Patient Access Representative
Representative job at Southern Illinois Healthcare
Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub.
• Responsible for facilitating and completing the registration process system-wide by interviewing incoming patients, reviewing pre-registration information, entering registration information, verifying insurance, collecting payments as required, and providing point of service assistance to various service lines in order to assist the physician and patient in moving through the system for appropriate care.
Education
• High School diploma or equivalent
Licenses and Certification
• N/A
Experience and Skills
• Technical Experience 1 year
• Basic medical terminology knowledge
• Typing minimum 40 wpm
Role Specific Responsibilities
• Follows registration policy and procedures to accurately identify patient, insurances, obtain required signatures where applicable.
• Reviews physician order for necessary components. Contacts physician office for new order if incomplete.
• Contacts or refers to the appropriate individual/department to provide necessary data to financially secure account.
• Identifies self-pay HAP, offers brochure and obtains required signatures.
• Accurately screens ABNs to determine medical necessity, explains ABN to patient, obtains signatures and reviews document for completeness.
• Performs QA of daily registrations
• Collects ED copays. Balances cash and credit card payments and completes shift summary form daily.
• Provides point of service assistance for system-wide service lines by performing various tasks that facilitate the sharing of information.
• SAR II: Educates, monitors performance and orients new staff members.
• SAR II: Meets and exceeds productivity and quality standards.
Compensation (Commensurate with experience):
$17.92 - $26.88
To access our Benefits Guide/Plan Information, please click the link below:
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Auto-ApplyPatient Access Specialist, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI)
Remote
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?
Job Description
The
Patient Access Specialist
reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Responsibilities:
Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere.
Responds to questions and concerns.
Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary.
Maintains patient confidentiality per HIPAA regulations.
Provides exceptional customer service to patients which establish a positive first impression of Northwestern Medicine.
Exceeds all consumer requests and alerts management of issues or concerns that require escalation.
Correctly identifies and collects patient demographic information in accordance with organization standards.
Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner.
Reaches out to patients to schedule an appointment as defined.
Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails.
Informs patients of any issues with securing the financial account for their encounter.
Completes out-of-pocket estimations as requested by patients.
Provides training and education as needed.
Manages work schedule efficiently, completing tasks and assignments on time.
Completes other duties assigned by manager.
Cross-training between various departments will take place to ensure coverage.
Participates in Quality Assurance reviews to ensure integrity of patient data information.
Uses effective service recovery skills to solve problems or service breakdowns when they occur.
Utilizes department and hospital policies and procedures to complete assigned tasks.
Adheres to all department policies and compliance requirements.
Avoids putting patient in financial or safety risk.
Other duties as assigned.
Communication and Collaboration:
Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations.
Collects authorization numbers in appropriate systems as applicable.
Provides professional and constructive environment for communication across units/departments and resolves operational issues.
May attend intra/interdepartmental meetings which involve walking within NM Campus.
Communicates customer satisfaction issues to appropriate individuals.
Demonstrates teamwork by helping co-workers within and across departments.
Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
Interacts with internal customers to provide excellent support service to staff in departments which provide direct patient care.
Accommodates all levels of communication ability.
Technology:
Utilizes multiple online order retrieval systems to verify or print the patients order.
Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary.
Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic.
Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position.
Runs real time eligibility (RTE) on all patients to verify insurance and follows out of network policies as applicable.
Sends quality Epic Messages/Telephone encounters that are descriptive and grammatically correct.
Efficiency, Process Improvement, and Business Growth:
Proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information, verifying documenting order retrieval in notes for check-in person, ensures there are no duplicate patient records.
Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system.
Understands departmental and individual quality metrics.
Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions.
Evaluates procedures and suggests improvements to enhance customer service and operational efficiency.
Participates in departmental quality improvement activities.
Provides ideas and suggestions for process improvements within the department.
Monitors registration and scheduling, including insurance verification to ensure processing within prescribed quality standards.
Adjusts processes as needed to meet standards.
Uses organizational and unit/department resources efficiently.
Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information.
Understands that schedule may change to reflect shifting business needs.
Evolves and learns as healthcare policies change.
EOE including Disabled and Veterans.
Qualifications
Required:
High School diploma or equivalent.
2-3 years customer service or medical office experience.
Excellent interpersonal, verbal, and written communication skills.
Proficiency in computer data-entry/typing.
Excellent verbal and written communication skills.
Ability to read, write, and communicate effectively in English.
Basic Computer Skills.
Ability to type 40 wpm.
Ability to multi-task.
Customer service oriented.
Excellent organizational, time management, analytical, and problem solving skills.
Preferred:
Additional education.
Additional language skills.
Healthcare finance and/or healthcare insurance experience.
Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration.
Additional Information
Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Background Check
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our
Benefits
section to learn more.
Sign-on Bonus Eligibility:
Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
Customer Service Representative IHR - Food Services Call Center, Casual, Rotating
Woodstock, IL jobs
is $22.75 - $16.50 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement.
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more.
Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.
We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.
Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.
Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being.
Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.
From discovery to delivery, come help us shape the future of medicine.
Description
The Customer Service Representative reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Customer Service Representative provides scheduling, registration, and customer service functions at Northwestern Medicine. This role ensures that the highest level of customer service is proved to the NM workforce and any external clients.
Responsibilities:
* Department Operations:
* Answers the telephone in a courteous, professional manner; consistently demonstrating excellent customer service.
* Screens and directs calls that come into the department
* Takes messages and relays information accurately.
* Shows familiarity with customer base and key customer needs.
* Interacts with customers, clients and clinical staff members to resolve problems/questions about services to be delivered.
* Shows familiarity with customer needs in order to schedule correct services for each service request.
* Communication and Teamwork:
* Provides courteous and prompt customer service.
* Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate.
* Checks for messages and returns calls.
* Demonstrates teamwork by helping co-workers within and across departments.
* Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
* Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees.
* Maintains a good working relationship within the department.
* Organizes time and department schedule well.
* Demonstrates a positive attitude.
* Service Excellence:
* Displays a friendly, approachable, professional demeanor and appearance.
* Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives.
* Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team.
* Supports a Safety Always culture.
* Maintaining confidentiality of employee and/or patient information.
* Sensitive to time and budget constraints.
* Performs other duties, as assigned.
Qualifications
Required:
* High school graduate or equivalent.
* Strong computer knowledge, data entry skills in Microsoft Excel and Word.
* One year of customer service, preferably in a medical office setting.
* Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization.
* Ability to work independently.
Equal Opportunity
Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Background Check
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
Customer Service Representative - Food Services Call Center, Part-time, Rotating
Woodstock, IL jobs
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?
Job Description
The Food Services Customer Service Representative reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines, and all other regulatory and accreditation standards.
The Food Services Customer Service Representative provides scheduling, registration, and customer service functions at Northwestern Medicine. Ensures highest level of customer service is proved to the NM workforce and any external clients.
Responsibilities:
Department Operations
Answers the telephone in a courteous, professional manner; consistently demonstrating excellent customer service. Screens and directs calls that come into the department Takes messages and relays information accurately.
Shows familiarity with customer base and key customer needs. Interacts with customers, clients and clinical staff members to resolve problems/questions about services to be delivered.
Shows familiarity with customer needs in order to schedule correct services for each service request.
Communication and Teamwork
Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls.
Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude.
Service Excellence
Displays a friendly, approachable, professional demeanor and appearance.
Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives.
Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team.
Supports a “Safety Always” culture.
Maintaining confidentiality of employee and/or patient information.
Sensitive to time and budget constraints.
Performs other duties, as assigned.
Qualifications
Required:
High school graduate or equivalent.
Strong Computer knowledge, data entry skills in Microsoft Excel and Word.
1 year of customer service, preferably in a medical office setting.
Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization.
Ability to work independently.
