PRN-Business Services Representative-EH Registration
Representative job at Carle Foundation
Performs registration functions in an effective and efficient manner to enhance coding, billing and case coordination efforts. Makes appropriate independent decisions that require assessment, reasoning and resolution regarding financial requirements to assure appropriate reimbursement for both the patient and the hospital. Interprets and applies hospital policies regarding financial resources and arrangements. Uses exquisite customer service skills when handling patient encounters/issues.
Qualifications
Certifications: , Education: , Work Experience:
Responsibilities
Accurately explains and completes registration and admitting forms. Obtains signatures from patients and policyholders. Explains and gets patient signatures for Consents, Assignment of Benefits, ABN's and Notice of Non Coverage forms.
Communicates detailed information clearly, concisely, actively, and in a timely manner.
Completes Medicare Secondary Payer (MSP) form in accordance with Medicare laws. Follows up on necessary information.
Interprets insurance coverage and benefits to patients.
Interviews and identifies patients with the potential for financial hardship and/or without third-party coverage and works with the patient for resolution. Provide essential information regarding Carle's Financial AssistanceProgram or payment arrangements.
Obtains, updates and verifies patient demographics, insurance and co-pays and Primary Physicians.
Performs chart management duties proficiently by ordering, sending, and receiving charts when necessary. Creates new clinic charts and medical record numbers for new patients.
Performs insurance eligibility verification by using Experian for payer information when possible. Understands terms and information listed on Experian reports.
Receives and posts co-payments as identified by third-party payers or patient insurance cards. Maintains cash drawers and balances according to procedures.
Registers all patients at each visit utilizing established policies for the capture of complete and up-to-date patient and insurance information.
Reviews, analyzes, and communicates registration errors to HRC management for quality improvement. Strives 5% or less error rate.
Scans all required patient information into software systems so that information is retrievable and accessible by hospital staff.
Understands, reviews and explains Patient Rights and Responsibilities, Notice of Privacy, and other pertinent admitting information to the patient and/or family member.
Answers the hospital switchboard after regular business hours. Contacts providers and others who are on call when the need arises. Pages any medical, facility, weather, and security codes overhead when appropriate.
About Us
**Find it here.**
Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health.
Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
_We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: *************************._
Compensation and Benefits
The compensation range for this position is $18.65per hour - $30.21per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model.
Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
Easy ApplyAccts Recv Rep 2 - CPG Ins & Special Billing
Representative job at Carle Foundation
The Accounts Receivable Representative 2 is proficient in Accounts Receivable Representative 1 responsibilities. Responsible for handling escalated account and payer disputes. Handles complex edits, appeals and advanced account activities such as settlement and refund requests, bankruptcies, risk management and retro adjudication. Responsible for answering, documenting and completing inquiries from patients, insurance companies, public agencies, internal departments, attorneys and 3rd party payers. Acts as a billing and reimbursement expert for a defined payer product line.
Qualifications
Certifications: , Education: , Work Experience:
Responsibilities
Must be able to perform essential job functions of Accounts Receivable Representative 1.
Handles complex edits, correspondence and advanced level work queues such as but not limited to retro review, EOB balancing, 72 hour bundling rule, consecutive account review and credit adjustment review, etc.
Handles escalated account activities such as but not limited to healthcare liens, settlement requests, bankruptcies, bad debt, risk management, estate claims, fraud cases and attorney requests, etc.
Handles escalated appeals.
Identifies payer and system issues to initiate project requests for process improvements and system optimization.
Attends and participates in meetings with payer specific provider representatives to maximize reimbursement and minimize denials through problem solving, collaboration and consensus.
Accountable for administering the Carle Financial Assistance Program, Illinois Uninsured Discount Program, Prompt Pay Discount Program, etc.
Directs patients to the appropriate resources to help obtain benefits from outside services.
About Us
**Find it here.**
Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health.
Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
_We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: *************************._
Compensation and Benefits
The compensation range for this position is $16.73per hour - $27.1per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model.
Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
Easy ApplyBilling Representative II, Remote
Somerville, MA jobs
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Summary:
Responsible for maintenance of accurate billing records of complex customer and/or patient accounts, process payments and adjustments, and communicate with customers to answer questions or provide information.
