patient registration representative

Norton Healthcare

<div>Responsibilities:
<div>
The Pre Service representative sets the patient&rsquo;s expectation and ensures a positive patient experience for upcoming surgical procedures and diagnostic tests by completing pre-registration and accurately and efficiently handling the day-to-day operations relating to financial clearance for the hospital system including adult and pediatric acute facilities and diagnostic centers. The pre service representative also initiates authorizations for non-scheduled hospital admissions as well as scheduled procedures as assigned. The pre service representative utilizes multiple systems simultaneously and works in a fast paced, productivity driven call center environment accepting inbound calls promptly and making outbound calls in a professional and courteous manner and independently works to resolve patient and provider questions related to referrals, pre-authorizations, and insurance verification. The representative possesses strong telephone communication and computer skills, problem-solving abilities, and demonstrates the highest level of customer service for all patients, providers, and other team members.</div>
Qualifications:
<div><b>
Required:</b></div><ul><li>
One year in Patient Registration, Insurance Verification, or Authorizations</li></ul><div><b>
Desired:</b></div><ul><li>
Three years Patient Access</li><li>
High School Diploma or GED</li></ul></div>

Pre-Service Representative, Days

Children's Hospital of the King's Daughters

<div><div><div><div><div><ul><li><div><div><b>GENERAL SUMMARY</b></div>
<ul><li><div><div>The Lead Patient Registration Technician is responsible for the day to day operations and staffing for the front office and functions. Responsible for accurate data collection, documentation, and data retrieval with computerized systems. Performs patient scheduling, registration processes, insurance verification, maintains account information, co-payments, referrals, authorizations, and billing inquiry functions. Reports to the Manager/Supervisor.</div>
</div></li></ul></div></li><li><div><div><b>ESSENTIAL DUTIES AND RESPONSIBILITIES</b></div>
<ul><li><div>Greets, instructs, directs and assists patients and visitors upon arrival to the service area or through telecommunication devices.</div>
</li><li><div>Renders exceptional customer service to parents, patients, visitors and co-workers.
</div></li><li><div>Serves as coordinator, expert and patient liaison for healthcare services.
</div></li><li><div>Assists in maintaining medical records, filing systems, account balances and reconciliation of days accounts receivable.
</div></li><li><div>Performs charge entry and charge batching processes.
</div></li><li><div>Provides clerical and secretarial support.</div>
</li><li><div>Performs other duties as assigned.</div>
</li></ul></div></li><li><div><div><b>LICENSES AND/OR CERTIFICATIONS</b></div>
<ul><li><div>None required.
</div></li></ul></div></li><li><div><div><b>MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS</b></div>
<ul><li><div>High school diploma or equivalent.</div>
</li><li><div>3-5 years related work experience required.
</div></li><li><div>Ability to relate well with the public.
</div></li><li><div>Ability to effectively gather and exchange information in both oral and written communications with proper grammar, spelling and punctuation.
</div></li><li><div>Ability to sort and file materials correctly by alphabetical or numeric systems.
</div></li><li><div>Knowledge of computer data entry processes required.
</div></li><li><div>General knowledge of ICD-9/CPT coding and third party payer insurance verification processes and medical terminology required.</div>
</li></ul></div></li><li><div><div><b>WORKING CONDITIONS</b></div>
<ul><li><div><div>Normal office environment with little exposure to excessive noise, dust, temperature and the like.</div>
</div></li></ul></div></li><li><div><div><b>PHYSICAL REQUIREMENTS</b></div>
<ul><li><div><div>Click here to view physical requirements.</div>
</div></li></ul></div></li></ul></div></div></div></div><br>
Location: Childrens Hospital of The Kings Daughters &middot; General Booth Pediatrics<br>
Schedule: Full-Time, Days</div>