Additional Information
Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Background Check
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
Communications Rep
Illinois jobs
Department:
11593 Advocate Illinois Masonic Medical Center - Communications
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Mostly 10 a.m.-6:30 p.m. or 12 p.m. to 8:30 p.m. with a possibility of covering the midnight shift due to PTO/vacation/regular off days
Pay Range
$18.50 - $27.75Major Responsibilities: Answer all incoming/internal calls on the Alcatel /AmCom Console. Direct calls to the appropriate department/individual. 1) Respond to any signals from the emergency panel and wall. Follow policy and procedure to alert all required personnel involved in the emergency. Monitor panels and notify Security if necessary 2) Page hospital personnel upon request; process meet-me page when needed. Overhead page to announce emergencies, codes, drills, etc. Exchange broken pagers as needed. Fully utilize IRM paging system to register physicians, page, and process codes 3) Log and report trouble in the AmCom System. Contact supervisor if a service call is needed. 4) Provide documentation on various logs, reports, projects, etc. 5) Maintain personnel work schedule in a professional manner, covering absences when needed, arriving for scheduled shifts in a timely manner Education/Experience Required: High school diploma or equivalent. 1-2 years office or switchboard experience. Knowledge, Skills & Abilities Required: Ability to speak English fluently. Good communication skills. Good interpersonal skills. none Physical Requirements and Working Conditions: Ability to utilize information from board, screens, over-head monitors and alarm panels. Ability to document events/situations. Ability to work in a fast-paced environment. Ability to work weekends, holidays and flexible hours. If position has direct patient care or direct patient contact the following lifting requirement supersedes any previous lifting requirement effective 06/01/2015. Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting/movement situations will be assessed on a case-by-case basis. 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.
Our Commitment to You:
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 - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
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'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.
Auto-ApplyPatient Access Specialist-Diabetes Nutrition Woodstock Full Time Days
Woodstock, IL jobs
is $18.40 - $27.59 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement.
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more.
Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.
We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.
Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.
Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being.
Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.
From discovery to delivery, come help us shape the future of medicine.
Benefits:
* $10,000 Tuition Reimbursement per year ($5,700 part-time)
* $10,000 Student Loan Repayment ($5,000 part-time)
* $1,000 Professional Development per year ($500 part-time)
* $250 Wellbeing Fund per year ($125 for part-time)
* Matching 401(k)
* Excellent medical, dental and vision coverage
* Life insurance
* Annual Employee Salary Increase and Incentive Bonus
* Paid time off and Holiday pay
Description
This is a Full Time position at 40 hours per week located at the Woodstock clinic. Schedule is Monday through Friday, approximately 8:00a-4:30p.
The Patient Access Specialist reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Responsibilities:
* Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere.
* Responds to questions and concerns.
* Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary.
* Maintains patient confidentiality per HIPAA regulations.
* Provides exceptional customer service to patients which establish a positive first impression of Northwestern Medicine.
* Exceeds all consumer requests and alerts management of issues or concerns that require escalation.
* Correctly identifies and collects patient demographic information in accordance with organization standards.
* Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner.
* Reaches out to patients to schedule an appointment as defined.
* Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails.
* Informs patients of any issues with securing the financial account for their encounter.
* Completes out-of-pocket estimations as requested by patients.
* Provides training and education as needed.
* Manages work schedule efficiently, completing tasks and assignments on time.
* Completes other duties assigned by manager.
* Cross-training between various departments will take place to ensure coverage.
* Participates in Quality Assurance reviews to ensure integrity of patient data information.
* Uses effective service recovery skills to solve problems or service breakdowns when they occur.
* Utilizes department and hospital policies and procedures to complete assigned tasks.
* Adheres to all department policies and compliance requirements.
* Avoids putting patient in financial or safety risk.
* Other duties as assigned.
Communication and Collaboration:
* Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations.
* Collects authorization numbers in appropriate systems as applicable.
* Provides professional and constructive environment for communication across units/departments and resolves operational issues.
* May attend intra/interdepartmental meetings which involve walking within NM Campus.
* Communicates customer satisfaction issues to appropriate individuals.
* Demonstrates teamwork by helping co-workers within and across departments.
* Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
* Interacts with internal customers to provide excellent support service to staff in departments which provide direct patient care.
* Accommodates all levels of communication ability.
Technology:
* Utilizes multiple online order retrieval systems to verify or print the patients order.
* Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary.
* Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic.
* Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position.
* Runs real time eligibility (RTE) on all patients to verify insurance and follows out of network policies as applicable.
* Sends quality Epic Messages/Telephone encounters that are descriptive and grammatically correct.
Efficiency, Process Improvement, and Business Growth:
* Proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information, verifying documenting order retrieval in notes for check-in person, ensures there are no duplicate patient records.
* Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system.
* Understands departmental and individual quality metrics.
* Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions.
* Evaluates procedures and suggests improvements to enhance customer service and operational efficiency.
* Participates in departmental quality improvement activities.
* Provides ideas and suggestions for process improvements within the department.
* Monitors registration and scheduling, including insurance verification to ensure processing within prescribed quality standards.
* Adjusts processes as needed to meet standards.
* Uses organizational and unit/department resources efficiently.
* Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information.
* Understands that schedule may change to reflect shifting business needs.
* Evolves and learns as healthcare policies change.
EOE including Disabled and Veterans.
Qualifications
Required:
* High School diploma or equivalent.
* 2-3 years customer service or medical office experience.
* Excellent interpersonal, verbal, and written communication skills.
* Proficiency in computer data-entry/typing.
* Excellent verbal and written communication skills.
* Ability to read, write, and communicate effectively in English.
* Basic Computer Skills.
* Ability to type 40 wpm.
* Ability to multi-task.
* Customer service oriented.
* Excellent organizational, time management, analytical, and problem solving skills.
Preferred:
* Additional education.
* Additional language skills.
* Healthcare finance and/or healthcare insurance experience.
* Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration.
Equal Opportunity
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Patient Access Specialist
DeKalb, IL jobs
is $18.40 - $27.59 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement.
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more.
Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.
We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.
Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.
Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being.
Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.
From discovery to delivery, come help us shape the future of medicine.
Benefits:
* $10,000 Tuition Reimbursement per year ($5,700 part-time)
* $10,000 Student Loan Repayment ($5,000 part-time)
* $1,000 Professional Development per year ($500 part-time)
* $250 Wellbeing Fund per year ($125 for part-time)
* Matching 401(k)
* Excellent medical, dental and vision coverage
* Life insurance
* Annual Employee Salary Increase and Incentive Bonus
* Paid time off and Holiday pay
Description
The Patient Access Specialist reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Responsibilities:
* Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere.
* Responds to questions and concerns.
* Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary.
* Maintains patient confidentiality per HIPAA regulations.
* Provides exceptional customer service to patients which establish a positive first impression of Northwestern Medicine.
* Exceeds all consumer requests and alerts management of issues or concerns that require escalation.
* Correctly identifies and collects patient demographic information in accordance with organization standards.
* Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner.
* Reaches out to patients to schedule an appointment as defined.
* Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails.
* Informs patients of any issues with securing the financial account for their encounter.
* Completes out-of-pocket estimations as requested by patients.
* Provides training and education as needed.
* Manages work schedule efficiently, completing tasks and assignments on time.
* Completes other duties assigned by manager.
* Cross-training between various departments will take place to ensure coverage.
* Participates in Quality Assurance reviews to ensure integrity of patient data information.
* Uses effective service recovery skills to solve problems or service breakdowns when they occur.
* Utilizes department and hospital policies and procedures to complete assigned tasks.
* Adheres to all department policies and compliance requirements.
* Avoids putting patient in financial or safety risk.
* Other duties as assigned.
Communication and Collaboration:
* Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations.
* Collects authorization numbers in appropriate systems as applicable.
* Provides professional and constructive environment for communication across units/departments and resolves operational issues.
* May attend intra/interdepartmental meetings which involve walking within NM Campus.
* Communicates customer satisfaction issues to appropriate individuals.
* Demonstrates teamwork by helping co-workers within and across departments.
* Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
* Interacts with internal customers to provide excellent support service to staff in departments which provide direct patient care.
* Accommodates all levels of communication ability.
Technology:
* Utilizes multiple online order retrieval systems to verify or print the patients order.
* Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary.
* Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic.
* Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position.
* Runs real time eligibility (RTE) on all patients to verify insurance and follows out of network policies as applicable.
* Sends quality Epic Messages/Telephone encounters that are descriptive and grammatically correct.
Efficiency, Process Improvement, and Business Growth:
* Proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information, verifying documenting order retrieval in notes for check-in person, ensures there are no duplicate patient records.
* Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system.
* Understands departmental and individual quality metrics.
* Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions.
* Evaluates procedures and suggests improvements to enhance customer service and operational efficiency.
