Patient Access Representative -EMH Main Hospital Elmhurst

Hourly Pay Range:

$20.29 - $29.42 - 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: 8:00 am- 4:30 pm

Weekends: Rotating Weekend: 6:30 am - 3:00 pm

Holidays: Yes

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.

• 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.

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, including in treatment and hospital inpatient rooms, 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, EMTALA, payer and other applicable regulations and standards for registration.
• May transport patients by wheelchair, if necessary
• Uses on-line physician ordering systems to retrieve and interpret physician orders for service and/or appointment schedules, enters appropriate accommodation and test codes into computer system. Contacts physicians or physician office staff for additional clinical information and clarifying or obtaining orders for inpatient admission and outpatient testing. 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.

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.