Does this position require Patient Care? No
Essential Functions:
Interact with internal and external customers to gather support data to ensure billing accuracy and work through billing discrepancies
* Addresses issues of a more complex nature and support junior staff by answering day to day questions
* Process payments and maintain up-to-date billing records
* Reprocessing insurance denials and submitting all necessary documentation for payment
* Maintain accurate billing records and files
* Collaborate with other departments to resolve billing and payment issues
* May prepare monthly and quarterly billing reports for management review
Qualifications
Education
High School Diploma or Equivalent required
Experience in billing, finance or collections 2-3 years required
Knowledge, Skills and Abilities
* Strong attention to detail.
* Excellent interpersonal, written and verbal communication skills.
* Proficient in Microsoft Office Excel and other relevant billing software.
* Ability to prioritize and manage multiple tasks simultaneously.
* Ability to work independently and as part of a team.
* Ability to work in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$19.42 - $27.74/Hourly
Grade
3
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Auto-ApplyPatient Services Representative II - Call Center (Remote)
Lemont, IL jobs
Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It's the way you want to be treated.
Position Summary: Position Summary: Capable of handling 100+ calls/day, assistance with scheduling office/lab/nurse appointment and detailed message taking based on providers written protocols, multitasking between offices/providers protocols. Understanding of insurances and referrals needed. Ability to use independent thinking to determine urgent vs routine matters to be addressed.
Required Qualifications: Call Center/Front Desk experience preferred: High school diploma required. Prior experience and in-depth knowledge of insurance preferred. Excellent interpersonal skills, including the ability to establish and maintain effective relationships with patients, physicians, management, staff and other customers. Exceptional customer service skills including the ability to us independent thinking, sound judgement and creativity when resolving customer issues. Ability to balance multiple priorities and effectively handle challenging situations. Excellent verbal communication skills. Ability to use personal commuters and select software applications.
Work Shift Details:
Days - First Shift, Days Monday - Friday; alternating Saturdays; no holidays
Department:
PSMG MGMT SERVICES
Benefits for You
At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.
Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:
* Medical, Dental and Vision plans
* Life Insurance
* Flexible Spending Account
* Other voluntary benefit plans
* PTO and Sick time
* 401(k) plan with a match
* Wellness program
* Tuition Reimbursement
Registry employees who meet eligibility may participate in one of our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits.
The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.
The expected pay for this position is listed below:
$18.70 - $23.38
Auto-ApplyPatient Services Representative II - Call Center (Remote)
Lemont, IL jobs
Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It's the way
you
want to be treated.
Position Summary: Position Summary: Capable of handling 100+ calls/day, assistance with scheduling office/lab/nurse appointment and detailed message taking based on providers written protocols, multitasking between offices/providers protocols. Understanding of insurances and referrals needed. Ability to use independent thinking to determine urgent vs routine matters to be addressed.
Required Qualifications: Call Center/Front Desk experience preferred: High school diploma required. Prior experience and in-depth knowledge of insurance preferred. Excellent interpersonal skills, including the ability to establish and maintain effective relationships with patients, physicians, management, staff and other customers. Exceptional customer service skills including the ability to us independent thinking, sound judgement and creativity when resolving customer issues. Ability to balance multiple priorities and effectively handle challenging situations. Excellent verbal communication skills. Ability to use personal commuters and select software applications.
Work Shift Details:
Days - First Shift, Days Monday - Friday; alternating Saturdays; no holidays
Department:
PSMG MGMT SERVICESBenefits for You
At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.
Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:
· Medical, Dental and Vision plans
· Life Insurance
· Flexible Spending Account
· Other voluntary benefit plans
· PTO and Sick time
· 401(k) plan with a match
· Wellness program
· Tuition Reimbursement
Registry employees who meet eligibility may participate in one of our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits.
The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.
The expected pay for this position is listed below:
$18.70 - $23.38
Auto-ApplyPatient Service Representative/RMG
Aurora, IL jobs
Practice patient service rep. proactively ensures an exceptional experience for patients when greeting, checking in, and checking out during their appointment; answers incoming phone calls, responds to general patient requests, takes telephone messages and schedules patient appointments.
**Position Requirements**
+ **_Education and Previous Experience_**
+ High school diploma or equivalent required. Some college preferred.
+ **_Hardware/Software Experience_**
+ Practice management/medical billing computer programs.