* Participates in departmental quality improvement activities.
* Provides ideas and suggestions for process improvements within the department.
* Monitors registration and scheduling, including insurance verification to ensure processing within prescribed quality standards.
* Adjusts processes as needed to meet standards.
* Uses organizational and unit/department resources efficiently.
* Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information.
* Understands that schedule may change to reflect shifting business needs.
* Evolves and learns as healthcare policies change.
EOE including Disabled and Veterans.
Qualifications
Required:
* High School diploma or equivalent.
* 2-3 years customer service or medical office experience.
* Excellent interpersonal, verbal, and written communication skills.
* Proficiency in computer data-entry/typing.
* Excellent verbal and written communication skills.
* Ability to read, write, and communicate effectively in English.
* Basic Computer Skills.
* Ability to type 40 wpm.
* Ability to multi-task.
* Customer service oriented.
* Excellent organizational, time management, analytical, and problem solving skills.
Preferred:
* Additional education.
* Additional language skills.
* Healthcare finance and/or healthcare insurance experience.
* Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration.
Equal Opportunity
Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Background Check
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
Patient Access Specialist
DeKalb, IL jobs
is $18.40 - $27.59 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement.
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more.
Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.
We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.
Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.
Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being.
Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.
From discovery to delivery, come help us shape the future of medicine.
Benefits:
* $10,000 Tuition Reimbursement per year ($5,700 part-time)
* $10,000 Student Loan Repayment ($5,000 part-time)
* $1,000 Professional Development per year ($500 part-time)
* $250 Wellbeing Fund per year ($125 for part-time)
* Matching 401(k)
* Excellent medical, dental and vision coverage
* Life insurance
* Annual Employee Salary Increase and Incentive Bonus
* Paid time off and Holiday pay
Description
The Patient Access Specialist reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Responsibilities:
* Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere.
* Responds to questions and concerns.
* Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary.
* Maintains patient confidentiality per HIPAA regulations.
* Provides exceptional customer service to patients which establish a positive first impression of Northwestern Medicine.
* Exceeds all consumer requests and alerts management of issues or concerns that require escalation.
* Correctly identifies and collects patient demographic information in accordance with organization standards.
* Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner.
* Reaches out to patients to schedule an appointment as defined.
* Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails.
* Informs patients of any issues with securing the financial account for their encounter.
* Completes out-of-pocket estimations as requested by patients.
* Provides training and education as needed.
* Manages work schedule efficiently, completing tasks and assignments on time.
* Completes other duties assigned by manager.
* Cross-training between various departments will take place to ensure coverage.
* Participates in Quality Assurance reviews to ensure integrity of patient data information.
* Uses effective service recovery skills to solve problems or service breakdowns when they occur.
* Utilizes department and hospital policies and procedures to complete assigned tasks.
* Adheres to all department policies and compliance requirements.
* Avoids putting patient in financial or safety risk.
* Other duties as assigned.
Communication and Collaboration:
* Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations.
* Collects authorization numbers in appropriate systems as applicable.
* Provides professional and constructive environment for communication across units/departments and resolves operational issues.
* May attend intra/interdepartmental meetings which involve walking within NM Campus.
* Communicates customer satisfaction issues to appropriate individuals.
* Demonstrates teamwork by helping co-workers within and across departments.
* Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
* Interacts with internal customers to provide excellent support service to staff in departments which provide direct patient care.
* Accommodates all levels of communication ability.
Technology:
* Utilizes multiple online order retrieval systems to verify or print the patients order.
* Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary.
* Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic.
* Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position.
* Runs real time eligibility (RTE) on all patients to verify insurance and follows out of network policies as applicable.
* Sends quality Epic Messages/Telephone encounters that are descriptive and grammatically correct.
Efficiency, Process Improvement, and Business Growth:
* Proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information, verifying documenting order retrieval in notes for check-in person, ensures there are no duplicate patient records.
* Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system.
* Understands departmental and individual quality metrics.
* Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions.
* Evaluates procedures and suggests improvements to enhance customer service and operational efficiency.
* Participates in departmental quality improvement activities.
* Provides ideas and suggestions for process improvements within the department.
* Monitors registration and scheduling, including insurance verification to ensure processing within prescribed quality standards.
* Adjusts processes as needed to meet standards.
* Uses organizational and unit/department resources efficiently.
* Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information.
* Understands that schedule may change to reflect shifting business needs.
* Evolves and learns as healthcare policies change.
EOE including Disabled and Veterans.
Qualifications
Required:
* High School diploma or equivalent.
* 2-3 years customer service or medical office experience.
* Excellent interpersonal, verbal, and written communication skills.
* Proficiency in computer data-entry/typing.
* Excellent verbal and written communication skills.
* Ability to read, write, and communicate effectively in English.
* Basic Computer Skills.
* Ability to type 40 wpm.
* Ability to multi-task.
* Customer service oriented.
* Excellent organizational, time management, analytical, and problem solving skills.
Preferred:
* Additional education.
* Additional language skills.
* Healthcare finance and/or healthcare insurance experience.
* Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration.
Equal Opportunity
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Problem Resolution Client Service Representative-Full-time Days
Winfield, IL jobs
is $22.25 - $31.15 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement.
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more.
Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.
We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.
Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.
Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being.
Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.
From discovery to delivery, come help us shape the future of medicine.
Benefits:
* $10,000 Tuition Reimbursement per year ($5,700 part-time)
* $10,000 Student Loan Repayment ($5,000 part-time)
* $1,000 Professional Development per year ($500 part-time)
* $250 Wellbeing Fund per year ($125 for part-time)
* Matching 401(k)
* Excellent medical, dental and vision coverage
* Life insurance
* Annual Employee Salary Increase and Incentive Bonus
* Paid time off and Holiday pay
Description
This is a full-time, 40 hours per week, position located at Central DuPage Hospital in Winfield.
Previous lab experience or phlebotomy strongly preferred.
Must be able to work Tuesday through Friday 8:30am - 5pm and Saturday 8am - 4:30pm.
The Problem Resolution Client Services Rep reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines, and all other regulatory and accreditation standards.
The Problem Resolution Client Services Rep position is responsible for successfully and efficiently resolving problems that enter the lab in terms of lab orders or lab specimens. The Problem Resolution team member is responsible for contacting accounts regarding issues such as missing specimens, collection errors, order clarifications, and patient mis-identification correction. The Problem Resolution team member is in contact with our sales and service teams regarding accounts either via email or telephone. The team member is also responsible for calling accounts that appear on the collection scheduled list. This is to follow up with open orders so that orders can be canceled or added on to existing specimens. They will participate in laboratory process improvements by keeping track of trends i.e. reasons for cancellations that could be prevented in the future with process improvements. The Problem File team member works in concert with other Client Service employees, departments of the laboratory, sales and service, and our HealthLab accounts to ensure that problem resolution is reached in a timely fashion.
Responsibilities:
* Provide a high level of customer service both internally and externally. Handling sensitive client accounts first and contacting sales and service with any issues within these accounts.
* Timely notifying accounts that the incorrect specimen was sent, by either notifying them of a cancellation or finding an alternative test with the consent of the physician.
* Notifying accounts of any missing specimens, whether the lab did not receive the specimen or if the specimen was lost during the processing procedures.
* Launching investigations for missing specimens including appropriate laboratory staff.
* Notifying accounts of mis-identified specimens and addressing this issue using a minor change form or by beginning the deviation process.
* Investigating temperature storage problems by either finding an alternative laboratory or cancelling the order tests.
* Addressing any notifications from reference labs. If tests are to be canceled, missing information, or collection issues by contacting accounts, finding alternative testing elsewhere with any remaining specimen, or obtaining missing information for the reference lab.
* Handle all cancellations due to lab/courier error. Notifying involved departments and requesting an investigation into the cancellation reason.
* Be in constant contact with the Sales and Service team, by keeping the team apprised of any issues or problem trends with a specific account.
* Aid the Sales and Service team with any issues they need addressed or answering questions.
* Act as the main point of contact for the teams.
* Maintain the collection schedule list by investigating all open patient orders.
* Actively involved in laboratory process improvement.
AA/EOE.
Qualifications
Required:
* At least 1.5 years of experience with HealthLab or related experience.
* General understanding of all HealthLab and main lab operations.
