Representative jobs at Southern Illinois Healthcare - 73 jobs
Patient Access Representative
Southern Illinois Hospital Services 4.4
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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$31k-35k yearly est. Auto-Apply 30d ago
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Patient Access Specialist-Diabetes Nutrition Woodstock Full Time Days
Northwestern Medicine 4.3
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 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.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
$18.4-27.6 hourly 60d+ ago
Insurance Verification Representative Full Time Day Shift Marianjoy
Northwestern Medicine 4.3
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 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.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
$22.6-29.4 hourly 60d+ ago
Patient Access Specialist, Evening 2nd Shift
Northwestern Medicine 4.3
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.
Hours:
3:30p-12am
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.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
$18.4-27.6 hourly 9d ago
Patient Svcs Rep
Aurora Health Care 4.7
Downers Grove, IL jobs
Department:
09121 AMG Downers Grove 3825 Highland Ave POB - Building Operations
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Monday thru Friday 830-500pm
Pay Range
$19.80 - $29.70Major Responsibilities: Patient Services: Provides efficient, high-quality service to patients who arrive for appointments or who telephone or visit in person to request appointments or information on tests and procedures, bills and charges, referrals, and other matters. 1)• Greets and accurately registers patients in EMR system verifying essential billing and demographic information. 2)• Coordinates scheduling of patient appointments (phone and in-person requests) accurately and efficiently. 3)• Answers multiple incoming telephone lines, accurately determining the appropriate recipient of the call or message and referring them promptly and appropriately. 4)• Distributes communications accurately, based on practice protocol. Includes pagers, faxes, emails. 5)• Resolves a variety of patient questions, including HMO referrals, billing and queries about services and test results; refers complex issues to practice manager or a clinical staff member, as appropriate. 6)• Schedules future appointments and requisitions, laboratory tests, radiology procedures and other special diagnostic tests as needed. May coordinate with appropriate sections of hospital admission and/or outpatient admissions and surgery. 7)• Notifies patient care area when patient has arrived and is ready to be seen. Attends to waiting patients in reception and ensures that they are seen in a timely manner or are promptly notified of unexpected delays. 8)• Accurately identifies type of insurance from card, understands different types of payers, and verifies eligibility if necessary. 9)• Performs other related duties as required. Billing Services: Ensures entry at time of service of billing information on the patient and payer and accurate follow-up on missing information. 1)• Reviews encounter forms for accuracy and completeness, checks with physician for missing information. 2)• Enters patient charges into the EMR system according to established policies and procedures. 3)• Batches encounter forms and balances charges. Medical Record Services: Upholds standards of the practice and of the medical group for accurate and timely medical records. 3)• Releases information from records, only according to corporate policies and procedures. 1)• Ensures the availability of properly prepared patient medical records, daily schedules and related forms. Maintains medical record including loose filing and re-filing of charts daily. Pull and prepares charts for appointments. 2)• Maintains confidentiality around all patient information, both in front of each patient being treated and around other patients in the area. Education/Experience Required: • High school diploma or equivalent. • One to two years related customer service experience • Experience handling difficult caller/customers/patients. Knowledge, Skills & Abilities Required: • CRT/PC experience in a customer service setting. • Working knowledge of eClinicalWorks and scheduling sections of the eClinicalWorks system preferred. • Strong communication skills. • Ability to solve problems posed by callers seeking referrals, appointments, billing issues and clinical information. N/A Physical Requirements and Working Conditions: • Ability to function in a high volume, multiple-task environment, possibly in a crowed or closely shared work space. • Exposure to ill patients. • Ability to work under stressful conditions with demanding customers. 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.
$19.8-29.7 hourly Auto-Apply 4d ago
Rehab Patient Access Specialist CDH Clinics-Part Time
Northwestern Medicine 4.3
Winfield, IL jobs
is $19.60 - $25.48 (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 Rehabilitation Patient Access Specialist Float 1 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.
Performs department-based reception and clerical functions.
Responsibilities:
* May act as a receptionist for the department, greeting staff and customers in a polite manner, and referring to appropriate staff when needed.
* Answers department telephone calls in a polite manner, communicating messages appropriately and clearly to all staff members.
* Is customer oriented and able to communicate and work effectively with all levels of staff and department customers.
* Successfully takes on special projects as needed.
