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Patient Access Representative I- CPKH Patient Access

Carle

Carle

Pekin, IL, USA
Posted on Jan 23, 2025

Patient Access Representative I- CPKH Patient Access

Location US-IL-Pekin
ID 2025-8977
Category
Clerical
Position Type
Full-Time
Remote
No
Shift
Day
Schedule
8:00am-4:30pm
Weekend Requirements
Rotating
Holiday Requirements
Rotating
On-Call Requirements
None

Overview

Creates accurate and thorough registration for each patient visit. Responsible for obtaining demographic and financial information as well as obtaining signatures required for successful and compliant billing submission. Collects patient liability before or at the time of service as defined by the patient's insurance plan. Interact in a customer focused and compassionate manner to ensure patient's needs are met.

Responsibilities

Registration and Data Integrity

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 and compliant data from patient and or guarantor Follow all policy and procedures related to optimal financial performance

Utilize tools such as real time eligibility responses, on-line 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
Customer Service

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
Financial Services/ Billing

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
Collaboration and Team Synergy

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

Qualifications

License/Certifications:


Education:


Other Knowledge/Skills:

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