* Excellent oral and written communication skills.
* High School Diploma or equivalent.
Preferred:
* Lab operations knowledge
Equal Opportunity
Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Background Check
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
Insurance Verification Representative Full Time Day Shift Marianjoy
Wheaton, IL jobs
is $22.61 - $29.39 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement.
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more.
Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.
We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.
Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.
Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being.
Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.
From discovery to delivery, come help us shape the future of medicine.
Benefits:
* $10,000 Tuition Reimbursement per year ($5,700 part-time)
* $10,000 Student Loan Repayment ($5,000 part-time)
* $1,000 Professional Development per year ($500 part-time)
* $250 Wellbeing Fund per year ($125 for part-time)
* Matching 401(k)
* Excellent medical, dental and vision coverage
* Life insurance
* Annual Employee Salary Increase and Incentive Bonus
* Paid time off and Holiday pay
Description
1.0FTE
The Insurance Verification Representative reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
* The Insurance Verification Representative confirms accuracy of and verifies insurance benefits for non-government payers (managed care) on new patients for the Wheaton inpatient acute and sub-acute programs. Pre-certifies with insurance or obtains case management or insurance adjuster's approval for planned services or procedures. Uses the pre-determination process to determine coverage for procedures in question. Provides detailed information to admissions staff, clinical referral liaisons, case managers, nursing staff and physicians when appropriate. Discusses financial responsibility with pending patients as needed.
RESPONSIBILITIES:
Obtains and coordinates preliminary case management authorization.
* Coordinates information from the patient, physicians and office staff, clinical referral liaisons and employers as needed to and complete the verification process.
* Obtains third-party pre-certification and concurrent review information and communicates to the admissions staff, clinical referral liaisons, case managers, appropriate physician departments and payer representatives.
* Communicates any changes in patient's clinical status to third-party payer to ensure authorization is current and accurate and provides notice of patient admission into the facility.
* Keeps insurance verification tracking log current and available to admissions staff and clinical referral liaisons with the most up-to-date status of patients in the verification queue.
* Communicates situations projected to result in a significant non-covered balance to the department director.
* Communicates corrected information and acts as a resource to admissions staff, clinical referral liaisons, case managers and others regarding contract guidelines and pre-certification requirements.
* Notifies admissions staff, clinical referral liaisons and department director when medical review is required.
* Reviews and analyzes financial information from third party payer systems and communicates that information to the business office and appropriate servicing department.
* Keeps up-to-date on trends and issues that affect reimbursement.
* Performs verification/certification function using alternative processes in case of downtime or disaster.
* Tracks and records insurance denial trends, and manages the appeal process on behalf of patients.
Collects accurate financial data and enters into Meditech
* Works with admissions staff, clinical referral liaisons, case managers and other departments ensuring financial data integrity is maintained and critical elements are reflected in the patient record.
* Maintains a strong customer focus while working collaboratively within a team to meet multiple demands, patient needs and coverage.
* Maintains confidentiality of all information.
* Suggests quality improvement ideas and participates in education and improvement efforts.
Provides communication to patients, patient financial services, and case managers on insurance findings
* Contacts patients, guarantor and business offices to inform of financial responsibility and attempts to coordinate financial arrangement.
* Produces projected benefit letters for patients and acts as a point person for counseling.
* Communicates benefit detail to admissions staff, clinical referral liaisons and case managers to ensure notification and collection of co-pays, deductibles and outstanding balances.
* Coordinates additional information requests as may be necessitated by third party administrators.
Qualifications
Required:
* High School or Equivalent (GED)
* Knowledge of medical, insurance terminology, and ICD codes is required.
* Ability to understand and communicate financial information.
* Highly proficient computer skills preferred.
* Ability to work independently.
* Excellent communication skills are required.
* Strong customer service focus is essential.
* Resourceful with problem solving.
* Well organized and efficient.
* Required to demonstrate proper telephone customer skills.
* Must be able to perform multiple tasks with composure and confidence.
* Ability to maintain composure under pressure.
Preferred:
* Three to four years of health- related experience
* Associate or Bachelors Degree
Equal Opportunity
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Patient Access Specialist
Winfield, IL jobs
is $18.40 - $27.59 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement.
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more.
Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.
We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.
Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.
Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being.
Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.
From discovery to delivery, come help us shape the future of medicine.
Benefits:
* $10,000 Tuition Reimbursement per year ($5,700 part-time)
* $10,000 Student Loan Repayment ($5,000 part-time)
* $1,000 Professional Development per year ($500 part-time)
* $250 Wellbeing Fund per year ($125 for part-time)
* Matching 401(k)
* Excellent medical, dental and vision coverage
* Life insurance
* Annual Employee Salary Increase and Incentive Bonus
* Paid time off and Holiday pay
Description
The Patient Access Specialist reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Responsibilities:
* Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere.
* Responds to questions and concerns.
* Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary.
* Maintains patient confidentiality per HIPAA regulations.
* Provides exceptional customer service to patients which establish a positive first impression of Northwestern Medicine.
* Exceeds all consumer requests and alerts management of issues or concerns that require escalation.
* Correctly identifies and collects patient demographic information in accordance with organization standards.
* Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner.
* Reaches out to patients to schedule an appointment as defined.
* Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails.
* Informs patients of any issues with securing the financial account for their encounter.
* Completes out-of-pocket estimations as requested by patients.
* Provides training and education as needed.
* Manages work schedule efficiently, completing tasks and assignments on time.
* Completes other duties assigned by manager.
* Cross-training between various departments will take place to ensure coverage.
* Participates in Quality Assurance reviews to ensure integrity of patient data information.
* Uses effective service recovery skills to solve problems or service breakdowns when they occur.
* Utilizes department and hospital policies and procedures to complete assigned tasks.
* Adheres to all department policies and compliance requirements.
* Avoids putting patient in financial or safety risk.
* Other duties as assigned.
Communication and Collaboration:
* Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations.
* Collects authorization numbers in appropriate systems as applicable.
* Provides professional and constructive environment for communication across units/departments and resolves operational issues.
* May attend intra/interdepartmental meetings which involve walking within NM Campus.
* Communicates customer satisfaction issues to appropriate individuals.
* Demonstrates teamwork by helping co-workers within and across departments.
* Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
* Interacts with internal customers to provide excellent support service to staff in departments which provide direct patient care.
* Accommodates all levels of communication ability.
Technology:
* Utilizes multiple online order retrieval systems to verify or print the patients order.
* Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary.
* Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic.
* Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position.
* Runs real time eligibility (RTE) on all patients to verify insurance and follows out of network policies as applicable.
* Sends quality Epic Messages/Telephone encounters that are descriptive and grammatically correct.
Efficiency, Process Improvement, and Business Growth:
* Proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information, verifying documenting order retrieval in notes for check-in person, ensures there are no duplicate patient records.
* Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system.
* Understands departmental and individual quality metrics.
* Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions.
* Evaluates procedures and suggests improvements to enhance customer service and operational efficiency.
* Participates in departmental quality improvement activities.
* Provides ideas and suggestions for process improvements within the department.
* Monitors registration and scheduling, including insurance verification to ensure processing within prescribed quality standards.
* Adjusts processes as needed to meet standards.
* Uses organizational and unit/department resources efficiently.
* Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information.
* Understands that schedule may change to reflect shifting business needs.
* Evolves and learns as healthcare policies change.
EOE including Disabled and Veterans.
Qualifications
Required:
* High School diploma or equivalent.
* 2-3 years customer service or medical office experience.
* Excellent interpersonal, verbal, and written communication skills.
* Proficiency in computer data-entry/typing.
* Excellent verbal and written communication skills.
* Ability to read, write, and communicate effectively in English.
* Basic Computer Skills.
* Ability to type 40 wpm.
* Ability to multi-task.
* Customer service oriented.
* Excellent organizational, time management, analytical, and problem solving skills.
Preferred:
* Additional education.
* Additional language skills.
* Healthcare finance and/or healthcare insurance experience.
* Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration.
Equal Opportunity
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Problem Resolution Client Service Representative-Full-time Days
Winfield, IL jobs
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?
Job Description
This is a full-time, 40 hours per week, position located at Central DuPage Hospital in Winfield.
Previous lab experience or phlebotomy strongly preferred.
