Assists with other tasks to support the clinical department as determined by the Manager of Patient Access. Contacts clinical departments and scheduling staff as needed to assist in promoting the efficient flow of patients and prioritization of service scheduling and admissions. Assists patients with way finding and transport needs. May perform as a patient receptionist/greeter. May do basic precepting for new hires and acts as a resource team member for performance improvement activities and a super user for various registration and scheduling related systems. Notifies clinical department of patient’s arrival. Prepares all required patient registration forms, documents, charts and reports, labels, patient plates, identification bands, medical records forms, and other related documents for distribution to appropriate departments, physicians and clinical staff. Collaborates with physician offices to check-in appointments and schedule tests post-physician office visits at offsite NCH locations. Explains patient prep and way finding instructions to patient. Identify and assign electronic educational programs for scheduled services. Log cash collected receipts and maintain balanced cash at all times.Ĭoordinates scheduling of service areas for patients requiring multiple tests. Resolve all work queues within Department standards determined time period to release bill holds to ensure timely reimbursement. Maintain registration accuracy by meeting or exceeding expectations with 97% or higher accuracy score. Meet monthly cash collection goals as determined collaboratively by Department Director/Manager. Utilize estimator to determine financial responsibility and attempt to secure all financial responsibility prior to the date of service. Proficient in the use of CPT and ICD codes, and utilizes online payer resources. Communicates effectively with service delivery areas when unresolved financial issues impact appointment schedules. Provides support to primary care practices and specialty care providers regarding utilization, authorization and referral activities. Maintains current knowledge of insurance requirements communicated by email, memorandum, educational matrices and in-services. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas. Collaborate with internal and external customers to provide timely resolution to third party payer requirements prior to date of service. Identify clinical and financial criteria that require involvement of Case Management team or Financial Counseling. Refers patients to Financial Counselors for identification of financial assistance options. Reviews physician’s orders for compliance with the Illinois Department of Public Health (IDPH), and the Center for Medicare & Medicaid Services (CMS) regulations and NCH and medical staff office policies.Įnsures financial protocols and requirements are met. Streamlines check in process for patient previously pre-registered and appropriately updates the account for changes identified upon arrival. Initiates the Medicare Advance Beneficiary Notice (ABN), as appropriate, and explains payer policies to patients. When applicable, completes the Medicare Secondary Payer (MSP) questionnaire and discusses potential deferral of services according to NCH policy. Informs patients of registration processes and privacy notification, establishes financial responsibility to meet internal, regulatory or payer requirements. Interpret physician orders for completeness and compliance with regulatory agencies and NCH policies. Obtain and submit National Provider Identification (NPI) for providers not on staff ordering outpatient diagnostic tests. Obtains and scans general consent for treatment, identification and insurance cards, Coordination of Benefits and other appropriate documents. Offers and/or schedules interpreter services for patients when necessary. Interacts with patients and their representatives to collect and interpret all required demographic, insurance, financial, and clinical data necessary to facilitate patient check in and registration at point of service.
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