Patient Access Rep II, Alton, Illinois

Job ID: 1210676
Employment Status: Full-Time
More Information:

Alton Memorial Hospital, in Illinois, is a full-service acute-care hospital serving patients in a seven county area. Alton Memorial offers inpatient and outpatient services including surgery, imaging, rehabilitation and 24-hour emergency care.

Overview

Role Purpose

To ensure prompt and efficient access to hospital care, by providing exceptional service to customers during the registration experience. Create a customer focused environment through effective communication with patients and guests. Accurately collect reimbursement information for clinical care and reimbursement.

Responsibilities

Communicate in a professional, positive and respectful manner with patients and offices. Be able to provide consistent excellent customer service in a variety of situations.

Assures hospital compliance with Medicare Secondary Payor (MSP), HIPAA Privacy Standards, Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, JCAHO Requirements. Ensures each patient completes HIPAA acknowledgement and offers financial assistance information.

Validates that the order is complete with two patient identifiers, a dated signature by the ordering provider, an appropriate diagnosis is indicated for the test being ordered, and correct that the correct test is indicated.

Perform price estimation prior to service and issues ABN to the patient to collect their non-covered amount due for the scheduled services.

Proficient on the hospital registration, scheduling systems and has the ability to work multiple points of service areas. Registers, verifies insurance, checks insurance eligibility, scans and retrieves documents in the Activefax system. Provide preparation instructions for each procedure scheduled. Proficient in insurance basics to recognize commercial and government plans and when to obtain a referral or authorization. If required, determine appropriate point of service payment and obtain amount from the patient by utilizing appropriate scripting.

BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

Minimum Requirements

Degree

High School Diploma or GED

Experience

< 2 years

Supervisor Experience

No Experience

Preferred Requirements and Additional Job Information

Degree

Associate's Degree

Experience

2-5 years

Licenses & Certifications

CHAA

Benefits Statement

Note: not all benefits apply to all openings

- Comprehensive medical, dental, life insurance, and disability plan options
- Pension Plan*/403(b) Plan
- 401(k) plan
- Tuition Assistance
- Health Care and Dependent Care Reimbursement Accounts
- On-Site Fitness Center (depending on location)
- Paid Time Off Program for vacation, holiday and sick time

*Pension does not apply to Memorial Hospital, Memorial Hospital East, Alton Memorial or Parkland Health Center

Legal Statement

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.

Equal Opportunity Employer