* Utilizes critical thinking skills to successfully demonstrate the ability to prioritize and complete work quickly as the needs of the department change.
* Coordinates all clerical work for the department with senior/clinical coordinator/manager/director as appropriate.
* May coordinate with Senior/Clinical Coordinator/Manager/Director to process department invoices/purchase requests.
* Maintains appropriate levels of all supplies for the department.
* Independently manages the DAR (Department Appointment Report) in EPIC for the respective department.
* Schedules, confirms, and reschedules patients for visits at Rehabilitation Services and its satellite locations.
* Follows the necessary requirements of the department, which can include completion of questionnaires and coordination with other departments.
* Appropriately schedules new evaluations and follow up appointments, cancellations, rescheduling and wait list.
* Appropriately and efficiently "arrives" patients for process workflow.
* Completes end of day processing per EPIC policy.
* Follows Rehabilitation Services and/or CDH Policy and Procedure/Guidelines for scheduling new patient evaluations.
* Accurately identifies patient MRN to avoid duplication of records in system.
* Obtains and updates patient demographic, insurance and billing information.
* May independently access the Unscheduled Orders Work Queues on a daily basis (during normal business hours) and maintains departmental expectations (all new orders will receive initial phone call within 24 -48 hours).
* May independently monitor and maintain other assigned Rehabilitation Work Queues based upon registration.
* Follows Rehabilitation Services Guidelines and policies in regard to subsequent patient scheduling in order to maximize therapist productivity and time. (Effective use of wait list, scheduling of new evaluations, independently adding paperwork time in instances where a therapist is required to see a high number of new evaluations or has a backlog of documentation).
* May collect cash and credit card payments and ensures all payment collection and documentation meets current standards.
* Follows the necessary requirements for daily reconciliation and balancing.
* May independently manage therapist's monthly schedules/templates.
* Schedules meetings and huddles as requested by therapist or Senior staff member.
* Works with Senior to block scheduled PTO time and/or sick time appropriately.
* May independently make "new evaluation confirmation phone calls" to all new evaluations the day before the scheduled appointment and create "shadow charts" administering all associated paperwork for these patients.
* Completes order entry and evaluating orders.
* Determines when it is appropriate to consult with technician for interpretative purposes.
* Assists patients to obtain orders not in the EPIC system.
* Understanding of scanning: possesses thorough understanding of the scanning process. This understanding includes the user's ability to recognize registration and clinical documents and perform accurate indexing within the electronic record.
* Independently manages Rehabilitation Work Queue 3111 to monitor and maintain "visits not authorized" to ensure proper authorization is received in a timely manner.
* May assist in clinic set up/clean up including hot pack/cold pack machine cleaning and temp logs, eye wash log.
* Assists Manager/Senior Staff in monitoring charges via accessible Work Queues in EPIC. Independently makes corrections to pending Work Queue items with or without guidance from supervisor.
* Manages faxing documentation to insurance companies and/or physician offices for authorization and signatures for Plan of Care as appropriate.
* Works with Coding, Patient Accounts and Financial Clearance Center to ensure all patient accounts are registered accurately for timely billing and management of patient accounts.
Qualifications
Required:
* Two years' experience in front office with computer experience
* High School graduate
* Successful completion of EPIC training for scheduling and registration
Float Differential: Candidate is eligible for $5/hr differential during hours of floating
This role will float to the CDH Clinics
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.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
$19.6-25.5 hourly 7d ago
Patient Access Specialist, Part-time, Days
Northwestern Medicine 4.3
Grayslake, 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.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
$18.4-27.6 hourly 9d ago
Patient Access Specialist, Part-time, Evenings
Northwestern Medicine 4.3
Grayslake, 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.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
$18.4-27.6 hourly 32d ago
Insurance Verification Representative Full Time Day Shift Marianjoy
Northwestern Memorial Healthcare 4.3
Wheaton, IL jobs
Company DescriptionAt 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
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 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.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
$30k-34k yearly est. 27d ago
Rehab Patient Access Specialist-Full-time Days
Northwestern Medicine 4.3
Warrenville, IL jobs
is $18.26 - $24.65 (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 Rehabilitation Patient Access Specialist 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.
Performs department-based reception and clerical functions.
Responsibilities:
* May act as a receptionist for the department, greeting staff and customers in a polite manner, and referring to appropriate staff when needed.
