Location: Olney,IL, USA
* Confirms patient identification, register/check-in patients upon their arrival for scheduled and walk-in appointments/visits, transcribe orders, answer phone calls, and direct patients as needed.
* Competent in telephone system, takes and delivers messages to physicians, nurses and others. Reports medical information obtained from patients and referring physicians accurately, completely and in a timely manner. Distributes all messages according to practice communication standards.
* Manage all incoming patient care requests related to in-basket activities, referrals, work que activity, and incoming telephone calls.
* Requests, locates, sends, receives, and scans patient medical records as needed.
* Receives and posts co-payments as identified by third-party payers or patient insurance cards. Maintains cash drawers and balances according to procedures.
* Performs insurance eligibility verification by using Real Time Eligibility (RTE) for payer information when possible. Understands terms and information listed on RTE reports.
* Proficient with insurance coverage rules. Proficient with coverage and rules that apply to eligibility, network coverage, and benefits.
* Interviews and identifies patients with the potential for financial hardship and/or without third-party coverage and works with the patient for resolution. Provide essential information regarding Carle's Financial Assistance Program or payment arrangements.
* Accurately explains and completes registration and admitting forms. Obtains signatures from patients and policyholders. Explains and gets patient signatures for Consents, Assignment of Benefits, ABN's and Notice of Non Coverage forms.
* Completes Medicare Secondary Payer (MSP) form in accordance with Medicare laws. Follows up on necessary information.
* Understands computer applications common to the desk areas.
* Successful completion of mandatory EPIC and insurance training and ongoing competency refreshers.
Responsible for obtaining registration information, insurance information and verification, and authorizations from new and established patients. Responsible for screening, scheduling and directing patients to appropriate providers and services. Conveys a positive image of Carle and providers information to patients to fully utilize and benefit from Carle services both on the telephone and face-to-face and to ensure that needs of patients are met. Checks patients in upon their arrival for scheduled appointments and facilitates up-front collection of co-payments.Richland Ambulatory Business Service Rep Areas: All Primary and Specialty Care Clinics in the Carle Health South Service Area