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Patient Access Rep I, Central Patient Access, Presence Saints Mary and ElizabethMedical Center

Requisition ID: 55106

Location: Presence St Mary Chicago

Location Address:
2233 West Division Street, Chicago, IL  60622 United States (US)

 

Daily Hours: 8
Standard Hours: 0
Employment Status: PRN / Registry 
Employment Type: Regular 
Shift: Night
FLSA: N

 

SUMMARY

The Patient Access Representative I performs registration and admission functions to provide information to maximize reimbursement, achieve collection ratios, and meet account receivable (AR) goals.  Provides information to all other providers and users of patient data.  Ensures that patient meets financial and insurance requirements.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES

  1. Registers, pre-registers, and admits all patient types, specific to the assigned Presence Health facility/department while pushing Workstation on Wheels and bending to assist and push patients in wheelchairs. Maintains department productivity, accuracy, and quality assurance standards while performing these duties.  Ensures data is entered accurately for all patient demographic and insurance information.  Completes all required legal documents, and obtains and scans all other related documents.

     

  2. Performs cash collection functions, patient pricing estimation, admission, and discharge and transfer functions.

     

  3. Ensures that financial protocols and requirements are met while providing access to service at Presence Health facilities by reviewing account documentation. Maintains and applies current knowledge of insurance requirements when verifying eligibility and confirms authorization is secured prior to forwarding patients to service delivery areas; escalates unsecure financial accounts to management.

     

  4. Seeks assistance from Financial Counselors when needed to maintain patient flow while resolving financial issues and ensuring financial clearance of account. Provides information and assistance to patients to ensure they understand the Financial Assistance policy and application process. Provides Financial Assistance applications to all uninsured patients.

     

  5. Communicates with service delivery and other departments to resolve issues that impact patient services and schedules and escalates patient service issues that cannot be resolved in accordance with departmental guidelines.

 

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

 

Education and/or Experience                                                              

High school graduate or GED is required.

 

Previous experience in hospital admissions, business office and/or physician’s office with knowledge of medical terminology is preferred.  Must be able to accurately type 25 words per minute.

 

Computer Skills                                                          

Proficient in Microsoft Office software (Word and Excel).

 

Certificates, Licenses, Registrations

Must pass internal competency examinations to demonstrate understanding of Patient Access Services functions within one year of hire.

 

*NR

Business Unit: Corporate (LRHC and LPH)
Department Name: Central Patient Access