Job Posting: Apr 13, 2019, 12:39:15 AM Closing Date: Apr 27, 2019, 4:59:00 AM Full-time Shift Start Time: 8:00 A.M. Shift End Time: 4:00 P.M.
Collective Bargaining Unit: AFSCME 1178 Health and Hospital Systems Posting Salary: $15.851
Organization: Health and Hospital Systems
Under the direction of the System Manager of Patient Access, Pre-Processing, collects information to preregister patients, verifies insurance and/or other payment sources for all outpatient-related services, including same day procedures and other ambulatory and hospital-based outpatient services. Identifies and determines order of priority for coordination of benefits (COB). Responds to customer concerns and reports status to Supervisor or Manager.
The pre-registration specialist's role helps to avoid implications of incomplete preregistration/insufficient staffing. Such implications include, but are not limited to, inability to locate the patient file in the system and/or submit a request for pre-certification, non-submission of claims for processing, and payment discounts and/or timely filing denials.
Utilizes electronic reports and/or schedules to identify patients needing to be preregistered for admission and same day surgery, in addition to any outpatient and/or ancillary services
Contacts patients via telephone to preregister at least 5-7 days prior to schedule appointments
Completes initial screening of self-pay patients to determine eligibility for financial assistance of hospital-based outpatient services
Acquires all essential demographic and insurance information needed for processing and pre-registration purposes
Identifies procedures that require pre-certification and subsequently notifies the appropriate department.
Utilizes eligibility vendor, or other electronic communication media to verify benefits
Identifies and determines order of priority for coordination of benefits (COB)
Updates Patient Management System with all insurance coverage updates; classifies the patient account with the appropriate coverage
Makes appropriate notes documenting the reason patient information may be missing from the file
Responds to customer concerns in a timely and professional manner and reports all developments or outcomes to System Manager of Patient Access, Pre-Processing
Answers all incoming phone calls in an efficient and courteous manner
Adhere to HIPAA standards and complies with patient confidentiality policies for the retention of patient information, handling, distribution or disposal of patient health information
Adheres to key performance indicators (KPI's) to meet departmental and organizational pre-registration goals
Communicates with supervisors, managers, and patients daily; physicians, administrative and clinical staff members occasionally
Performs other duties as assigned by the department System Manager of Patient Access, Pre-Processing
High School diploma or GED equivalent is required (must provide proof at time of interview)
Three (3) years of experience in patient access or patient registration in a health care setting is required
One (1) year of data entry experience is required
Prior call center experience
Knowledge, Skills, Abilities and Other Characteristics
Knowledge and understanding of Federal, State and local healthcare regulations
Knowledge of Microsoft Office Suite, registration and eligibility system
Strong customer service and empathy skills
Demonstrates good computer and typing skills
Demonstrate good phone and email etiquette skills with strong response times
Excellent verbal and written communication skills necessary to communicate with all levels of staff and a patient population composed of diverse cultures and age groups
Strong mathematical skills
Ability to follow HIPAA standards and comply with patient confidentiality policies
Ability to prioritize, plan, and organize projects and tasks
Ability to multi-task and meet quotas and deadlines in a fast paced and stressful environment
Ability to adhere to department policies and standards utilizing best practices
Ability to make competent professional judgments and decisions
Understanding of the formal and informal organization structure
Demonstrates a desire and willingness to maintain and upgrade professional skills and education
Demonstrate analytical and organizational, problem-solving, critical thinking, and conflict management/resolution skills
Demonstrate attention to detail, accuracy, and precision
This position requires various types of physical exertion with the use of hands, legs, and fingers including but not limited to lifting, twisting, turning, reach above shoulder, reach outward, standing, walking, bending, prolonged sitting, operating office equipment and other devices or carrying light weigh
When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service
To take advantage of this preference a Veteran must :
· Meet the minimum qualifications for the position.
· Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question,
ABOUT COOK COUNTY HEALTH (CCH)
The Cook County Health’s mission is to deliver integrated health services with dignity and respect regardless of a patient’s ability to pay; foster partnerships with other health providers and communities to enhance the health of the public; and advocate for policies that promote the physical, mental and social wellbeing of the people of Cook County.
CCH is comprised of two hospitals, John H. Stroger, Jr. Hospital and Provident Hospital, a robust network of more than a dozen community health centers, the Ruth M. Rothstein CORE Center, the Community Triage Center, the Cook County Department of Public Health, Cermak Health Services, which provides health care to individuals at the Cook County Jail and the Juvenile Temporary Detention Center, and CountyCare, a Medicaid managed care health plan.
The system cares for more than 300,000 patients each year and its physicians are experts in their fields, committed to providing their patients with comprehensive, compassionate and cutting-edge care. Today, CCH is transforming the provision of health care in Cook County by promoting community-based primary and preventive care, growing an innovative, ...collaborative health plan and enhancing the patient experience.
COOK COUNTY HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER