Business Service Rep - Clinic

Overview: Responsible for obtaining registration information, insurance information and verification from new andestablished 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 onthe telephone and face-to-face and to ensure that needs of patients are met. Checks patients in upon their arrival forscheduled 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. Responsibilities: 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. Qualifications:

Certifications: , Education: Associates degree or experience in lieu of education , Work Experience:1yr of customer service experience 

Carle Health Company Overview:

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Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

 

Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: [email protected].

Salary Range: The compensation range for this position is $17.67per hour - $28.63per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.