* Answers department telephone calls in a polite manner, communicating messages appropriately and clearly to all staff members.
* Is customer oriented and able to communicate and work effectively with all levels of staff and department customers.
* Successfully takes on special projects as needed.
* Utilizes critical thinking skills to successfully demonstrate the ability to prioritize and complete work quickly as the needs of the department change.
* Coordinates all clerical work for the department with senior/clinical coordinator/manager/director as appropriate.
* May coordinate with Senior/Clinical Coordinator/Manager/Director to process department invoices/purchase requests.
* Maintains appropriate levels of all supplies for the department.
* Independently manages the DAR (Department Appointment Report) in EPIC for the respective department.
* Schedules, confirms, and reschedules patients for visits at Rehabilitation Services and its satellite locations.
* Follows the necessary requirements of the department, which can include completion of questionnaires and coordination with other departments.
* Appropriately schedules new evaluations and follow up appointments, cancellations, rescheduling and wait list.
* Appropriately and efficiently "arrives" patients for process workflow.
* Completes end of day processing per EPIC policy.
* Follows Rehabilitation Services and/or CDH Policy and Procedure/Guidelines for scheduling new patient evaluations.
* Accurately identifies patient MRN to avoid duplication of records in system.
* Obtains and updates patient demographic, insurance and billing information.
* May independently access the Unscheduled Orders Work Queues on a daily basis (during normal business hours) and maintains departmental expectations (all new orders will receive initial phone call within 24 -48 hours).
* May independently monitor and maintain other assigned Rehabilitation Work Queues based upon registration.
* Follows Rehabilitation Services Guidelines and policies in regard to subsequent patient scheduling in order to maximize therapist productivity and time. (Effective use of wait list, scheduling of new evaluations, independently adding paperwork time in instances where a therapist is required to see a high number of new evaluations or has a backlog of documentation).
* May collect cash and credit card payments and ensures all payment collection and documentation meets current standards.
* Follows the necessary requirements for daily reconciliation and balancing.
* May independently manage therapist's monthly schedules/templates.
* Schedules meetings and huddles as requested by therapist or Senior staff member.
* Works with Senior to block scheduled PTO time and/or sick time appropriately.
* May independently make "new evaluation confirmation phone calls" to all new evaluations the day before the scheduled appointment and create "shadow charts" administering all associated paperwork for these patients.
* Completes order entry and evaluating orders.
* Determines when it is appropriate to consult with technician for interpretative purposes.
* Assists patients to obtain orders not in the EPIC system.
* Understanding of scanning: possesses thorough understanding of the scanning process. This understanding includes the user's ability to recognize registration and clinical documents and perform accurate indexing within the electronic record.
* Independently manages Rehabilitation Work Queue 3111 to monitor and maintain "visits not authorized" to ensure proper authorization is received in a timely manner.
* May assist in clinic set up/clean up including hot pack/cold pack machine cleaning and temp logs, eye wash log.
* Assists Manager/Senior Staff in monitoring charges via accessible Work Queues in EPIC. Independently makes corrections to pending Work Queue items with or without guidance from supervisor.
* Manages faxing documentation to insurance companies and/or physician offices for authorization and signatures for Plan of Care as appropriate.
* Works with Coding, Patient Accounts and Financial Clearance Center to ensure all patient accounts are registered accurately for timely billing and management of patient accounts.
Qualifications
Required:
* Two years' experience in front office with computer experience
* High School graduate
* Successful completion of EPIC training for scheduling and 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.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
$18.3-24.7 hourly 7d ago
Professional Billing Denials and Follow Up Representative
Northwestern Medicine 4.3
Warrenville, IL jobs
is $21.24 - $27.61 (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 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.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
$21.2-27.6 hourly 60d+ ago
Patient Access Specialist-Part-time Nights
Northwestern Medicine 4.3
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, Part-time Third Shift 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.
FTE: 0.5 (40 hours every two weeks)
Hours: 10pm - 6:30am
Week 1 Schedule: Tuesday, Friday
Week 2 Schedule: Wednesday, Saturday, Sunday
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.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
$18.4-27.6 hourly 9d ago
Patient Access Specialist-Part-time Nights
Northwestern Medicine 4.3
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, (Part-time Third Shift) 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.
