Location: Peoria,IL, USA
Essential Functions
Counsels patients via phone or in person, reviews patient's previous accounts for outstanding balances, and financially counsel patients on all options of payments.
Monitors and works, on a daily basis, all self-pay accounts from assigned work queues
Assess patients financial/insurance information in order to determine insurance eligibility
Follow up with the Department of Human Services and all other Public Agencies regarding application process
Reviews Department of Human Services decisions for enrollment in applicable states; ensures all follow-up has been completed for the patient
Completes and submits Medicaid for patients that may potentially qualify in a timely and accurate manner
Facilitates Medicaid patient's documents for non-universal charity eligibility sent to the CBO
Explains payment options, Carle collection processes and accepts payments directly from inpatient and all patients from both the hospital and clinics
Updates patient Medicaid information in Epic and communicates changes to appropriate parties
Assist Patient Registration in the registration process of patients
Department Specific Job Function
Interact in a professional and compassionate manner to ensure patients and their representatives needs are met and that they understand the hospital's financial policy.
Increases Carle Health staff communications, accuracy, productivity, cohesiveness and continuity system wide while improving direct communication with the CBO regarding patient's financial obligations
The PFC assesses patient's financial and insurance information in order to determine Medicaid, or other Community Resources. Facilitates the actual insurance enrollment processes; manages accounts that require a detailed, large scope analysis of payment/insurance options in order to secure reimbursement. Receives account referrals from Pre-access, Patient Access, CBO and others for high deductible, out-of-pocket expenses, unresolved or pending claims and other financial risk issues.