Must be able to work Tuesday through Friday 8:30am - 5pm and Saturday 8am - 4:30pm.
The Problem Resolution Client Services Rep reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines, and all other regulatory and accreditation standards.
The Problem Resolution Client Services Rep position is responsible for successfully and efficiently resolving problems that enter the lab in terms of lab orders or lab specimens. The Problem Resolution team member is responsible for contacting accounts regarding issues such as missing specimens, collection errors, order clarifications, and patient mis-identification correction. The Problem Resolution team member is in contact with our sales and service teams regarding accounts either via email or telephone. The team member is also responsible for calling accounts that appear on the collection scheduled list. This is to follow up with open orders so that orders can be canceled or added on to existing specimens. They will participate in laboratory process improvements by keeping track of trends i.e. reasons for cancellations that could be prevented in the future with process improvements. The Problem File team member works in concert with other Client Service employees, departments of the laboratory, sales and service, and our HealthLab accounts to ensure that problem resolution is reached in a timely fashion.
Responsibilities:
Provide a high level of customer service both internally and externally. Handling sensitive client accounts first and contacting sales and service with any issues within these accounts.
Timely notifying accounts that the incorrect specimen was sent, by either notifying them of a cancellation or finding an alternative test with the consent of the physician.
Notifying accounts of any missing specimens, whether the lab did not receive the specimen or if the specimen was lost during the processing procedures.
Launching investigations for missing specimens including appropriate laboratory staff.
Notifying accounts of mis-identified specimens and addressing this issue using a minor change form or by beginning the deviation process.
Investigating temperature storage problems by either finding an alternative laboratory or cancelling the order tests.
Addressing any notifications from reference labs. If tests are to be canceled, missing information, or collection issues by contacting accounts, finding alternative testing elsewhere with any remaining specimen, or obtaining missing information for the reference lab.
Handle all cancellations due to lab/courier error. Notifying involved departments and requesting an investigation into the cancellation reason.
Be in constant contact with the Sales and Service team, by keeping the team apprised of any issues or problem trends with a specific account.
Aid the Sales and Service team with any issues they need addressed or answering questions.
Act as the main point of contact for the teams.
Maintain the collection schedule list by investigating all open patient orders.
Actively involved in laboratory process improvement.
AA/EOE.
Qualifications
Required:
At least 1.5 years of experience with HealthLab or related experience.
General understanding of all HealthLab and main lab operations.
Excellent oral and written communication skills.
High School Diploma or equivalent.
Preferred:
Lab operations knowledge
Additional Information
Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Background Check
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
Patient Access Specialist, Part-time, Days
Huntley, IL jobs
The salary range for this position is $18.40 - $27.59 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement. We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more. Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine. We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service. Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment. Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being. Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups. From discovery to delivery, come help us shape the future of medicine. Benefits: * $10,000 Tuition Reimbursement per year ($5,700 part-time) * $10,000 Student Loan Repayment ($5,000 part-time) * $1,000 Professional Development per year ($500 part-time) * $250 Wellbeing Fund per year ($125 for part-time) * Matching 401(k) * Excellent medical, dental and vision coverage * Life insurance * Annual Employee Salary Increase and Incentive Bonus * Paid time off and Holiday pay Description The Patient Access Specialist reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Schedule: Week 1: *
* Mon - 6:45am to 1:30pm Tue - 6:45am to 1:30pm Wed - 6:45am to 1:30pm Thu - 6:45am to 1:30pm Fri - 6:45am to 1:30pm Week 2: *
* Mon - 6:45am to 1:30pm Tue - 6:45am to 1:30pm Wed - 6:45am to 1:30pm Thu- 6:45am to 1:30pm Fri - 6:45am to 1:30pm Sat - 8:00am to 12:00pm Responsibilities: * Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. * Responds to questions and concerns. * Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. * Maintains patient confidentiality per HIPAA regulations. * Provides exceptional customer service to patients which establish a positive first impression of Northwestern Medicine. * Exceeds all consumer requests and alerts management of issues or concerns that require escalation. * Correctly identifies and collects patient demographic information in accordance with organization standards. * Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner. * Reaches out to patients to schedule an appointment as defined. * Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails. * Informs patients of any issues with securing the financial account for their encounter. * Completes out-of-pocket estimations as requested by patients. * Provides training and education as needed. * Manages work schedule efficiently, completing tasks and assignments on time. * Completes other duties assigned by manager. * Cross-training between various departments will take place to ensure coverage. * Participates in Quality Assurance reviews to ensure integrity of patient data information. * Uses effective service recovery skills to solve problems or service breakdowns when they occur. * Utilizes department and hospital policies and procedures to complete assigned tasks. * Adheres to all department policies and compliance requirements. * Avoids putting patient in financial or safety risk. * Other duties as assigned. Communication and Collaboration: * Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations. * Collects authorization numbers in appropriate systems as applicable. * Provides professional and constructive environment for communication across units/departments and resolves operational issues. * May attend intra/interdepartmental meetings which involve walking within NM Campus. * Communicates customer satisfaction issues to appropriate individuals. * Demonstrates teamwork by helping co-workers within and across departments. * Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others. * Interacts with internal customers to provide excellent support service to staff in departments which provide direct patient care. * Accommodates all levels of communication ability. Technology: * Utilizes multiple online order retrieval systems to verify or print the patients order. * Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary. * Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic. * Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position. * Runs real time eligibility (RTE) on all patients to verify insurance and follows out of network policies as applicable. * Sends quality Epic Messages/Telephone encounters that are descriptive and grammatically correct. Efficiency, Process Improvement, and Business Growth: * Proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information, verifying documenting order retrieval in notes for check-in person, ensures there are no duplicate patient records. * Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system. * Understands departmental and individual quality metrics. * Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions. * Evaluates procedures and suggests improvements to enhance customer service and operational efficiency. * Participates in departmental quality improvement activities. * Provides ideas and suggestions for process improvements within the department. * Monitors registration and scheduling, including insurance verification to ensure processing within prescribed quality standards. * Adjusts processes as needed to meet standards. * Uses organizational and unit/department resources efficiently. * Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information. * Understands that schedule may change to reflect shifting business needs. * Evolves and learns as healthcare policies change. EOE including Disabled and Veterans. Qualifications Required: * High School diploma or equivalent. * 2-3 years customer service or medical office experience. * Excellent interpersonal, verbal, and written communication skills. * Proficiency in computer data-entry/typing. * Excellent verbal and written communication skills. * Ability to read, write, and communicate effectively in English. * Basic Computer Skills. * Ability to type 40 wpm. * Ability to multi-task. * Customer service oriented. * Excellent organizational, time management, analytical, and problem solving skills. Preferred: * Additional education. * Additional language skills. * Healthcare finance and/or healthcare insurance experience. * Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration. Equal Opportunity Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Patient Access Specialist, Hospital Operator Services, Part-time, Nights
Sandwich, IL jobs
is $18.40 - $27.59 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement.
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more.
Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.
We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.
Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.
Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being.
Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.
From discovery to delivery, come help us shape the future of medicine.
Benefits:
* $10,000 Tuition Reimbursement per year ($5,700 part-time)
* $10,000 Student Loan Repayment ($5,000 part-time)
* $1,000 Professional Development per year ($500 part-time)
* $250 Wellbeing Fund per year ($125 for part-time)
* Matching 401(k)
* Excellent medical, dental and vision coverage
* Life insurance
* Annual Employee Salary Increase and Incentive Bonus
* Paid time off and Holiday pay
Description
The Patient Access Specialist reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Responsibilities:
* Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere.
* Responds to questions and concerns.
* Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary.
* Maintains patient confidentiality per HIPAA regulations.
* Provides exceptional customer service to patients which establish a positive first impression of Northwestern Medicine.
* Exceeds all consumer requests and alerts management of issues or concerns that require escalation.
* Correctly identifies and collects patient demographic information in accordance with organization standards.
* Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner.
* Reaches out to patients to schedule an appointment as defined.
* Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails.
* Informs patients of any issues with securing the financial account for their encounter.
* Completes out-of-pocket estimations as requested by patients.
* Provides training and education as needed.
* Manages work schedule efficiently, completing tasks and assignments on time.
* Completes other duties assigned by manager.
* Cross-training between various departments will take place to ensure coverage.
* Participates in Quality Assurance reviews to ensure integrity of patient data information.