FTE: 0.5 (40 hours every two weeks)
Hours: 10pm - 6:30am
Week 1 Schedule: Sunday, Wednesday
Week 2 Schedule: Monday, Thursday, Saturday
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.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
$18.4-27.6 hourly 9d ago
Rehab Patient Access Specialist-Full-time Days
Northwestern Medicine 4.3
Sycamore, IL jobs
is $18.26 - $24.65 (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 Rehabilitation Patient Access Specialist 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.
Performs department-based reception and clerical functions.
Hours: Monday - Thursday from 9:30am-6pm and Fridays 8am-4:30pm (subject to vary)
Responsibilities:
* May act as a receptionist for the department, greeting staff and customers in a polite manner, and referring to appropriate staff when needed.
* Answers department telephone calls in a polite manner, communicating messages appropriately and clearly to all staff members.
* Is customer oriented and able to communicate and work effectively with all levels of staff and department customers.
* Successfully takes on special projects as needed.
* Utilizes critical thinking skills to successfully demonstrate the ability to prioritize and complete work quickly as the needs of the department change.
* Coordinates all clerical work for the department with senior/clinical coordinator/manager/director as appropriate.
* May coordinate with Senior/Clinical Coordinator/Manager/Director to process department invoices/purchase requests.
* Maintains appropriate levels of all supplies for the department.
* Independently manages the DAR (Department Appointment Report) in EPIC for the respective department.
* Schedules, confirms, and reschedules patients for visits at Rehabilitation Services and its satellite locations.
* Follows the necessary requirements of the department, which can include completion of questionnaires and coordination with other departments.
* Appropriately schedules new evaluations and follow up appointments, cancellations, rescheduling and wait list.
* Appropriately and efficiently "arrives" patients for process workflow.
* Completes end of day processing per EPIC policy.
* Follows Rehabilitation Services and/or CDH Policy and Procedure/Guidelines for scheduling new patient evaluations.
* Accurately identifies patient MRN to avoid duplication of records in system.
* Obtains and updates patient demographic, insurance and billing information.
* May independently access the Unscheduled Orders Work Queues on a daily basis (during normal business hours) and maintains departmental expectations (all new orders will receive initial phone call within 24 -48 hours).
* May independently monitor and maintain other assigned Rehabilitation Work Queues based upon registration.
* Follows Rehabilitation Services Guidelines and policies in regard to subsequent patient scheduling in order to maximize therapist productivity and time. (Effective use of wait list, scheduling of new evaluations, independently adding paperwork time in instances where a therapist is required to see a high number of new evaluations or has a backlog of documentation).
* May collect cash and credit card payments and ensures all payment collection and documentation meets current standards.
* Follows the necessary requirements for daily reconciliation and balancing.
* May independently manage therapist's monthly schedules/templates.
* Schedules meetings and huddles as requested by therapist or Senior staff member.
* Works with Senior to block scheduled PTO time and/or sick time appropriately.
* May independently make "new evaluation confirmation phone calls" to all new evaluations the day before the scheduled appointment and create "shadow charts" administering all associated paperwork for these patients.
* Completes order entry and evaluating orders.
* Determines when it is appropriate to consult with technician for interpretative purposes.
* Assists patients to obtain orders not in the EPIC system.
* Understanding of scanning: possesses thorough understanding of the scanning process. This understanding includes the user's ability to recognize registration and clinical documents and perform accurate indexing within the electronic record.
* Independently manages Rehabilitation Work Queue 3111 to monitor and maintain "visits not authorized" to ensure proper authorization is received in a timely manner.
* May assist in clinic set up/clean up including hot pack/cold pack machine cleaning and temp logs, eye wash log.
* Assists Manager/Senior Staff in monitoring charges via accessible Work Queues in EPIC. Independently makes corrections to pending Work Queue items with or without guidance from supervisor.
* Manages faxing documentation to insurance companies and/or physician offices for authorization and signatures for Plan of Care as appropriate.
* Works with Coding, Patient Accounts and Financial Clearance Center to ensure all patient accounts are registered accurately for timely billing and management of patient accounts.