+ Microsoft Office Suite (specifically Word and Excel)
+ **_Other Characteristics_**
+ Excellent oral/written communication skills
+ Excellent organizational skills
+ Detailed oriented
+ Ability to set priorities, document conversations and specific actions taken and develop applicable policies and procedures (e.g., regarding collections)
+ Flexible; able to adapt to change
+ Bilingual (Spanish) capabilities a plus
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status and other legally protected characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. You can request reasonable accommodations by contacting rush_********************.
Patient Service Representative
Aurora, IL jobs
Practice patient service rep. proactively ensures an exceptional experience for patients when greeting, checking in, and checking out during their appointment; answers incoming phone calls, responds to general patient requests, takes telephone messages and schedules patient appointments.
Position Requirements
+ _Education and Previous Experience_
+ High school diploma or equivalent required. Some college preferred.
+ _Hardware/Software Experience_
+ Practice management/medical billing computer programs.
+ Microsoft Office Suite (specifically Word and Excel)
+ _Other Characteristics_
+ Excellent oral/written communication skills
+ Excellent organizational skills
+ Detailed oriented
+ Ability to set priorities, document conversations and specific actions taken and develop applicable policies and procedures (e.g., regarding collections)
+ Flexible; able to adapt to change
+ Bilingual (Spanish) capabilities a plus
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status and other legally protected characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. You can request reasonable accommodations by contacting rush_********************.
Patient Service Representative
Aurora, IL jobs
Practice patient service rep. proactively ensures an exceptional experience for patients when greeting, checking in, and checking out during their appointment; answers incoming phone calls, responds to general patient requests, takes telephone messages and schedules patient appointments.
Position Requirements
* Education and Previous Experience
* High school diploma or equivalent required. Some college preferred.
* Hardware/Software Experience
* Practice management/medical billing computer programs.
* Microsoft Office Suite (specifically Word and Excel)
* Other Characteristics
* Excellent oral/written communication skills
* Excellent organizational skills
* Detailed oriented
* Ability to set priorities, document conversations and specific actions taken and develop applicable policies and procedures (e.g., regarding collections)
* Flexible; able to adapt to change
* Bilingual (Spanish) capabilities a plus
Patient Service Representative/RMG
Aurora, IL jobs
Practice patient service rep. proactively ensures an exceptional experience for patients when greeting, checking in, and checking out during their appointment; answers incoming phone calls, responds to general patient requests, takes telephone messages and schedules patient appointments.
Position Requirements
* Education and Previous Experience
* High school diploma or equivalent required. Some college preferred.
* Hardware/Software Experience
* Practice management/medical billing computer programs.
* Microsoft Office Suite (specifically Word and Excel)
* Other Characteristics
* Excellent oral/written communication skills
* Excellent organizational skills
* Detailed oriented
* Ability to set priorities, document conversations and specific actions taken and develop applicable policies and procedures (e.g., regarding collections)
* Flexible; able to adapt to change
* Bilingual (Spanish) capabilities a plus
Central Scheduling Representative
New Lenox, IL jobs
Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It's the way you want to be treated.
Position Title: Central Scheduling Representative
Position Summary: Schedule outpatient diagnostic testing in a call center setting. Obtain accurate demographic information to start the pre-registration process and maintain accurate patient medical records.
Essential Duties and Responsibilities:
* Answer phones and provide excellent customer service to patients and providers.
* Read doctor's orders to accurately schedule patient appointments.
* Obtain accurate demographic and insurance information over the phone.
* Provides patients with accurate information on test preparation and procedures
* Promotes a clean and safe environment of care, utilizing the SAFE error prevention habits
* Provides the highest standard of privacy and confidentiality in matters involving patients, coworkers, and the hospital by abiding by the Standards of Conduct
Required Qualifications:
Education and Training:
* High School graduate or equivalent.
* Medical terminology preferred but not required.
* Ability to provide caring and compassionate service over the phone.
* Able to utilize Microsoft Outlook (Office) and Microsoft Teams.
* Proficient in typing and utilizing multiple software systems simultaneously.
* Central Scheduling, outpatient registration or customer service preferred.
Work Shift Details:
Days, Days, M-Th 9:30am-6pm. F 8:30am-5pm. Rotating Saturdays.
Department:
CENTRAL SCHEDULING
Benefits for You
At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.
Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:
* Medical, Dental and Vision plans
* Life Insurance
* Flexible Spending Account
* Other voluntary benefit plans
* PTO and Sick time
* 401(k) plan with a match
* Wellness program
* Tuition Reimbursement
Registry employees who meet eligibility may participate in one of our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits.
The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.
The expected pay for this position is listed below:
$17.29 - $21.62
Auto-ApplyCentral Scheduling Representative
New Lenox, IL jobs
Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It's the way
you
want to be treated.
Position Title: Central Scheduling Representative
Position Summary: Schedule outpatient diagnostic testing in a call center setting. Obtain accurate demographic information to start the pre-registration process and maintain accurate patient medical records.
Essential Duties and Responsibilities:
Answer phones and provide excellent customer service to patients and providers.
Read doctor's orders to accurately schedule patient appointments.
Obtain accurate demographic and insurance information over the phone.
Provides patients with accurate information on test preparation and procedures
Promotes a clean and safe environment of care, utilizing the SAFE error prevention habits
Provides the highest standard of privacy and confidentiality in matters involving patients, coworkers, and the hospital by abiding by the Standards of Conduct
Required Qualifications:
Education and Training:
High School graduate or equivalent.
Medical terminology preferred but not required.
Ability to provide caring and compassionate service over the phone.
Able to utilize Microsoft Outlook (Office) and Microsoft Teams.
Proficient in typing and utilizing multiple software systems simultaneously.
Central Scheduling, outpatient registration or customer service preferred.
Work Shift Details:
Days, Days, M-Th 9:30am-6pm. F 8:30am-5pm. Rotating Saturdays.
Department:
CENTRAL SCHEDULINGBenefits for You
At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.
Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:
· Medical, Dental and Vision plans
· Life Insurance
· Flexible Spending Account
· Other voluntary benefit plans
· PTO and Sick time
· 401(k) plan with a match
· Wellness program
· Tuition Reimbursement
Registry employees who meet eligibility may participate in one of our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits.
The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.
The expected pay for this position is listed below:
$17.29 - $21.62
Auto-ApplyBusiness Service Rep - Hospital
Representative job at Carle Foundation
This position is responsible for job functions within the following areas: Emergency Room Registration, Outpatient Hospital Registration, and Switchboard. Emergency Room & Outpatient Hospital Registration are responsible for obtaining registration information, insurance information and verification, and authorizations from new and established patients. Responsible for screening, scheduling and directing patients to appropriate providers and services. Conveys a positive image of Carle and providers information to patients to fully utilize and benefit from Carle services both on the telephone and face-to-face and to ensure that needs of patients are met. Checks patients in upon their arrival for scheduled/walk-in appointments and visits and facilitates up-front collection of co-payments.
Switchboard is responsible for the following: Respond, screen, and relay incoming and outgoing long distance, local and inter-communication calls through use of computerized communication systems to include, but not limited to Ascom console. Receive, dispatch and document data to teams in emergencies and/or life-threatening situations including, but not limited to, codes. Page and/or overhead page authorized personnel over PA system in accordance with policy and in a clear, concise and professional manner. Provide information regarding Carle to staff, and the public reviewing sources as necessary including, but not limited to, on-call schedules and non- confidential patient information. Maintain and relay current listing of telephone and paging numbers incorporating changes and new assignments as they occur. Assist in the training of new Switchboard Team Members. Perform other related duties incidental to the work described herein.
Qualifications
Certifications: , Education: Experience In Lieu of Education; Associate's Degree: Related Field, Work Experience:
Responsibilities
For Outpatient Hospital Registration: Confirms patient identification, register/check-in patients upon their arrival for scheduled and walk-in appointments/visits, transcribe orders, answer phone calls, and direct patients as needed.
For Emergency Room Registration: Confirms patient identification, checks patient's in upon their arrival per the patients' symptom protocol, collaborate with ER clinical team members and EMS services, collect and complete necessary admission documents and forms, complete direct admits, and check-in outpatient visits for non-ED patients as needed.
For Switchboard Operator: Answer all incoming calls in a pleasant and professional manner, transfer calls accordingly, page the following: departments, nursing administrator and on-call personnel as needed, and communicate and report emergency information in a timely manner to avoid delay in patient care/employee safety.
Requests, locates, sends, receives, and scans patient medical records as needed.
Understands computer applications common to the desk areas.