Patient Registration Technician - Lead

Atrium Health

<p></p><div><p><b>Department:</b></p>
10326 Enterprise Revenue Cycle - Financial Clearance<p></p><p><b><br>
Status:</b>
</p>Full time<p></p><p><b><br>
Benefits Eligible:</b></p>
Yes<p></p><p><b><br>
Hou</b><b>rs Per Week:</b></p>
40<p></p><p><b><br>
Schedule Details/Additional Information:</b></p><p>
Monday - Friday</p><p></p><p><b>
Pay Range</b></p>
$17.65 - $26.50<p></p><p><b>
Major Responsibilities:</b></p><ul><li>
Responsible for performing all job duties in a way that conforms to our customer service philosophy and consistent with our &quot;AIDET&quot; standards<ul><li>
 1)Greet and Acknowledge all patients and family members in a welcoming and prompt manner.</li><li>
 2)Introduce the patient to our services, what they can expect while under our care. Utlize appropriate etiquette in all communications.</li><li>
 3)Provide the patient with information on the likely time spent in the service area (duration) including time in registration and time in clinical service.</li><li>
 4)Explain the nature of our work, why we ask for demographic, socio-economic, and financial information. Explain how we safeguard their information and use it to provide better care for them.</li><li>
 5)Hand-patients off to the next area with a clear &quot;thank you.&quot;</li></ul></li><li>
When creating new registrations for walk-in patients, responsible for the identifying insurance coverage, the benefits available, patient out-of-pocket expenses, and collecting co-insurance and co-payments.<ul><li>
 4)Collecting appropriate out of pocket expenses in accordance with policy.</li><li>
 1)Uses electronic systems to confirm coverage while patient is present and discussing the findings with the patient. Follow established department policies to resolve issues related to patient's eligiblity for coverage or issues in in-network status for the patient using Advocate's network.</li><li>
 2)When working uninsured patients, screen for urgent status cases and follow charity procedure. Refer as appropriate for additional financial counseling. Engage leaders to resolve questions on urgent versus non-urgent/elective care.</li><li>
 3)When assisting walk-in patients, screen orders for compliance with policy. Work with physicians, Care Coordinators, and clinical department leaders to communicate and resolve issues related to order quality and acceptable standards.</li></ul></li><li>
Responsible for security authorization and precertification of inpatient and outpatient services.<ul><li>
 5)Notify Financial Counseling, physicians, Care Coordinators, and Utilization Management on cases were patients are found to be uninsured, or where the only insurance is Third Party Liability or Workers Compensation</li><li>
 1)Maintains knowledge of all stand-alone computer software programs to verify eligibility.</li><li>
 6)Identify at risk balances related to Medicare co-days, lifetime reserve days and other Medicare coverage limits and communicate to Financial Counseling, UM and physicians</li><li>
 7)Identify at risk balances relate to Medicaid eligibility rules and communicate to Financial Counseling, UM and physicians</li><li>
 8)Initiates communication to patient when authorization is not obtained and explain the potential financial impact and the patient responsibility for unauthorized services</li><li>
 9)Accurately collects and analyzes clinical data in support of prior authorization, and precertification as required by payor guidelines</li><li>
 10)Acquires and maintains current knowledge of all insurance requirements as it relates to patient/hospital responsibility and hospital billing.</li><li>
 2)Stays current of all Federal and State regulations regarding billing.</li><li>
 3)Ensures completion of all established policies and procedures for identification and notification of the Primary Care Physician in the case of HMO coverage plans.</li><li>
 4)Informs Financial counseling, physicians, Care Coordinators and Utilization Management of out of network or noncovered service limitations of managed care/commercial insurance where benefits are at risk</li></ul></li><li>
Responsible the pre-registration and registration accuracy.<ul><li>
 6)Maintains knowledge of State &amp; Federal regulations governing Medicare, Medicaid and Mental Health registrations.</li><li>
 1)Ensure accurate entry of patient demographic, insurance information in the ADT system with special attention to carrier code assignment, complete benefit, eligibility record and authorization data</li><li>
 2)Pre-registers and registers patients using established procedures for computer entry for all ancillary and nursing units, keeping current with their specialized needs and preparing necessary documents/records when necessary.</li><li>
 3)During the pre-registration or registration encounter, provide detailed education to the patient the contents of documents and forms requiring patient signature.</li><li>