* Uses effective service recovery skills to solve problems or service breakdowns when they occur.
* Utilizes department and hospital policies and procedures to complete assigned tasks.
* Adheres to all department policies and compliance requirements.
* Avoids putting patient in financial or safety risk.
* Other duties as assigned.
Communication and Collaboration:
* Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations.
* Collects authorization numbers in appropriate systems as applicable.
* Provides professional and constructive environment for communication across units/departments and resolves operational issues.
* May attend intra/interdepartmental meetings which involve walking within NM Campus.
* Communicates customer satisfaction issues to appropriate individuals.
* Demonstrates teamwork by helping co-workers within and across departments.
* Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
* Interacts with internal customers to provide excellent support service to staff in departments which provide direct patient care.
* Accommodates all levels of communication ability.
Technology:
* Utilizes multiple online order retrieval systems to verify or print the patients order.
* Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary.
* Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic.
* Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position.
* Runs real time eligibility (RTE) on all patients to verify insurance and follows out of network policies as applicable.
* Sends quality Epic Messages/Telephone encounters that are descriptive and grammatically correct.
Efficiency, Process Improvement, and Business Growth:
* Proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information, verifying documenting order retrieval in notes for check-in person, ensures there are no duplicate patient records.
* Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system.
* Understands departmental and individual quality metrics.
* Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions.
* Evaluates procedures and suggests improvements to enhance customer service and operational efficiency.
* Participates in departmental quality improvement activities.
* Provides ideas and suggestions for process improvements within the department.
* Monitors registration and scheduling, including insurance verification to ensure processing within prescribed quality standards.
* Adjusts processes as needed to meet standards.
* Uses organizational and unit/department resources efficiently.
* Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information.
* Understands that schedule may change to reflect shifting business needs.
* Evolves and learns as healthcare policies change.
EOE including Disabled and Veterans.
Qualifications
Required:
* High School diploma or equivalent.
* 2-3 years customer service or medical office experience.
* Excellent interpersonal, verbal, and written communication skills.
* Proficiency in computer data-entry/typing.
* Excellent verbal and written communication skills.
* Ability to read, write, and communicate effectively in English.
* Basic Computer Skills.
* Ability to type 40 wpm.
* Ability to multi-task.
* Customer service oriented.
* Excellent organizational, time management, analytical, and problem solving skills.
Preferred:
* Additional education.
* Additional language skills.
* Healthcare finance and/or healthcare insurance experience.
* Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration.
Equal Opportunity
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Insurance Verification Representative Full Time Day Shift Marianjoy
Wheaton, IL jobs
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?
Job Description
1.0FTE
The Insurance Verification Representative reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Insurance Verification Representative confirms accuracy of and verifies insurance benefits for non-government payers (managed care) on new patients for the Wheaton inpatient acute and sub-acute programs. Pre-certifies with insurance or obtains case management or insurance adjuster's approval for planned services or procedures. Uses the pre-determination process to determine coverage for procedures in question. Provides detailed information to admissions staff, clinical referral liaisons, case managers, nursing staff and physicians when appropriate. Discusses financial responsibility with pending patients as needed.
RESPONSIBILITIES:
Obtains and coordinates preliminary case management authorization.
Coordinates information from the patient, physicians and office staff, clinical referral liaisons and employers as needed to and complete the verification process.
Obtains third-party pre-certification and concurrent review information and communicates to the admissions staff, clinical referral liaisons, case managers, appropriate physician departments and payer representatives.
Communicates any changes in patient's clinical status to third-party payer to ensure authorization is current and accurate and provides notice of patient admission into the facility.
Keeps insurance verification tracking log current and available to admissions staff and clinical referral liaisons with the most up-to-date status of patients in the verification queue.
Communicates situations projected to result in a significant non-covered balance to the department director.
Communicates corrected information and acts as a resource to admissions staff, clinical referral liaisons, case managers and others regarding contract guidelines and pre-certification requirements.
Notifies admissions staff, clinical referral liaisons and department director when medical review is required.
Reviews and analyzes financial information from third party payer systems and communicates that information to the business office and appropriate servicing department.
Keeps up-to-date on trends and issues that affect reimbursement.
Performs verification/certification function using alternative processes in case of downtime or disaster.
Tracks and records insurance denial trends, and manages the appeal process on behalf of patients.
Collects accurate financial data and enters into Meditech
Works with admissions staff, clinical referral liaisons, case managers and other departments ensuring financial data integrity is maintained and critical elements are reflected in the patient record.
Maintains a strong customer focus while working collaboratively within a team to meet multiple demands, patient needs and coverage.
Maintains confidentiality of all information.
Suggests quality improvement ideas and participates in education and improvement efforts.
Provides communication to patients, patient financial services, and case managers on insurance findings
Contacts patients, guarantor and business offices to inform of financial responsibility and attempts to coordinate financial arrangement.
Produces projected benefit letters for patients and acts as a point person for counseling.
Communicates benefit detail to admissions staff, clinical referral liaisons and case managers to ensure notification and collection of co-pays, deductibles and outstanding balances.
Coordinates additional information requests as may be necessitated by third party administrators.
Qualifications
Required:
High School or Equivalent (GED)
Knowledge of medical, insurance terminology, and ICD codes is required.
Ability to understand and communicate financial information.
Highly proficient computer skills preferred.
Ability to work independently.
Excellent communication skills are required.
Strong customer service focus is essential.
Resourceful with problem solving.
Well organized and efficient.
Required to demonstrate proper telephone customer skills.
Must be able to perform multiple tasks with composure and confidence.
Ability to maintain composure under pressure.
Preferred:
Three to four years of health- related experience
Associate or Bachelors Degree
Additional Information
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Patient Access Specialist
Geneva, IL jobs
is $18.40 - $27.59 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement.
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more.
Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.
We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.
Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.
Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being.
Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.
From discovery to delivery, come help us shape the future of medicine.
Benefits:
* $10,000 Tuition Reimbursement per year ($5,700 part-time)
* $10,000 Student Loan Repayment ($5,000 part-time)
* $1,000 Professional Development per year ($500 part-time)
* $250 Wellbeing Fund per year ($125 for part-time)
* Matching 401(k)
* Excellent medical, dental and vision coverage
* Life insurance
* Annual Employee Salary Increase and Incentive Bonus
* Paid time off and Holiday pay
Description
The Patient Access Specialist reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Responsibilities:
* Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere.
* Responds to questions and concerns.
* Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary.
* Maintains patient confidentiality per HIPAA regulations.
* Provides exceptional customer service to patients which establish a positive first impression of Northwestern Medicine.
* Exceeds all consumer requests and alerts management of issues or concerns that require escalation.
* Correctly identifies and collects patient demographic information in accordance with organization standards.
* Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner.
* Reaches out to patients to schedule an appointment as defined.
* Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails.
* Informs patients of any issues with securing the financial account for their encounter.
* Completes out-of-pocket estimations as requested by patients.
* Provides training and education as needed.
* Manages work schedule efficiently, completing tasks and assignments on time.
* Completes other duties assigned by manager.
* Cross-training between various departments will take place to ensure coverage.
* Participates in Quality Assurance reviews to ensure integrity of patient data information.
* Uses effective service recovery skills to solve problems or service breakdowns when they occur.
* Utilizes department and hospital policies and procedures to complete assigned tasks.
* Adheres to all department policies and compliance requirements.
* Avoids putting patient in financial or safety risk.
* Other duties as assigned.
Communication and Collaboration:
* Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations.
* Collects authorization numbers in appropriate systems as applicable.
* Provides professional and constructive environment for communication across units/departments and resolves operational issues.
* May attend intra/interdepartmental meetings which involve walking within NM Campus.
* Communicates customer satisfaction issues to appropriate individuals.
* Demonstrates teamwork by helping co-workers within and across departments.
* Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
* Interacts with internal customers to provide excellent support service to staff in departments which provide direct patient care.
* Accommodates all levels of communication ability.
Technology:
* Utilizes multiple online order retrieval systems to verify or print the patients order.
* Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary.
* Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic.
* Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position.
* Runs real time eligibility (RTE) on all patients to verify insurance and follows out of network policies as applicable.
* Sends quality Epic Messages/Telephone encounters that are descriptive and grammatically correct.
