Radiology Registration & Financial Counseling Specialist

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

Job summary

Carle Health in Urbana, IL is seeking a Registration Specialist to perform registration and admitting duties, verify demographics, handle co-pays, and obtain authorizations to ensure proper reimbursement and patient access to care.

The role involves analyzing coverage, assisting patients with financial hardship, and communicating clearly with patients and providers. Equal opportunity employer with comprehensive benefits.

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 potential 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.

Job description

Carle Health in Urbana, IL is seeking a Registration Specialist to perform registration and admitting duties, verify demographics, handle co-pays, and obtain authorizations to ensure proper reimbursement and patient access to care.

The role involves analyzing coverage, assisting patients with financial hardship, and communicating clearly with patients and providers. Equal opportunity employer with comprehensive benefits.