 4)Manage incoming and outgoing calls in order to complete pre-registrations with patients</li><li>
 5)Generates, assembles and processes all required documents for completion of each registration.</li></ul></li><li>
Participates in departmental team building activities and in-services and other miscellaneous duties as assigned by leader.<ul><li>
 1)Contributes to the quality initiatives and mission by participating in team projects.</li><li>
 2)Attends all required departmental in-services to stay current of all job changes and responsibilities.</li><li>
 3)Assist leader in special assignments as may be needed to fulfill the mission of the department and the organization.</li></ul></li></ul><p></p><p><b><br>
Education/Experience Required:</b></p><p></p><ul><li>
High School Diploma with 2 years of experience in either Patient Access or any of the following related experience; general physician office support or billing office, insurance office, hospitality, or call center (any industry) Intermediate math skills acquired through classroom work or through work experience</li></ul><p></p><p><b><br>
Knowledge, Skills &amp; Abilities Required:</b></p><p></p><ul><li>
Typing 25 WPM Basic understanding of web-based systems, proficiency in data entry</li><li>
N/A</li></ul><p></p><p><b><br>
Physical Requirements and Working Conditions:</b></p><p></p><ul><li>
Ability to prioritize and organize workload Sophisticated interviewing, communication and negotiation skills Independent decision making Ability to work hours that verify based on needs of the organization including evenings, weekends and holidays. Ability to work as a team member</li><li>
Must be able to sit, stand, walk, lift, carry, squat, and bend frequently as well as twist, rotate, and kneel occasionally throughout the workday.</li><li>
Frequently lifts up to 10 lbs. and occasionally lifts between 20 lbs. or more. This occurs when moving equipment and supplies and when transporting patients and/or charts.</li><li>
Must be able to push/pull up to 50 lbs. with assistance.</li><li>
Must have functional speech and hearing.</li><li>
Must be able to use hands with fine motor skills for keyboard data entry.</li><li>
Exposed to a normal office environment.</li><li>
Operates all equipment necessary to perform the job.</li><li>
Must be able to work a flexible schedule to support the needs of the department.</li></ul><p></p><p><b><br>
Addendum:</b> In addition to the Accountabilities and Job Activities outlined in Sects. I. A. &ndash; I. D. of the Position Description for Patient Access Registrar the following accountabilities and job activities are applicable for registrars staffed at offsite imaging centers: E. Performs additional activities that facilitate patient flow and transition from registration to the clinical testing area including: 1. Performs Computerized Provider Order Entry (CPOE) for exams accurately and completely to transcribe written physician orders. Seeks clarification from technician and physician if needed. 2. Performs light duty cleaning of changing areas as needed. 3. Prints patient&rsquo;s results CDs when required and distributes finished exam results CD to patient while complying with application HIPAA considerations. 4. Escorts patients to changing areas as needed.<br>
<br>
<i>This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.</i></p><p></p><p><b>
Our Commitment to You:</b></p><p></p><p>
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more &ndash; so you can live fully at and away from work, including:</p><p></p><p><b>
Compensation</b></p><ul><li>
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training</li><li>
Premium pay such as shift, on call, and more based on a teammate's job</li><li>
Incentive pay for select positions</li><li>
Opportunity for annual increases based on performance</li></ul><p></p><p><b>
Benefits and more</b></p><ul><li>
Paid Time Off programs</li><li>
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability</li><li>
Flexible Spending Accounts for eligible health care and dependent care expenses</li><li>
Family benefits such as adoption assistance and paid parental leave</li><li>
Defined contribution retirement plans with employer match and other financial wellness programs</li><li>
Educational Assistance Program</li></ul><p></p><p><b><br>
About Advocate Health</b></p><p></p><p>
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation&rsquo;s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.</p><p>
</p>To provide a range of services required to complete the registration activities of scheduled and walk-in patients seeking services in a variety of hospital inpatient, and outpatient settings including but not limited to the emergency room, diagnostic testing and procedures, and admissions to nursing units. Assist patients from time of presenting for care until hand-off to clinical staff for services.</div>

