Patient Services Representative and Insurance Veri

at NorthShore University Health System in

Buffalo Grove, Illinois, United States 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. Patient Service Representative and Insurance Verifier, Rehab Services

•

Days Position Highlights:

Position:

Patient Service Representative and Insurance Verifier, Rehab Services Location:

Buffalo Grove, IL Full-Time:

40 hours per week

Hours:

Tuesday

• Friday 9 hours, plus 4 hours Saturday morning; 6:45am
• 4:15pm Tues through Friday, 7:45am
• 11:45am

Saturdays Required Travel:

Float as needed, but not required.

Holidays:

No Job Summary:

Under general supervision and according to established policies and procedures, responsible for providing out-patient, rehabilitation patients with timely and accurate pre-registrations, registrations, order management, charge capture, 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.

What you will do:

Performs patient registration functions in a courteous and professional manner according to established policies and procedures. Greets and registers patients. Collects and analyzes all required data necessary to pre-register and register patients. Interacts with patients, their representatives, employers and others in person or over the telephone, and reviews new and previously recorded information. Analyzes and electronically records data and processes transactions into the hospital computer system. Follows HIPAA, payer and other applicable regulations and standards for registration. Uses on-line physician ordering systems to retrieve and interpret physician orders/HMO authorizations for service and/or appointment schedules, enters appropriate codes into computer system. Contacts physicians or physician office staff for additional clinical information. Explains, secures and witnesses all required signatures. Completes the Medicare Secondary Payer (MSP) questionnaire when applicable. 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, medical record forms, Medicare ABN and other special documents. Produces and distributes these as appropriate. Escorts patients to and from treatment areas as needed. Processes generated paperwork. Assembles and disassembles patient charts as required and prepares charts for Medical Records pick-up. 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. Reconciles daily cash receipts with the day's cash activity, credit card journal report and computer cash drawer. Attends mandatory staff meetings, maintains familiarity with all memos, emails and pertinent information regarding policy and procedure updates retaining them for future reference, understands changes and incorporates them into personal routines. Communicates with Supervisor or Director any problems or questions pertaining to duties and established policies and procedures or, prior to implementation, to any revised protocols. Receives, properly responds to, or redirects telephone, electronic, and in-person inquiries from patients, their representative, payers, physicians and their staff, internal departments, and other persons and entities. Diffuses tense situations, problem solves, keeps situations from escalating, has a calming effect on all external and internal customers. Maintains confidentiality of patient's personal health information Performs related duties as assigned including, but not limited to, filing, assisting patients to complete the computerized rehab outcome database, 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, and chart prep. Assists and contributes to the training of new employees 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... For full info follow application link.

EOE:

Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor. To view full details and how to apply, please login or create a Job Seeker account