Adheres to and enforces Carle Foundation Administrative and Departmental policies and procedures.
Assists in training of new Business Services Representative staff and serves as role model by conducting self in a responsible, professional manner at all times.
Accurately explains and completes registration and admitting forms. Obtains signatures from patients and policyholders. Explains and gets patient signatures for Consents, Assignment of Benefits, ABN's and Notice of Non Coverage forms.
Participates in project planning for department and performs specialized tasks consistently. Suggests ways to improve processes.
Completes Medicare Secondary Payer (MSP) form in accordance with Medicare laws. Follows up on necessary information.
Interviews and identifies patients with the potential for financial hardship and/or without third-party coverage and works with the patient for resolution. Provide essential information regarding Carle's Financial AssistanceProgram or payment arrangements.
Performs insurance eligibility verification by using Real Time Eligibility (RTE) for payer information when possible. Understands terms and information listed on RTE reports.
Receives and posts co-payments as identified by third-party payers or patient insurance cards. Maintains cash drawers and balances according to procedures.
Performs all other duties as assigned.
About Us
**Find it here.**
Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health.
Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
_We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: *************************._
Compensation and Benefits
The compensation range for this position is $17.67per hour - $28.63per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model.
Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
Easy ApplyPatient Service Representative II (Registry)
Lemont, IL jobs
Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It's the way
you
want to be treated.
Position Summary: Position Summary: Capable of handling 100+ calls/day, assistance with scheduling office/lab/nurse appointment and detailed message taking based on providers written protocols, multitasking between offices/providers protocols. Understanding of insurances and referrals needed. Ability to use independent thinking to determine urgent vs routine matters to be addressed.
Required Qualifications: Call Center/Front Desk experience preferred: High school diploma required. Prior experience and in-depth knowledge of insurance preferred. Excellent interpersonal skills, including the ability to establish and maintain effective relationships with patients, physicians, management, staff and other customers. Exceptional customer service skills including the ability to us independent thinking, sound judgement and creativity when resolving customer issues. Ability to balance multiple priorities and effectively handle challenging situations. Excellent verbal communication skills. Ability to use personal commuters and select software applications.
Work Shift Details:
Days - Variable weekday and weekend, This position is registry for the call center specifically, used to cover PTO within the department.
Department:
SCMG MGMT SERVICESBenefits for You
At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.
Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:
· Medical, Dental and Vision plans
· Life Insurance
· Flexible Spending Account
· Other voluntary benefit plans
· PTO and Sick time
· 401(k) plan with a match
· Wellness program
· Tuition Reimbursement
Registry employees who meet eligibility may participate in one of our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits.
The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.
The expected pay for this position is listed below:
$18.70 - $23.38
Auto-ApplyPatient Service Rep II - Medical Groups
Illinois jobs
Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It's the way you want to be treated.
Position Summary: Greets, instructs, directs, schedules, registers, and performs check-in duties for patients. Serves as a liaison between patients and medical support staff. Responsible for coordinating all after-visit activities including: collection, review and update of all practice-specific forms, communicating of payment policies regarding amounts due for current services and prior balances, collection of payments, assistance with scheduling follow-up appointments and procedures.
Essential Duties and Responsibilities:
* Perform registration, check-in, and check-out for patient visits
* Schedule follow-up visits, including labs, imaging, and other diagnostic testing
* Collect co-pays
* Call patients for notification of schedule changes
Requirements:
* Excellent interpersonal skills, including the ability to establish and maintain effective relationships with patients, physicians, management, staff and other customers.
* Exceptional customer service skills including the ability to use independent thinking, sound judgement, and creativity when resolving customer issues.
* Ability to balance priorities and effectively handle challenging situations.
* Excellent verbal communication skills.
* Comfort with computer technology and applications.
Education:
* High school diploma or GED required.
* Experience: Previous health-care experience strongly preferred. In-depth knowledge of insurance preferred
Work Shift Details:
Days, Primary Schedule: Monday-Friday; 7:30-4PM, though subject to change to meet department needs.
Department:
SCMG INTERVENTIONAL RADIOLOGY
Benefits for You
At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.
Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:
* Medical, Dental and Vision plans
* Life Insurance
* Flexible Spending Account
* Other voluntary benefit plans
* PTO and Sick time
* 401(k) plan with a match
* Wellness program
* Tuition Reimbursement
Registry employees who meet eligibility may participate in one of our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits.