Patient Service Representative I Hospital

Summit Health

<div><h1 class="jobSectionHeader"><b>About Our Company</b></h1><p>
We&rsquo;re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.</p><p></p><p>
Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.</p><p></p><p>
When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.</p><p></p><p><b>
Please Note: </b>We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.</p><p></p><h1 class="jobSectionHeader"><b>
Job Description</b></h1><p>
Essential Job functions:</p><ul><li>
Greets visitors, patients, and families in a friendly professional manner and directs them appropriately.</li><li>
Maintains an efficient patient flow through the registration process and provides excellent customer service to patients/families.</li><li>
Promptly answers the telephone, directs all calls appropriately, takes an accurate message and delivers to the appropriate individual/demonstrates appropriate etiquette.</li><li>
Informs patients of delay in physician schedules, assists with patient comfort while delayed.</li><li>
Posts all self pay charges, collects payments, and provides patient with receipt. Accurately reconciles daily payments.</li><li>
Opens and closes batches properly, accurately reconciles collections, prepares deposits and documents corrections.</li><li>
Scans the insurance card, processes insurance verifications utilizing the on-line system, and updates the patient account. Updates patient information including demographics, insurance, HIPAA forms and financial waivers.</li><li>
Schedules appointments accurately according to department guidelines; using waitlist when applicable. Confirms future appointments as needed. Review Eligibility and Phone report.</li><li>
Schedules and enters orders for diagnostic tests, and procedures, following all appropriate workflows.</li><li>
Reconciles billing slips to daily schedule.</li><li>
Works cooperatively with Patient Care Resources and clinical staff to ensure timely pre-authorizations.</li><li>
Completes referrals according to departmental guidelines and properly enters into the appropriate system.</li><li>
Effectively communicates problems, concerns, or issues to the Office Supervisor / Manager appropriately and promptly</li><li>
Effectively communicates problems, concerns, or issues to the Office Supervisor / Manager appropriately and promptly.</li><li>
Performs various clerical duties such as faxing, photocopying, scanning, filing and mailings.</li><li>
Demonstrates flexibility with various work schedules, covers for other staff when asked including other office locations.</li><li>
Demonstrates the ability to adequately follow downtime procedures.</li></ul><p>
General Job functions:</p><ul><li>
Maintains schedule for the PSR/Regs in the dept. Works with the office supervisor and staffing coordinator to obtain coverage as needed.</li><li>
Updates the provider on call schedule on the intranet and forwards this schedule to any outside answering service and communicates any changes to the outside answering service.</li><li>
Trains all new PSR's to the dept.</li><li>
Ensures the buckets in Athena are maintained by staff.</li><li>
Is the contact person to the office for all non clinical issues i.e. facilities, materials management, business office (coding, billing, finance.) and updates office supervisor and provider of any changes, updates, maintenance issues.</li><li>
Collaborates with the office supervisor on performance evaluation for other PSR's</li></ul><p>
Physical Job Requirements:</p><ul><li>
Pushing and pulling, taking frequency and weight into consideration.</li><li>
Physical strength to lift heavy objects, carts, or items, taking frequency and weight into consideration.</li><li>
Physical mobility, which includes movement from place to place on the job, taking distance and speed into account.</li><li>
Physical agility, which includes ability to maneuver body while in place.</li><li>
Dexterity of hands and fingers.</li><li>
Balance is maintained during climbing, bending and/or reaching</li><li>
 Endurance (e.g. continuous typing, prolonged standing/bending, walking).</li></ul><p>
Education, Certification, Computer and Training Requirements:</p><ul><li>
High School Graduate or GED. Bachelor&rsquo;s/ Associate Degree preferred.</li><li>
Heartsaver within 60 days of hire.</li><li>
Previous PSR experience preferred.</li><li>
Ability to communicate in English, both orally and in writing.</li><li>
Must have excellent customer service skills.</li><li>
Must have accurate computer data entry skills.</li><li>
Must have the ability to organize and perform multiple tasks in a timely manner.</li><li>
Knowledge of medical office and terminology preferred.</li><li>
Previous experience with Standard Office Technology in a Window based environment.</li><li>
Previous office and computer experience preferred.</li><li>
Experience with EHR, Practice Management System and Departmental/Ancillary Systems preferred.</li></ul><p>
Travel:</p><ul><li>
Ability to commute to satellite offices as needed.*</li></ul>
Pay Range: $17.55 - $21.30 Hourly
<p>The provided compensation range is based on industry standards and salary determinations will be made based on numerous factors including but not limited to years of experience and location of position.</p><p></p><h1 class="jobSectionHeader"><b><br>
About Our Commitment</b></h1><h2 class="jobSectionHeader"><b>
Total Rewards at VillageMD</b></h2><p>
Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD&rsquo;s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.</p><p></p><h2 class="jobSectionHeader"><b>
Equal Opportunity Employer</b></h2><p>
Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.</p><p></p><h2 class="jobSectionHeader"><b>
Safety Disclaimer</b></h2><p>
Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/.</p></div>

