patient and ER visits.

You will screen third-party eligibility, assist with medical necessity coding and communicate payment options to patients and families. Flexibility to cover evenings and weekends is required.

Qualifications

• High School Diploma or GED (Required)
• Associate degree in business or healthcare (preferred)

Responsibilities

• Provide pre-registrations, registrations, order management and cash collection for in-patient, out-patient, ER and same-day surgery patients.
• Screen for third-party eligibility and enter medical necessity coding to ensure accurate payment.
• Explain, secure and witness required signatures; complete MSP questionnaires when applicable.
• Update billing information; scan insurance cards, IDs, referrals and HIPAA paperwork into the system.
• Coordinate daily admissions and bed placement; notify nursing units of pending admissions; maintain census records.
• Process paperwork; match registration data to forms; prepare and distribute charts and reports.
• Maintain logs of registrations and prepare data for reporting; adapt to downtime recovery procedures.
• Perform patient registration financial functions professionally and according to policies; support other duties as assigned.

Skills

Bilingual

Data entry

Keyboarding

Microsoft Office

Healthcare exp

Education

High School Diploma

Associate degree

Job description

Hourly Pay Range

$19.89 - $28.84 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Job Description

• Sign on bonus: N/A


• Position: Patient Service Representative I


• Location: EMH Main Hospital Elmhurst


• Full Time/Part Time: Full-Time


• Hours: Monday-Friday: 11:30 am -8:00 pm


• Weekends: Rotating Weekend

A Brief Overview

It is the obligation of each employee of Endeavor Health to abide by and promote the mission and values of the System to ensure that excellent services are delivered with compassion.

What You Will Do

• Under general supervision and according to established policies and procedures, responsible for providing in-patient, out-patient, emergency room, immediate care and same day surgery patients with timely and accurate pre-registrations, registrations, order management, charge capture, cash collection functions and medical information systems. Collects, analyzes and records demographic, insurance/financial and clinical data from multiple sources and obtains other information and signatures necessary for the above processes.


• Screens for third-party eligibility and enters medical necessity coding to ensure accurate payment is secured. Interacts in a customer-focused manner to ensure the needs of patients and their families are met and that they understand the hospital’s revenue cycle expectations, including resolution of personal liabilities through various payment options.

Explains, secures and witnesses all required signatures. Completes the Medicare Secondary Payer (MSP) questionnaire when applicable.

• Updates the billing information in the accounts according to data collected in the questionnaire.


• 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, identification bands, medical record forms, Medicare ABN, payment promissory notes, and other special documents. Produces and distributes these to both internal and external parties.


• Coordinates daily in-patient admissions and bed placement with clinical or other staff according to special medical needs. Notifies appropriate nursing units of pending admissions. Maintains records for census control and expeditiously enters all admissions, discharges and transfers.


• Processes generated paperwork. Matches registration information with standard admission forms. Assembles charts as required, submits paperwork to appropriate nursing unit or department, and disassembles patient charts. 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.


• Performs patient registration financial functions in a courteous and professional manner according to established policies and procedures:


• Performs related duties as assigned including, but not limited to, filing, distribution of questionnaires and medical records forms given by various departments for testing, distribution of pre-testing prep materials (e.g. specimen collection supplies and radiographic contrast) to patients, and distribution of CD formatted Radiology testing information for patient pickup, 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, payment requests, and chart prep.


• 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, holidays, and multiple registration locations.

What You Will Need

• High School Diploma or GED (Required)


• Associate degree in business or healthcare (preferred)

Skills And/or Experience

• Minimum one to two years of registration, scheduling, patient accounts, cash collections or customer service experience in a healthcare setting


• Knowledge of health insurances, medical terminology and anatomy


• Strong data entry and keyboarding skills


• Knowledge of Microsoft Office Suite


• Bilingual skills

Required License And/or Certification

• A valid driver’s license is required if the incumbent is selected to perform related duties at an offsite location. If the incumbent uses their personal vehicle, the incumbent must maintain automobile liability coverage as required by law and evidence of such coverage may be requested.