Job Description
Patient Services Representative
Job Number: 26-01489
Job Number: 26-01489
Progress on your journey to success! ECLARO is currently recruiting for a Patient Services Representative in the Oak Park, IL area for one of our clients.
ECLARO’s client is a leading provider of healthcare workforce software and solutions. If you’re up to the challenge, then take a chance at this rewarding opportunity!
Position Overview:
- The Admissions Registration Specialist is responsible for reviewing patient registration for all types of admissions and elective procedures to ensure patient and guarantor demographic and insurance information is complete and current with each patient visit.
- The Admissions Registration Specialist will assist patients with understanding their insurance options and collecting patient financial responsibilities.
- The Admissions Registration Specialist will perform all functions in a courteous and respectful manner, advocating for the patient's best interest and wellbeing.
- Exemplifies the Client mission, vision and values and acts in accordance with Client policies and procedures.
Responsibilities
- With a high degree of accuracy collects, verifies and enters into Epic the patient's demographic, employer, financial, emergency contact, insurance, subscriber and case-specific information, such as referring physician and diagnosis.
- Consistently has patient sign and scan all necessary documents for completion of the admission process; consent, ID, insurance card, MIMS, OBS, COB, etc.
- Consistently and accurately obtains and interpret the patient's insurance benefits and possess the ability to communicate this information accurately to the patient and co-workers.
- Has the ability to determine the patient's financial obligation and communicate this information accurately and with respect to the patient.
- Performs registration functions consistent with Federal, State and Local regulatory agencies and payer requirements, and organizational policies and procedures, including HIPAA privacy and security Regulations, as well as JACHO.
- Upon decision of patient's admission, has the knowledge and skill to perform the admission notification (NOA) process which is a required communication with the patient's payer to ensure that the payment for patient's inpatient stay is secured.
- Appropriately informs the patients of hospital policies that govern the revenue cycle. Minimizes the potential financial risk of patients accounts by discussing with the patient and/or guarantor their financial responsibility for upcoming visits/procedures, past due balances and referral requirements. Offers options and negotiates acceptable resolution of estimated patient balance.
- Receives and properly responds to, or directs telephone inquiries from patients, payers, physicians and their staff, internal department and other persons and entities.
- Ability to exercise good customer service skills when communicating with both our patients as well as our internal customers.
- Able to find resolution within the phone interaction satisfactory to the caller and/or having the knowledge when to escalate to their supervisor.
- Interacts and collaborates with numerous departments to resolve issues while also analyzing necessary information that will ensure hospital reimbursement.
- Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Client's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
- Guards to assure that HIPAA confidential medical information is protected.
- Attends regular EPIC training sessions or other sessions conducted for the benefit of associates involved in the Admitting functions.
- Other duties as needed and assigned by the supervisor/manager.
Required Qualifications:
- High school graduate or equivalent.
- 0-1 year of experience Must have a basic understanding of the core Microsoft suite offerings (Word, PowerPoint, Excel).
- Excellent communication and outstanding customer service and listing skills.
- Basic keyboarding skills Critical thinking, sound judgment and strong problem-solving skills essential.
- Team oriented, open minded, flexible, and willing to learn
- Strong attention to detail and accuracy required Ability to prioritize and function effectively, efficiently, and accurately in a multi-tasking complex, fast paced and challenging department.
- Ability to follow oral and written instructions and established procedures
- Ability to function independently and manage own time and work tasks
- Ability to maintain accuracy and consistency
- Ability to maintain confidentiality
Preferred Qualifications:
- Associates Degree in Accounting or Business Administration
- Experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service.
- Knowledge of insurance and governmental programs, regulations, and billing processes e.g., Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc., managed care contracts and coordination of benefits is highly desired.
- Working knowledge of medical terminology and anatomy and physiology is preferable.
Pay Rate: $25.66/Hour
Shift: Mid 5x8-Hour (15:00 - 23:30); Duration: 26 weeks
If hired, you will enjoy the following ECLARO Benefits:
- 401k Retirement Savings Plan administered by Merrill Lynch
- Commuter Check Pretax Commuter Benefits
- Eligibility to purchase Medical, Dental & Vision Insurance through ECLARO
If interested, you may contact:
Maria Navarro
maria.navarro@eclaro.com
5137250112
Maria Navarro | LinkedIn
Equal Opportunity Employer: ECLARO values diversity and does not discriminate based on Race, Color, Religion, Sex, Sexual Orientation, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status, in compliance with all applicable laws.
Numbers & Facts
| Location | Oak Park, IL |
| Industry | Staffing/Employment Agencies |
| Salary | $25.66 Per Hour |
| Company Size | 500 to 999 employees |
| Year Founded | 1999 |
| Website | http://www.eclaroit.com |
About Company
Eclaro is a Business and Technology Consulting Firm that connects top talent with opportunities nationwide. We have direct access to Hiring Managers from leading Fortune 1000 organizations in almost every industry segment, with particular expertise in:
• Technology and Business Consulting
• Financial Services and Insurance
• Pharmaceuticals and Life Sciences
• Consumer Products, Public Sector, and Utilities
Eclaro provides fully customizable, comprehensive talent acquisition and management of seasoned professionals through a number of business models, including:
• Consulting
• Professional Hiring
• Global Integrated Delivery™
• Managed Services
Eclaro recruits and manages a staff of highly skilled individuals in an array of specialized disciplines enabling our clients to leverage new opportunities, respond to increased and changing demands, and increase their profitability.
Eclaro’s Management Team averages over 25 years of experience in partnering with clients in technical, corporate operations and human capital solutions. We hold ISO 9001:2008 certification and have achieved SOC 2 Type 2 certification in Security, Availability and Confidentiality. Eclaro’s decades of expertise and collaborative practice have proven that The Right People are The Answer.
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Skills
- Accountingunmatched
- Anatomyunmatched
- Billingunmatched
- Business Administrationunmatched
- Claims Processingunmatched
- Communication Skillsunmatched
- Customer Support/Serviceunmatched
- Demographicsunmatched
- Dental Insuranceunmatched
- Detail Orientedunmatched
- Diversityunmatched
- Environmental Healthunmatched
- Epic Systemsunmatched
- Establish Prioritiesunmatched
- Federal Laws and Regulationsunmatched
- Financial Managementunmatched
- Financial Riskunmatched
- Financial Servicesunmatched
- Geneticsunmatched
- Government Regulationsunmatched
- HIPAA (Health Insurance Portability and Accountability Act)unmatched
- Health Insuranceunmatched
- Healthcareunmatched
- Healthcare Providersunmatched
- Healthcare Softwareunmatched
- High School Diplomaunmatched
- Hospitalunmatched
- Insuranceunmatched
- Managed Careunmatched
- Medicaidunmatched
- Medical Recordsunmatched
- Medical Terminologyunmatched
- Medical Treatmentunmatched
- Medicareunmatched
- Microsoft Excelunmatched
- Microsoft PowerPointunmatched
- Microsoft Product Familyunmatched
- Microsoft Wordunmatched
- Multitaskingunmatched
- Needs Assessmentunmatched
- Negotiation Skillsunmatched
- Patient Careunmatched
- Patient Registrationunmatched
- Physiologyunmatched
- Presentation/Verbal Skillsunmatched
- Privacy Controlsunmatched
- Problem Solving Skillsunmatched
- Procedure Developmentunmatched
- Procedure Implementationunmatched
- Regulationsunmatched
- Regulatory Complianceunmatched
- Reimbursementunmatched
- State Laws and Regulationsunmatched
- Team Playerunmatched
- Typingunmatched
- Vision Planunmatched
- Writing Skillsunmatched
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