Patient Service Representative - Urology

Spencer Hospital

<div><div>Location:</div>
Spencer, IA<div></div><div>
Worker Type:</div>
Regular<div></div><div>
Work Shift:</div>
Day Shift (United States of America)<div></div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div>
Spencer Hospital is proud to employ highly skilled and caring staff members. We offer competitive salaries and benefits as well as a pleasant work environment.</div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><div></div><div>
Position Highlights</div><div>
Spencer Hospital is a rural hospital located in northwest Iowa employing over 500+ employees. Positions at Spencer Hospital are not affiliated with Avera; however, we collaborate to provide services to the communities we serve. Employment offers, if accepted, are exclusively with Spencer Hospital.</div><div></div><div>
Position is located in Spencer, Iowa. This is an on-site position. Remote work is not available.</div><div></div><div>
Responsibilities:</div><ul><li>
Assist with general accounting, payroll, and accounts payable duties</li><li>
Processes non-patient billings, collects and receipts non-patient payments</li><li>
Assist with processing accounts payable invoices</li><li>
Assists in preparation and processing of bi-weekly payroll and assist in maintaining records</li><li>
Prepares audit and cost report work papers</li><li>
Initiates the weekly ACH/EFT batches</li><li>
Prepares and maintains statistical records</li></ul><div></div><div>
Requirements:</div><ul><li>
HS diploma or equivalent required</li><li>
Associate's degree in Accounting preferred</li><li>
1-2 years accounting experience</li><li>
Payroll processing experience</li><li>
Ability to manage a variety of job tasks, well organized, attention to detail</li><li>
Skilled with use of computers and ability to problem solve</li><li>
Knowledge of Microsoft Office programs, Outlook and especially Excel</li><li>
Knowledge of Workday HCM and/or Finance Platform preferred</li></ul><div></div><div>
Schedule:</div><ul><li>
72 hours per pay period</li><li>
Monday-Friday - 8a-3:30p</li><li>
The schedule may fluctuate based upon the needs of the department</li></ul><div></div><div>
Spencer Hospital offers competitive wages, affordable insurance, IPERS retirement, in-house education, paid time off, family gym membership and so much more!</div><div></div><div>
Please contact Spencer Hospital Human Resources for any questions at 712.264.6205 or email <div>hr@spencerhospital.org</div>.</div><div></div><div>
Learn more about Spencer Hospital: <div>spencerhospital.org</div></div></div>

Emergency Services Patient Registration - (PT)