Qualifications
Required:
* Two years' experience in front office with computer experience
* High School graduate
* Successful completion of EPIC training for scheduling and 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.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
$18.3-24.7 hourly 17d ago
Rehabilitation Patient Access Specialist-Full-time Days
Northwestern Medicine 4.3
Bloomingdale, IL jobs
is $18.26 - $24.65 (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 Rehabilitation Patient Access Specialist 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.
Performs department-based reception and clerical functions.
Responsibilities:
* May act as a receptionist for the department, greeting staff and customers in a polite manner, and referring to appropriate staff when needed.
* Answers department telephone calls in a polite manner, communicating messages appropriately and clearly to all staff members.
* Is customer oriented and able to communicate and work effectively with all levels of staff and department customers.
* Successfully takes on special projects as needed.
* Utilizes critical thinking skills to successfully demonstrate the ability to prioritize and complete work quickly as the needs of the department change.
* Coordinates all clerical work for the department with senior/clinical coordinator/manager/director as appropriate.
* May coordinate with Senior/Clinical Coordinator/Manager/Director to process department invoices/purchase requests.
* Maintains appropriate levels of all supplies for the department.
* Independently manages the DAR (Department Appointment Report) in EPIC for the respective department.
* Schedules, confirms, and reschedules patients for visits at Rehabilitation Services and its satellite locations.
* Follows the necessary requirements of the department, which can include completion of questionnaires and coordination with other departments.
* Appropriately schedules new evaluations and follow up appointments, cancellations, rescheduling and wait list.
* Appropriately and efficiently "arrives" patients for process workflow.
* Completes end of day processing per EPIC policy.
* Follows Rehabilitation Services and/or CDH Policy and Procedure/Guidelines for scheduling new patient evaluations.
* Accurately identifies patient MRN to avoid duplication of records in system.
* Obtains and updates patient demographic, insurance and billing information.
* May independently access the Unscheduled Orders Work Queues on a daily basis (during normal business hours) and maintains departmental expectations (all new orders will receive initial phone call within 24 -48 hours).
* May independently monitor and maintain other assigned Rehabilitation Work Queues based upon registration.
* Follows Rehabilitation Services Guidelines and policies in regard to subsequent patient scheduling in order to maximize therapist productivity and time. (Effective use of wait list, scheduling of new evaluations, independently adding paperwork time in instances where a therapist is required to see a high number of new evaluations or has a backlog of documentation).
* May collect cash and credit card payments and ensures all payment collection and documentation meets current standards.
* Follows the necessary requirements for daily reconciliation and balancing.
* May independently manage therapist's monthly schedules/templates.
* Schedules meetings and huddles as requested by therapist or Senior staff member.
* Works with Senior to block scheduled PTO time and/or sick time appropriately.
* May independently make "new evaluation confirmation phone calls" to all new evaluations the day before the scheduled appointment and create "shadow charts" administering all associated paperwork for these patients.
* Completes order entry and evaluating orders.
* Determines when it is appropriate to consult with technician for interpretative purposes.
* Assists patients to obtain orders not in the EPIC system.
* Understanding of scanning: possesses thorough understanding of the scanning process. This understanding includes the user's ability to recognize registration and clinical documents and perform accurate indexing within the electronic record.
* Independently manages Rehabilitation Work Queue 3111 to monitor and maintain "visits not authorized" to ensure proper authorization is received in a timely manner.
* May assist in clinic set up/clean up including hot pack/cold pack machine cleaning and temp logs, eye wash log.
* Assists Manager/Senior Staff in monitoring charges via accessible Work Queues in EPIC. Independently makes corrections to pending Work Queue items with or without guidance from supervisor.
* Manages faxing documentation to insurance companies and/or physician offices for authorization and signatures for Plan of Care as appropriate.
* Works with Coding, Patient Accounts and Financial Clearance Center to ensure all patient accounts are registered accurately for timely billing and management of patient accounts.
Qualifications
Required:
* Two years' experience in front office with computer experience
* High School graduate
* Successful completion of EPIC training for scheduling and 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.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
$18.3-24.7 hourly 5d ago
Professional Billing Denials and Follow Up Representative
Northwestern Medicine 4.3
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 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
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 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.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
$33k-38k yearly est. 2d ago
Professional Billing Denials and Follow Up Representative
Northwestern Memorial Healthcare 4.3
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 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 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 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.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
$33k-38k yearly est. 13d ago
Professional Billing Denials and Follow Up Representative
Northwestern Memorial Healthcare 4.3
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 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 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 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.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
$33k-38k yearly est. 9d ago
Rehabilitation Patient Access Specialist-Full-time Days
Northwestern Medicine 4.3
Bloomingdale, 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?
