Patient Access Representative ll

Presence Health is the largest Catholic health system based in Illinois. We offer a full continuum of care from childbirth to retirement living. We believe in a hands-on, personal approach – treating people, not charts.

The Patient Access Representative II performs registration and admission functions to provide information to maximize reimbursement, achieve collection ratios, and meet accounts receivable (AR) goals. Provides information to all other providers and users of patient data. Performs other Patient Access functions, such as bed control and insurance verification as needed and ensures that the patient meets financial and insurance requirements.

* Registers, pre-registers, and admits all patient types, specific assigned Presence Health facility/department, while pushing Workstation on Wheels and bending to assist and push patients in wheelchairs. Maintains department productivity, accuracy, and quality assurance standards while performing these duties. Ensures data is entered accurately for all patient demographic and insurance information. Completes all required legal documents, and obtains and scans all other related documents. * Performs cash collection functions, patient pricing estimates, admission, and discharge and transfer functions. * Ensures that financial protocols and requirements are met while providing access to service at Presence Health facilities by reviewing account documentation. Maintains and applies current knowledge of insurance requirements when verifying eligibility and confirms authorization is secured prior to forwarding patients to service delivery areas; escalates unsecure financial accounts to management. * Seeks assistance from Financial Counselors when needed to maintain patient flow while resolving financial issues and ensuring financial clearance of account. Provides information and assistance to patients to ensure they understand the Financial Assistance policy and application process. Provides Financial Assistance applications to all uninsured patients. * Communicates with service delivery and other departments to resolve issues that impact patient services and schedules and escalates patient service issues that cannot be resolved in accordance with departmental guidelines.

**Education and/or Experience** * High school graduate or GED is required. * Minimum three years of work experience in a related customer service setting is required. * Minimum one year previous experience in a hospital admissions/business office and/or physician’s office setting with knowledge of medical terminology is required. * Must be able to accurately type 25 words per minute. * Internal candidates must have successfully completed and passed internal competency examinations to demonstrate understanding of Patient Access Services functions, and be free from performance improvement or corrective action plans in the prior 6 month period. **Computer Skills** * Proficient in Microsoft Office software and admissions software systems. **Certificates, Licenses, Registrations** * Must pass internal competency examinations to demonstrate understanding of Patient Access Services functions within 45 days of hire.