Memorial Health

<div>Min: USD $16.00/Hr. Max: USD $23.64/Hr. Overview:
<div>
Our Patient Access Specialist assists in providing access to services provided at the hospital and/or other service area. Processes registration information for the patient visit, obtaining patient demographic and third party information with a high degree of accuracy, and performs financial collections. Performs the timely completion, preparation, and deployment of legal, ethical and compliance related documents that must be presented and thoroughly explained to the patient at the time of registration. Maintains knowledge of JCAHO, Patient Rights and Responsibilities, HIPAA, HMOs, Commercial Payers, and departmental / system policies and procedures. Provides Mammography Screening scheduling services to patients. Work may be performed in a patient care area. Serves as a liaison between ancillary departments and other Patient Access Services areas.</div>
Qualifications:
<div><b>
Education:</b></div><div>
High School diploma required.</div><div><br>
</div><div><b>Licensure/Certification/Registry:</b></div><div>
Must successfully complete assigned annual education through Healthcare Business Insights.</div><div></div><div><b><br>
Experience:</b></div><div>
One (1) years of business office experience, preferably in the areas of Patient Access, billing, collections, insurance principles/practices, or accounts receivable. Completion of 12 (twelve) hours of coursework in a business or healthcare related field of study may be considered in lieu of business office experience. Previous experience in Patient Access is highly desirable.</div><div></div><div><b><br>
Other Knowledge/Skills/Abilities:</b></div><ul><li>
Knowledge of all tasks performed in the various Patient Access Service areas is necessary to provide optimum internal and external customer satisfaction and provide the opportunity for accurate reimbursement.</li><li>
Demonstrates superior patient relations and interpersonal skills; demonstrates an appropriate level of mental and emotional tolerance and even temperament when dealing with staff, patients and general public, using tact, sensitivity and sound judgment; promotes a positive work environment and contributes to the overall team efforts of the department and organization.</li><li>
Working knowledge of computers is required, with the ability to enter and retrieve data, and electronically notate registration software, and other required applications/systems.</li><li>
Must demonstrate detail orientation, critical thinking, and problem solving ability.</li><li>
Must demonstrate excellent oral and written communication and customer service skills, with ability to maintain a calm and professional demeanor in high stress situations.
</li><li>Demonstrated ability to remain flexible, and consistently exercise sound judgment and initiative in very stressful situations.
</li><li>Ability to effectively manage competing priorities and work independently in a rapidly changing environment.</li><li>
Must demonstrate ability to educate, persuade, and negotiate effectively with patients and families.</li><li>
Knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD 10 CM) coding, and hospital billing claims preferred, but not required.</li></ul>
Responsibilities:
<ul><li>Completes all steps of pre-registration/registration; verifies patient identity and demographic information through appropriate tools. Identifies/captures appropriate health insurance benefit eligibility based on contract/regulatory differentiation. Facilitates appropriate billing of claims and hospital reimbursement. Obtains and validates proper consent for patient treatment.</li><li>
Schedules patients for Mammography procedures efficiently, effectively, and according to established protocol for modality, location, facility capabilities, insurance requirements, type of exam, patient preferences, and urgency.</li><li>
Educates patients/others regarding the resolution of billing, private pay options, collection efforts, coordination of benefits, third party and governmental payment criteria, insurance coverage, payments, and denials. May serve as a liaison between external resources and patients on issues requiring SMH involvement.</li><li>
Coordinates with SMH Patient Financial Services, Utilization Management, physicians, and medical offices to ensure consistent financial documentation across the enterprise, and an interdisciplinary approach to patient and organizational needs.</li><li>
Adheres to all CMS Conditions of Participation regulations and Section 1154(e) of the Social Security Act regarding delivery, explanation, and acquisition of patient/designated representative signatures.</li><li>
Verifies medical necessity, and obtains appropriate signature on Advance Beneficiary Notice of non-coverage (ABN) per CMS regulations at points of patient access.</li><li>
Negotiates with patients and families to collect patient co-pays and/or deposits at point of service. Supports Patient Access Services POS (Point of Service) collection goals as defined by Revenue Cycle leadership and best practice benchmarks.</li><li>
Triages, documents, and initiates referrals of patients to Medicaid vendor and/or for financial assistance, per the Illinois Fair Patient Billing Act, Illinois Uninsured Patient Discount Act, and established SMH procedures.
</li><li>Identifies/reviews services requiring pre-authorization/pre-certification by Medicare, Medicaid, Commercial, and Managed Care payers, to ensure provider eligibility requirements are met prior to receiving service. Utilizes appropriate technology and/or communicates with physician offices.</li><li>
Analyzes reports containing rejected accounts from a variety of hospital sources, including Non-Patient Access registration departments, and resolves toward verification of patient benefit eligibility, and subsequent reimbursement from all possible payer sources, or determines suitability for financial assistance.</li><li>
Orients and cross-trains others within assigned area of responsibility as directed and defined by management. May assist other areas within the unit or department, as necessary, during times of special needs or staff absences. May be required to work night or weekend shifts.</li><li>
Ensures compliance with all applicable HIPAA, Joint Commission, CDC, SMH, and state and federal statues, providing required associated literature to patients at all PAS access points. Educates patients regarding Advance Directives, Medicare D prescription coverage, SMH, Joint Commission, and Illinois Department of Public Health grievance process as appropriate.</li><li>
Maintains current knowledge of, and complies with, the Illinois Fair Patient Billing Act and Illinois Uninsured Patient Discount Act at all times.</li><li>
Completes Illinois DHS legal forms for psychiatric admits, in compliance with State of Illinois and SMH statues and guidelines. Provides relevant patient/family education.</li><li>
May rotate work settings, i.e., patient registration, bedside registration, or other SMH campus environments. May be required to provide coverage for the SMH Financial Lobby Office.</li><li>
Develops and maintains a comprehensive knowledge of the health system organization and its functions. Completes all assigned annual organizational education</li><li>
Meets expectations for productivity, accuracy, and point of service collections</li><li>
Attendance at quarterly department meetings is mandatory unless absence is approved by PAS management prior to the meeting date.</li><li>
Performs pre-registration functions as requested.</li><li>
Performs other related work as required or requested.</li></ul></div>