Rehabilitation Services at Northwestern Medicine
is a collaborative, multi-disciplinary team within our growing, nationally recognized health system that provides world-class care at 10 hospitals and more than 200 locations in communities throughout Chicago, the suburbs and northern Illinois. Together with Northwestern University Feinberg School of Medicine, we are pushing boundaries in innovative care delivery, training the next generation of rehabilitation specialists, and pursuing excellence in patient care.
Rehabilitation Services
values building relationships with our patients and their families, understanding the needs of our clinical and non-clinical staff, and providing opportunities for professional development, mentorship, and program development. Our integration with hospitals and clinics across Northwestern Medicine make it possible for us to serve more patients, closer to where they live and work. While each of our locations has a unique story, Rehabilitation Services at Northwestern Medicine is unified under one mission -
Patients First.
Job Description
The
Rehabilitation Patient Access Specialist
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.
Performs department-based reception and clerical functions.
Responsibilities:
May act as a receptionist for the department, greeting staff and customers in a polite manner, and referring to appropriate staff when needed.
Answers department telephone calls in a polite manner, communicating messages appropriately and clearly to all staff members.
Is customer oriented and able to communicate and work effectively with all levels of staff and department customers.
Successfully takes on special projects as needed.
Utilizes critical thinking skills to successfully demonstrate the ability to prioritize and complete work quickly as the needs of the department change.
Coordinates all clerical work for the department with senior/clinical coordinator/manager/director as appropriate.
May coordinate with Senior/Clinical Coordinator/Manager/Director to process department invoices/purchase requests.
Maintains appropriate levels of all supplies for the department.
Independently manages the DAR (Department Appointment Report) in EPIC for the respective department.
Schedules, confirms, and reschedules patients for visits at Rehabilitation Services and its satellite locations.
Follows the necessary requirements of the department, which can include completion of questionnaires and coordination with other departments.
Appropriately schedules new evaluations and follow up appointments, cancellations, rescheduling and wait list.
Appropriately and efficiently "arrives" patients for process workflow.
Completes end of day processing per EPIC policy.
Follows Rehabilitation Services and/or CDH Policy and Procedure/Guidelines for scheduling new patient evaluations.
Accurately identifies patient MRN to avoid duplication of records in system.
Obtains and updates patient demographic, insurance and billing information.
May independently access the Unscheduled Orders Work Queues on a daily basis (during normal business hours) and maintains departmental expectations (all new orders will receive initial phone call within 24 -48 hours).
May independently monitor and maintain other assigned Rehabilitation Work Queues based upon registration.
Follows Rehabilitation Services Guidelines and policies in regard to subsequent patient scheduling in order to maximize therapist productivity and time. (Effective use of wait list, scheduling of new evaluations, independently adding paperwork time in instances where a therapist is required to see a high number of new evaluations or has a backlog of documentation).
May collect cash and credit card payments and ensures all payment collection and documentation meets current standards.
Follows the necessary requirements for daily reconciliation and balancing.
May independently manage therapist's monthly schedules/templates.
Schedules meetings and huddles as requested by therapist or Senior staff member.
Works with Senior to block scheduled PTO time and/or sick time appropriately.
May independently make "new evaluation confirmation phone calls" to all new evaluations the day before the scheduled appointment and create "shadow charts" administering all associated paperwork for these patients.
Completes order entry and evaluating orders.
Determines when it is appropriate to consult with technician for interpretative purposes.
Assists patients to obtain orders not in the EPIC system.
Understanding of scanning: possesses thorough understanding of the scanning process. This understanding includes the user's ability to recognize registration and clinical documents and perform accurate indexing within the electronic record.
Independently manages Rehabilitation Work Queue 3111 to monitor and maintain "visits not authorized" to ensure proper authorization is received in a timely manner.
May assist in clinic set up/clean up including hot pack/cold pack machine cleaning and temp logs, eye wash log.
Assists Manager/Senior Staff in monitoring charges via accessible Work Queues in EPIC. Independently makes corrections to pending Work Queue items with or without guidance from supervisor.