Efficiency, Process Improvement, and Business Growth:
* Proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information, verifying documenting order retrieval in notes for check-in person, ensures there are no duplicate patient records.
* Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system.
* Understands departmental and individual quality metrics.
* Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions.
* Evaluates procedures and suggests improvements to enhance customer service and operational efficiency.
* Participates in departmental quality improvement activities.
* Provides ideas and suggestions for process improvements within the department.
* Monitors registration and scheduling, including insurance verification to ensure processing within prescribed quality standards.
* Adjusts processes as needed to meet standards.
* Uses organizational and unit/department resources efficiently.
* Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information.
* Understands that schedule may change to reflect shifting business needs.
* Evolves and learns as healthcare policies change.
EOE including Disabled and Veterans.
Qualifications
Required:
* High School diploma or equivalent.
* 2-3 years customer service or medical office experience.
* Excellent interpersonal, verbal, and written communication skills.
* Proficiency in computer data-entry/typing.
* Excellent verbal and written communication skills.
* Ability to read, write, and communicate effectively in English.
* Basic Computer Skills.
* Ability to type 40 wpm.
* Ability to multi-task.
* Customer service oriented.
* Excellent organizational, time management, analytical, and problem solving skills.
Preferred:
* Additional education.
* Additional language skills.
* Healthcare finance and/or healthcare insurance experience.
* Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration.
Equal Opportunity
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Patient Access Specialist, Hospital Operator Services, Part-time, Evenings
Geneva, IL jobs
is $18.40 - $27.59 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement.
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more.
Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.
We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.
Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.
Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being.
Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.
From discovery to delivery, come help us shape the future of medicine.
Benefits:
* $10,000 Tuition Reimbursement per year ($5,700 part-time)
* $10,000 Student Loan Repayment ($5,000 part-time)
* $1,000 Professional Development per year ($500 part-time)
* $250 Wellbeing Fund per year ($125 for part-time)
* Matching 401(k)
* Excellent medical, dental and vision coverage
* Life insurance
* Annual Employee Salary Increase and Incentive Bonus
* Paid time off and Holiday pay
Description
The Patient Access Specialist reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Responsibilities:
* Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere.
* Responds to questions and concerns.
* Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary.
* Maintains patient confidentiality per HIPAA regulations.
* Provides exceptional customer service to patients which establish a positive first impression of Northwestern Medicine.
* Exceeds all consumer requests and alerts management of issues or concerns that require escalation.
* Correctly identifies and collects patient demographic information in accordance with organization standards.
* Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner.
* Reaches out to patients to schedule an appointment as defined.
* Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails.
* Informs patients of any issues with securing the financial account for their encounter.
* Completes out-of-pocket estimations as requested by patients.
* Provides training and education as needed.
* Manages work schedule efficiently, completing tasks and assignments on time.
* Completes other duties assigned by manager.
* Cross-training between various departments will take place to ensure coverage.
* Participates in Quality Assurance reviews to ensure integrity of patient data information.
* Uses effective service recovery skills to solve problems or service breakdowns when they occur.
* Utilizes department and hospital policies and procedures to complete assigned tasks.
* Adheres to all department policies and compliance requirements.
* Avoids putting patient in financial or safety risk.
* Other duties as assigned.
Communication and Collaboration:
* Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations.
* Collects authorization numbers in appropriate systems as applicable.
* Provides professional and constructive environment for communication across units/departments and resolves operational issues.
* May attend intra/interdepartmental meetings which involve walking within NM Campus.
* Communicates customer satisfaction issues to appropriate individuals.
* Demonstrates teamwork by helping co-workers within and across departments.
* Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
* Interacts with internal customers to provide excellent support service to staff in departments which provide direct patient care.
* Accommodates all levels of communication ability.
Technology:
* Utilizes multiple online order retrieval systems to verify or print the patients order.
* Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary.
* Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic.
* Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position.
* Runs real time eligibility (RTE) on all patients to verify insurance and follows out of network policies as applicable.
* Sends quality Epic Messages/Telephone encounters that are descriptive and grammatically correct.
Efficiency, Process Improvement, and Business Growth:
* Proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information, verifying documenting order retrieval in notes for check-in person, ensures there are no duplicate patient records.
* Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system.
* Understands departmental and individual quality metrics.
* Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions.
* Evaluates procedures and suggests improvements to enhance customer service and operational efficiency.
* Participates in departmental quality improvement activities.
* Provides ideas and suggestions for process improvements within the department.
* Monitors registration and scheduling, including insurance verification to ensure processing within prescribed quality standards.
* Adjusts processes as needed to meet standards.
* Uses organizational and unit/department resources efficiently.
* Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information.
* Understands that schedule may change to reflect shifting business needs.
* Evolves and learns as healthcare policies change.
EOE including Disabled and Veterans.
Qualifications
Required:
* High School diploma or equivalent.
* 2-3 years customer service or medical office experience.
* Excellent interpersonal, verbal, and written communication skills.
* Proficiency in computer data-entry/typing.
* Excellent verbal and written communication skills.
* Ability to read, write, and communicate effectively in English.
* Basic Computer Skills.
* Ability to type 40 wpm.
* Ability to multi-task.
* Customer service oriented.
* Excellent organizational, time management, analytical, and problem solving skills.
Preferred:
* Additional education.
* Additional language skills.
* Healthcare finance and/or healthcare insurance experience.
* Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration.
Equal Opportunity
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Professional Billing Denials and Follow Up Representative
Warrenville, IL jobs
is $20.03 - $26.04 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement.
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more.
Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.
We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.
Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.
Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being.
Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.
From discovery to delivery, come help us shape the future of medicine.
Benefits:
* $10,000 Tuition Reimbursement per year ($5,700 part-time)
* $10,000 Student Loan Repayment ($5,000 part-time)
* $1,000 Professional Development per year ($500 part-time)
* $250 Wellbeing Fund per year ($125 for part-time)
* Matching 401(k)
* Excellent medical, dental and vision coverage
* Life insurance
* Annual Employee Salary Increase and Incentive Bonus
* Paid time off and Holiday pay
Description
The Professional Billing Denials and Follow Up Representative reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Responsibilities:
* Consistently meet the current productivity and quality standards in timely resolution of all claim edits, reporting of candidates for bill, outbound compliant claim submission, clinical documentation requirements and any other communication required (verbal or written) regarding claims ensuring timely filing of claims and clean, complete and accurate claims.
* Consistently meet or exceed productivity standards, targets, error ratios, and reporting requirements assigned by the Patient Accounting Lead Financial Assessor and Operations Coordinator.
* Timely follow-up and collection of third party payer receivables. Denials and Appeals follow-up including root cause analysis to reduce/prevent future denials while working to overturn denials for payment resolution.
* Compliant follow-up correspondence to third party payers regarding outstanding accounts receivables (i.e. Statements, letters, e-mails, faxes, portal mail, etc.).
* Support the operations related to optimum third party accounts receivables (i.e. Managed Care, Commercial, Medicare, Medicaid, Replacement plans, Workers Compensations, Corporate Accounts, Research, and Specialty AR Accounts).
* Perform daily, systematic reviews of work lists to ensure all accounts already to be worked are completed.
* Utilize Government, Commercial, and regulatory guidelines for collection of outstanding accounts. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation.
* Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Provide individual contribution to the overall team effort of achieving the department accounts receivable goals.
* Identify opportunities for customer, system and process improvement and submit to management.
* Follow the NMHC general Policy and Procedures, the Departmental Policy and Procedures, and any Emergency Preparedness Procedures. Follow Joint Commission and outside regulatory agencies mandated rules and procedures.
* Utilize assigned menus and pathways in the hospital mainframe system and report software application problems to the appropriate supervisor.
* Utilize assigned menus and pathways in external software applications and report software application problems to the appropriate supervisor.
* Utilize assigned computer hardware and report hardware problems to the appropriate supervisor.
* Participate in the testing for assigned software applications, including verification of field integrity.
* Assist the Patient Accounting Operational Coordinator and Patient Accounting Team Lead Financial Assessor with special projects and other duties as assigned, as necessary.
* Attend training and seminars as assigned and approved by the Patient Accounting Operations Coordinator.
Additional Responsibilities:
* Demonstrate excellent customer service through oral and written communication in providing assistance/expertise to patients, authorized guarantors, and other external and internal contacts.