Patient Access Specialist I

dar al khaybar medical center

<p><b>Job Summary: Fluent in Arabic and Pashto. Salary and Good Incentives.</b></p><p>A FEMALE CANDIDATE WILL BE PREFERRED.</p><p>We are looking for a friendly, professional, and organized Customer Service Representative / Receptionist to be the first point of contact for our patients and visitors. The role involves managing front desk operations, assisting patients with appointments and inquiries, and ensuring a welcoming and efficient experience at our center.</p><p><b>Key Responsibilities:</b></p><ul><li>Greet and welcome patients and visitors in a courteous and professional manner.</li><li>Answer phone calls, respond to inquiries, and provide accurate information about services.</li><li>Schedule, confirm, and manage patient appointments.</li><li>Maintain and update patient records and registration details.</li><li>Coordinate with doctors, nurses, and other departments to ensure smooth patient flow.</li><li>Handle billing and payment processes when required.</li><li>Manage the reception area to keep it clean, organized, and presentable.</li><li>Address patient concerns promptly and escalate issues to management when necessary.</li><li>Maintain confidentiality and follow all clinic policies and procedures.</li></ul><p><b>Requirements:</b></p><ul><li>Minimum High School Diploma; Diploma or Degree in Administration or related field preferred.</li><li>Prior experience in customer service or front desk (preferably in healthcare) is an advantage.</li><li>Excellent communication and interpersonal skills.</li><li>Proficient in Microsoft Office (Word, Excel) and appointment scheduling software.</li><li>Fluent in English ,Arabic and Pashto or other languages is an added advantage.</li><li>Positive attitude, strong work ethic, and professional appearance.</li></ul><p><b>Work Schedule:</b></p><ul><li>Full-time / Shift basis (as per clinic timing)</li></ul><p>Job Type: Full-time</p><p>Pay: AED2,000.00 - AED2,500.00 per month</p><p>Experience:</p><ul><li>Health care: 1 year (Preferred)</li></ul><p>Language:</p><ul><li>Arabic (Preferred)</li><li>Pashto (Preferred)</li></ul>

Customer Service/Receptionist

Search 10000+ Patient registration representative jobs near you this October. New roles added regularly across leading industries. Apply today.