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Patient Access Financial Service Specialist - Full Time

Company: Aurora Health Care
Location: Oak Lawn
Posted on: January 9, 2022

Job Description:

Position Requirements:High school diploma.3-4 years experience in Registration or Scheduling in a healthcare environment.CHAA Certification (within 1 year)Ability to recognize the needs and behaviors of a variety of age groups of patients treated, i.e., lookfor signs of normal aging, prior experience with various age groups is preferred.Knowledge of general office equipment (computer, printer, fax, copiers, multi-line phone, etc.)Knowledge of medical terminology preferred.Ability to multitask and perform in a flexible manner.Be able to work under pressureMust demonstrate a high level of customer service awareness and strong commitment to fulfilling customer needs.Ability to organize, prioritize and problem solve.Ability to read, writes, speak, and follow oral and written instructions.Proficiency use of PC Typing 35+ wpm, preferredMust be able to perform physical tasks change printer paper bending and reaching for supplies ability to tolerate prolonged sitting ability to travel to offsite locations.If position has direct patient care or direct patient contact the following lifting requirement supersedes any previous lifting requirement effective 06/01/2015. Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting/movement situations will be assessed on a case-by-case basis.Purpose:Responsible for all aspects of accurate and timely initiation of front-end revenue cycle requirements including but not limited to: Scheduling, insurance eligibility and benefit verification prior to patient admissions/service pre-admission registration verification and/or set up of patient data pre-certification of services from payers and providing patient estimated cost of service. Functions as a liaison between ACMC (including off campus facilities) and Hope Children's Hospital Central Scheduling and all third party payers and related organizations, including, patient's employer medical benefits personnel, other hospitals, physicians, patients, and patient family members and other ancillary departments at ACMC (including off campus facilities) and Hope Children's Hospital and in the Advocate System. Ensures compliance with Medicare medical necessity screening and ACMC (including off campus facilities) and Hope Children's Hospital payment policy including collection at time of service and compliance with all payer requirements for coverage.Accountabilities:Responsible for ACMC (including off campus facilities) and Hope Children's Hospital 29 total modalities for scheduling, pre-registration of patients to expedite patient flow and complete all necessary financial screening to ensure prompt patient payment.Acquires and maintains knowledge of all Medicare and Medicaid rules and regulations, Managed Care and PPO contract terms, Blue Cross/Blue Shield rules and regulations, and all other rules and regulations pertaining to ACMC's specific payer relationships.Other Departmental Expectations:Explains the hospital's credit and collection policies and payment policies and options to the patient or responsible party.Accountable for accurate and timely verification of insurance eligibility benefits for scheduled outpatient procedures.Operate Active Fax thru Active Dashboard according to Department protocols. Approximately 78,000 annually.Addendum:ADDENDUM TO JOB DESCRIPATIENTIONS RELATED TO PATIENT SAFETYReport patient safety events and near misses in timely fashionAdhere to all behavioral and procedural patient safety practicesPromote culture of safety through identifying threats to patient safety and intervening t

Keywords: Aurora Health Care, Oak Lawn , Patient Access Financial Service Specialist - Full Time, Other , Oak Lawn, Illinois

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