The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.
The expected pay for this position is listed below:
$18.70 - $23.38
Auto-ApplyPatient Service Representative
Illinois jobs
Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It's the way you want to be treated.
Job Description
Position Summary: Greets, instructs, directs, schedules, registers, and performs check-in duties for patients. Serves as a liaison between patients and medical support staff. Responsible for coordinating all after-visit activities including: collection, review and update of all practice-specific forms, communicating of payment policies regarding amounts due for current services and prior balances, collection of payments, assistance with scheduling follow-up appointments and procedures.
Essential Duties and Responsibilities:
* Perform registration, check-in, and check-out for patient visits
* Schedule follow-up visits, including labs, imaging, and other diagnostic testing
* Collect co-pays
* Call patients for notification of schedule changes
Requirements:
* Excellent interpersonal skills, including the ability to establish and maintain effective relationships with patients, physicians, management, staff and other customers.
* Exceptional customer service skills including the ability to use independent thinking, sound judgement, and creativity when resolving customer issues.
* Ability to balance priorities and effectively handle challenging situations.
* Excellent verbal communication skills.
* Comfort with computer technology and applications.
Education:
* High school diploma or GED required.
* Experience: Previous health-care experience strongly preferred. In-depth knowledge of insurance preferred
Work Shift Details:
Days, Mon-Fri 8a-8p and Sat-Sun 8a-5p
Department:
SCMG OMP URGENT CARE
Benefits for You
At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.
Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:
* Medical, Dental and Vision plans
* Life Insurance
* Flexible Spending Account
* Other voluntary benefit plans
* PTO and Sick time
* 401(k) plan with a match
* Wellness program
* Tuition Reimbursement
Registry employees who meet eligibility may participate in one of our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits.
The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.
The expected pay for this position is listed below:
$17.99 - $22.48
Auto-ApplyPatient Services Rep II - Medical Groups
Illinois jobs
Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It's the way you want to be treated.
Position Summary: Responsible for coordinating all after visit activities including collection, review and update of all practice-specific forms, printing of the After Visit Summary (AVS) communicating of payment policies regarding amounts due for current services and prior balances, collection of payments, assistance with scheduling follow-up appointments and procedures. responsible for ensuring pre-visit clearing for the patient on the date of service if these activities have not been fully completed in advance.
Required Qualifications: Associate or Bachelor's degree preferred; High school diploma required. Prior experience and in-depth knowledge of insurance preferred. Excellent interpersonal skills, including the ability to establish and maintain effective relationships with patients, physicians, management, staff and other customers. Exceptional customer service skills including the ability to us independent thinking, sound judgement and creativity when resolving customer issues. Ability to balance multiple priorities and effectively handle challenging situations. Excellent verbal communication skills. Ability to use personal commuters and select software applications.
Work Shift Details:
Days, Busy occupational health clinic, typically an 830am -5pm shift, 2 days a week.
Department:
SCMG OCC HEALTH
Benefits for You
At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.
Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:
* Medical, Dental and Vision plans
* Life Insurance
* Flexible Spending Account
* Other voluntary benefit plans
* PTO and Sick time
* 401(k) plan with a match
* Wellness program
* Tuition Reimbursement
Registry employees who meet eligibility may participate in one of our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits.
The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.
The expected pay for this position is listed below:
$18.70 - $23.38
Auto-ApplyPatient Account Representative
New Lenox, IL jobs
Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It's the way you want to be treated.
Summary:
Review and follow up on unpaid or underpaid insurance claims and follow-up on related correspondence. Handle or redirect incoming departmental calls. Interact effectively with co-workers. Other general office duties as assigned.
Requirements:
High School graduate or equivalent. Excellent customer service skills. Must be a team player. Must have basic computer knowledge and ability to type. Previous telephone customer service experience required. Meditech and Cerner systems experience preferred. Must be able to multi-task & perform effectively & efficiently in a fast-paced & high volume environment. Needs to have a good understanding of medical insurance. Minimum of 1 year previous hospital or medical office medical insurance experience. Bi-lingual (Spanish) a plus.
Work Shift Details:
Days, Monday through Friday, Days
Department:
PATIENT ACCOUNTS
Benefits for You
At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.
Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:
* Medical, Dental and Vision plans
* Life Insurance
* Flexible Spending Account
* Other voluntary benefit plans
* PTO and Sick time
* 401(k) plan with a match
* Wellness program
* Tuition Reimbursement
Registry employees who meet eligibility may participate in one of our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits.
The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.
The expected pay for this position is listed below:
$17.99 - $22.48
Auto-ApplyPatient Account Representative
New Lenox, IL jobs
Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It's the way you want to be treated.
Summary:
Review and process insurance claims and follow-up on related correspondence. Handle or redirect incoming departmental calls. Interact effectively with co-workers. Other general office duties as assigned.
Essential Duties and Responsibilities:
* Process paper claims for Commercial Insurance Billing and Queue claims for Electronic Billing
* Process all patient and insurance correspondence and mail returns
* Check insurance eligibility and load insurance
* Answer and resolve or redirector all incoming patient, insurance, and attorney calls
Requirements:
* High School graduate or equivalent.
* Ability to type
* Basic computer skills
* Excellent customer service skills.
* A minimum of 6 months pervious hospital or medical office experience
Work Shift Details:
Days, Part-time
24 hours a week
Department:
PATIENT ACCOUNTS
Benefits for You
At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.
Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:
* Medical, Dental and Vision plans
* Life Insurance
* Flexible Spending Account
* Other voluntary benefit plans
* PTO and Sick time
* 401(k) plan with a match
* Wellness program
* Tuition Reimbursement
Registry employees who meet eligibility may participate in one of our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits.
The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.
The expected pay for this position is listed below:
$17.99 - $22.48
Auto-ApplyPatient Account Representative
New Lenox, IL jobs
Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It's the way
you
want to be treated.
Summary:
Review and process insurance claims and follow-up on related correspondence. Handle or redirect incoming departmental calls. Interact effectively with co-workers. Other general office duties as assigned.
Essential Duties and Responsibilities:
Process paper claims for Commercial Insurance Billing and Queue claims for Electronic Billing
Process all patient and insurance correspondence and mail returns
Check insurance eligibility and load insurance
Answer and resolve or redirector all incoming patient, insurance, and attorney calls
Requirements:
High School graduate or equivalent.
Ability to type
Basic computer skills
Excellent customer service skills.
A minimum of 6 months pervious hospital or medical office experience
Work Shift Details:
Days, Part-time
24 hours a week
Department:
PATIENT ACCOUNTSBenefits for You
At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.
Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:
· Medical, Dental and Vision plans
· Life Insurance
· Flexible Spending Account
· Other voluntary benefit plans
· PTO and Sick time
· 401(k) plan with a match
· Wellness program
· Tuition Reimbursement
Registry employees who meet eligibility may participate in one of our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits.
The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.
The expected pay for this position is listed below:
$17.99 - $22.48
Auto-ApplyAccts Recv Rep 2 - CPG Ins & Special Billing
Representative job at Carle Foundation
The Accounts Receivable Representative 2 is proficient in Accounts Receivable Representative 1 responsibilities. Responsible for handling escalated account and payer disputes. Handles complex edits, appeals and advanced account activities such as settlement and refund requests, bankruptcies, risk management and retro adjudication. Responsible for answering, documenting and completing inquiries from patients, insurance companies, public agencies, internal departments, attorneys and 3rd party payers. Acts as a billing and reimbursement expert for a defined payer product line.
Qualifications
Certifications: , Education: , Work Experience:
Responsibilities
Must be able to perform essential job functions of Accounts Receivable Representative 1. Handles complex edits, correspondence and advanced level work queues such as but not limited to retro review, EOB balancing, 72 hour bundling rule, consecutive account review and credit adjustment review, etc. Handles escalated account activities such as but not limited to healthcare liens, settlement requests, bankruptcies, bad debt, risk management, estate claims, fraud cases and attorney requests, etc. Handles escalated appeals. Identifies payer and system issues to initiate project requests for process improvements and system optimization. Attends and participates in meetings with payer specific provider representatives to maximize reimbursement and minimize denials through problem solving, collaboration and consensus. Accountable for administering the Carle Financial Assistance Program, Illinois Uninsured Discount Program, Prompt Pay Discount Program, etc. Directs patients to the appropriate resources to help obtain benefits from outside services.
About Us
Find it here.
Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health.
Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: *************************.
Compensation and Benefits
The compensation range for this position is $16.73per hour - $27.1per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
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