* Demonstrate proficient use of systems and execution of processes in all areas of responsibilities.
* Working knowledge of physician and facility billing and follow-up including understanding of insurance rules and regulations especially Medicare and Medicaid. Knowledge of HIPAA standards.
* Ability to perform mathematical calculations.
* Excellent communication skills when dealing with patients, families, public, co-workers, and professional offices. Basic knowledge of medical terminology and billing practices
Qualifications
Required:
* High School diploma
* One year related work experience or college degree
* Ability to perform mathematical calculations
* Basic knowledge of medical terminology and billing practices
* Extensive experience and knowledge of PC applications, including Microsoft Office and Excel
* Learn quickly and meet continuous timelines
* Exhibit behaviors consistent with principles of excellent service.
Preferred:
* Two or more years' college or college degree.
* Call center, telephone work experience or cash collections experience.
* Knowledge of Epic Systems.
* Two (2) years progressive work experience in a hospital/ physician billing or SBO environment.
* Detail-oriented, good organizational skills, and ability to be self-directed.
* Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere.
* Flexibility to perform other tasks as needed in an active work environment with changing work needs.
* High-level problem solving, analytical, and investigational skills.
* Excellent internal/external customer service skills.
Equal Opportunity
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Professional Billing Denials and Follow Up Representative
Warrenville, IL jobs
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?
Job Description
The Professional Billing Denials and Follow Up Representative reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Responsibilities:
Consistently meet the current productivity and quality standards in timely resolution of all claim edits, reporting of candidates for bill, outbound compliant claim submission, clinical documentation requirements and any other communication required (verbal or written) regarding claims ensuring timely filing of claims and clean, complete and accurate claims.
Consistently meet or exceed productivity standards, targets, error ratios, and reporting requirements assigned by the Patient Accounting Lead Financial Assessor and Operations Coordinator.
Timely follow-up and collection of third party payer receivables. Denials and Appeals follow-up including root cause analysis to reduce/prevent future denials while working to overturn denials for payment resolution.
Compliant follow-up correspondence to third party payers regarding outstanding accounts receivables (i.e. Statements, letters, e-mails, faxes, portal mail, etc.).
Support the operations related to optimum third party accounts receivables (i.e. Managed Care, Commercial, Medicare, Medicaid, Replacement plans, Workers Compensations, Corporate Accounts, Research, and Specialty AR Accounts).
Perform daily, systematic reviews of work lists to ensure all accounts already to be worked are completed.
Utilize Government, Commercial, and regulatory guidelines for collection of outstanding accounts. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation.
Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Provide individual contribution to the overall team effort of achieving the department accounts receivable goals.
Identify opportunities for customer, system and process improvement and submit to management.
Follow the NMHC general Policy and Procedures, the Departmental Policy and Procedures, and any Emergency Preparedness Procedures. Follow Joint Commission and outside regulatory agencies mandated rules and procedures.
Utilize assigned menus and pathways in the hospital mainframe system and report software application problems to the appropriate supervisor.
Utilize assigned menus and pathways in external software applications and report software application problems to the appropriate supervisor.
Utilize assigned computer hardware and report hardware problems to the appropriate supervisor.
Participate in the testing for assigned software applications, including verification of field integrity.
Assist the Patient Accounting Operational Coordinator and Patient Accounting Team Lead Financial Assessor with special projects and other duties as assigned, as necessary.
Attend training and seminars as assigned and approved by the Patient Accounting Operations Coordinator.
Additional Responsibilities:
Demonstrate excellent customer service through oral and written communication in providing assistance/expertise to patients, authorized guarantors, and other external and internal contacts.
Demonstrate proficient use of systems and execution of processes in all areas of responsibilities.
Working knowledge of physician and facility billing and follow-up including understanding of insurance rules and regulations especially Medicare and Medicaid. Knowledge of HIPAA standards.
Ability to perform mathematical calculations.
Excellent communication skills when dealing with patients, families, public, co-workers, and professional offices. Basic knowledge of medical terminology and billing practices
Qualifications
Required:
High School diploma
One year related work experience or college degree
Ability to perform mathematical calculations
Basic knowledge of medical terminology and billing practices
Extensive experience and knowledge of PC applications, including Microsoft Office and Excel
Learn quickly and meet continuous timelines
Exhibit behaviors consistent with principles of excellent service.
Preferred:
Two or more years' college or college degree.
Call center, telephone work experience or cash collections experience.
Knowledge of Epic Systems.
Two (2) years progressive work experience in a hospital/ physician billing or SBO environment.
Detail-oriented, good organizational skills, and ability to be self-directed.
Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere.
Flexibility to perform other tasks as needed in an active work environment with changing work needs.
High-level problem solving, analytical, and investigational skills.
Excellent internal/external customer service skills.
Additional Information
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Professional Billing Denials and Follow Up Representative
Warrenville, IL jobs
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?
Job Description
The Professional Billing Denials and Follow Up Representative reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Responsibilities:
Consistently meet the current productivity and quality standards in timely resolution of all claim edits, reporting of candidates for bill, outbound compliant claim submission, clinical documentation requirements and any other communication required (verbal or written) regarding claims ensuring timely filing of claims and clean, complete and accurate claims.
Consistently meet or exceed productivity standards, targets, error ratios, and reporting requirements assigned by the Patient Accounting Lead Financial Assessor and Operations Coordinator.
Timely follow-up and collection of third party payer receivables. Denials and Appeals follow-up including root cause analysis to reduce/prevent future denials while working to overturn denials for payment resolution.
Compliant follow-up correspondence to third party payers regarding outstanding accounts receivables (i.e. Statements, letters, e-mails, faxes, portal mail, etc.).
Support the operations related to optimum third party accounts receivables (i.e. Managed Care, Commercial, Medicare, Medicaid, Replacement plans, Workers Compensations, Corporate Accounts, Research, and Specialty AR Accounts).
Perform daily, systematic reviews of work lists to ensure all accounts already to be worked are completed.
Utilize Government, Commercial, and regulatory guidelines for collection of outstanding accounts. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation.
Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Provide individual contribution to the overall team effort of achieving the department accounts receivable goals.
Identify opportunities for customer, system and process improvement and submit to management.
Follow the NMHC general Policy and Procedures, the Departmental Policy and Procedures, and any Emergency Preparedness Procedures. Follow Joint Commission and outside regulatory agencies mandated rules and procedures.
Utilize assigned menus and pathways in the hospital mainframe system and report software application problems to the appropriate supervisor.
Utilize assigned menus and pathways in external software applications and report software application problems to the appropriate supervisor.
Utilize assigned computer hardware and report hardware problems to the appropriate supervisor.
Participate in the testing for assigned software applications, including verification of field integrity.
Assist the Patient Accounting Operational Coordinator and Patient Accounting Team Lead Financial Assessor with special projects and other duties as assigned, as necessary.
Attend training and seminars as assigned and approved by the Patient Accounting Operations Coordinator.
Additional Responsibilities:
Demonstrate excellent customer service through oral and written communication in providing assistance/expertise to patients, authorized guarantors, and other external and internal contacts.
Demonstrate proficient use of systems and execution of processes in all areas of responsibilities.
Working knowledge of physician and facility billing and follow-up including understanding of insurance rules and regulations especially Medicare and Medicaid. Knowledge of HIPAA standards.
Ability to perform mathematical calculations.
Excellent communication skills when dealing with patients, families, public, co-workers, and professional offices. Basic knowledge of medical terminology and billing practices
Qualifications
Required:
High School diploma
One year related work experience or college degree
Ability to perform mathematical calculations
Basic knowledge of medical terminology and billing practices
Extensive experience and knowledge of PC applications, including Microsoft Office and Excel
Learn quickly and meet continuous timelines
Exhibit behaviors consistent with principles of excellent service.
Preferred:
Two or more years' college or college degree.
Call center, telephone work experience or cash collections experience.
Knowledge of Epic Systems.
Two (2) years progressive work experience in a hospital/ physician billing or SBO environment.
Detail-oriented, good organizational skills, and ability to be self-directed.
Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere.
Flexibility to perform other tasks as needed in an active work environment with changing work needs.
High-level problem solving, analytical, and investigational skills.
Excellent internal/external customer service skills.
Additional Information
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.