Manages faxing documentation to insurance companies and/or physician offices for authorization and signatures for Plan of Care as appropriate.
Works with Coding, Patient Accounts and Financial Clearance Center to ensure all patient accounts are registered accurately for timely billing and management of patient accounts.
Qualifications
Required:
Two years' experience in front office with computer experience
High School graduate
Successful completion of EPIC training for scheduling and 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.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
$31k-36k yearly est. 2d ago
Rehab Patient Access Specialist-Full-time Days
Northwestern Medicine 4.3
Sycamore, 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
Rehabilitation Patient Access Specialist
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.
Performs department-based reception and clerical functions.
Hours:
Monday - Thursday from 9:30am-6pm and Fridays 8am-4:30pm (subject to vary)
Responsibilities:
May act as a receptionist for the department, greeting staff and customers in a polite manner, and referring to appropriate staff when needed.
Answers department telephone calls in a polite manner, communicating messages appropriately and clearly to all staff members.
Is customer oriented and able to communicate and work effectively with all levels of staff and department customers.
Successfully takes on special projects as needed.
Utilizes critical thinking skills to successfully demonstrate the ability to prioritize and complete work quickly as the needs of the department change.
Coordinates all clerical work for the department with senior/clinical coordinator/manager/director as appropriate.
May coordinate with Senior/Clinical Coordinator/Manager/Director to process department invoices/purchase requests.
Maintains appropriate levels of all supplies for the department.
Independently manages the DAR (Department Appointment Report) in EPIC for the respective department.
Schedules, confirms, and reschedules patients for visits at Rehabilitation Services and its satellite locations.
Follows the necessary requirements of the department, which can include completion of questionnaires and coordination with other departments.
Appropriately schedules new evaluations and follow up appointments, cancellations, rescheduling and wait list.
Appropriately and efficiently "arrives" patients for process workflow.
Completes end of day processing per EPIC policy.
Follows Rehabilitation Services and/or CDH Policy and Procedure/Guidelines for scheduling new patient evaluations.
Accurately identifies patient MRN to avoid duplication of records in system.
Obtains and updates patient demographic, insurance and billing information.
May independently access the Unscheduled Orders Work Queues on a daily basis (during normal business hours) and maintains departmental expectations (all new orders will receive initial phone call within 24 -48 hours).
May independently monitor and maintain other assigned Rehabilitation Work Queues based upon registration.
Follows Rehabilitation Services Guidelines and policies in regard to subsequent patient scheduling in order to maximize therapist productivity and time. (Effective use of wait list, scheduling of new evaluations, independently adding paperwork time in instances where a therapist is required to see a high number of new evaluations or has a backlog of documentation).
May collect cash and credit card payments and ensures all payment collection and documentation meets current standards.
Follows the necessary requirements for daily reconciliation and balancing.
May independently manage therapist's monthly schedules/templates.
Schedules meetings and huddles as requested by therapist or Senior staff member.
Works with Senior to block scheduled PTO time and/or sick time appropriately.
May independently make "new evaluation confirmation phone calls" to all new evaluations the day before the scheduled appointment and create "shadow charts" administering all associated paperwork for these patients.
Completes order entry and evaluating orders.
Determines when it is appropriate to consult with technician for interpretative purposes.
Assists patients to obtain orders not in the EPIC system.
Understanding of scanning: possesses thorough understanding of the scanning process. This understanding includes the user's ability to recognize registration and clinical documents and perform accurate indexing within the electronic record.
Independently manages Rehabilitation Work Queue 3111 to monitor and maintain "visits not authorized" to ensure proper authorization is received in a timely manner.
May assist in clinic set up/clean up including hot pack/cold pack machine cleaning and temp logs, eye wash log.
Assists Manager/Senior Staff in monitoring charges via accessible Work Queues in EPIC. Independently makes corrections to pending Work Queue items with or without guidance from supervisor.
Manages faxing documentation to insurance companies and/or physician offices for authorization and signatures for Plan of Care as appropriate.
Works with Coding, Patient Accounts and Financial Clearance Center to ensure all patient accounts are registered accurately for timely billing and management of patient accounts.
Qualifications
Required:
Two years' experience in front office with computer experience
High School graduate
Successful completion of EPIC training for scheduling and 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.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
$31k-36k yearly est. 2d ago
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