Patient Service Representative and Insurance Verifier - Rehab Services

Hourly Pay Range:

$20.29 - $29.42 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Position Highlights:

• Position: Patient Service Representative and Insurance Verifier- Rehab Services
• Location: Arlington Heights, IL
• Full-Time, 40 hours/week
• Hours: 8 hours shifts - one closing shift (until 7:15pm), one opening shift (start 6:30am), one evening shift (until 6:00pm), Rotating Saturdays (every 6-7 weekends)
• Required Travel: No

Job Summary:

Under general supervision and according to established policies and procedures, responsible for providing out-patient, rehabilitation patients with timely and accurate pre-registrations, registrations, order management, charge capture, and medical information systems. Collects, analyzes and records demographic, insurance/financial and clinical data from multiple sources and obtains other information and signatures necessary for the above processes. Screens for third-party eligibility and enters medical necessity coding to ensure accurate payment is secured. Interacts in a customer-focused manner to ensure the needs of patients and their families are met.

What you will do:

• Performs patient registration functions in a courteous and professional manner according to established policies and procedures.
• Greets and registers patients.
• Collects and analyzes all required data necessary to pre-register and register patients. Interacts with patients, their representatives, employers and others in person or over the telephone, and reviews new and previously recorded information. Analyzes and electronically records data and processes transactions into the hospital computer system. Follows HIPAA, payer and other applicable regulations and standards for registration.
• Uses on-line physician ordering systems to retrieve and interpret physician orders/HMO authorizations for service and/or appointment schedules, enters appropriate codes into computer system. Contacts physicians or physician office staff for additional clinical information.
• Explains, secures and witnesses all required signatures. Completes the Medicare Secondary Payer (MSP) questionnaire when applicable.
• Scans insurance cards, IDs, insurance referrals and authorizations, consents, physician orders, HIPAA, Medicare Advance Beneficiary Notice and other regulatory paperwork into hospital’s document imaging system. Prepares required forms, documents and reports including labels, medical record forms, Medicare ABN and other special documents. Produces and distributes these as appropriate.
• Escorts patients to and from treatment areas as needed.
• Processes generated paperwork. Assembles and disassembles patient charts as required and prepares charts for Medical Records pick-up. Scans medical records in accordance with the guidelines set by Medical Records Department.
• Prepares and maintains logs and reports of various data of patient registrations.
• Converts to manual processes and procedures for scheduled and unscheduled computer system downtimes, organizes and maintains all data to ensure a prompt and accurate recovery.
• Reconciles daily cash receipts with the day’s cash activity, credit card journal report and computer cash drawer.
• Attends mandatory staff meetings, maintains familiarity with all memos, emails and pertinent information regarding policy and procedure updates retaining them for future reference, understands changes and incorporates them into personal routines. Communicates with Supervisor or Director any problems or questions pertaining to duties and established policies and procedures or, prior to implementation, to any revised protocols.
• Receives, properly responds to, or redirects telephone, electronic, and in-person inquiries from patients, their representative, payers, physicians and their staff, internal departments, and other persons and entities. Diffuses tense situations, problem solves, keeps situations from escalating, has a calming effect on all external and internal customers. Maintains confidentiality of patient’s personal health information
• Performs related duties as assigned including, but not limited to, filing, assisting patients to complete the computerized rehab outcome database, sorting mail, photocopying information, replenishing supplies and organizing/cleaning/disinfecting work area before shift completion, and performing next day set-up, including appointment confirmation, pre-registrations, and chart prep.
• Assists and contributes to the training of new employees
• Accepts and completes special assignments, projects and other duties as required or assigned under the supervision of the Supervisor, Manager, or Director.
• Ability to maintain flexible work schedules including weekends and multiple registration locations

What you will need:

• Education: High School diploma or GED required. Associates Degree Preferred.
• Certification: Valid driver’s license is required if the incumbent is selected to perform related duties at an off-site location. If incumbent uses their personal vehicle, the incumbent must maintain automobile liability coverage as required by law and evidence of such coverage may be requested.
• Experience: Minimum of one to two years of registration, scheduling, or customer service experience in a healthcare setting preferred.
• Unique or Preferred Skills:
• Knowledge of health insurances, medical terminology and anatomy preferred.
• Strong data entry and keyboarding skills preferred.
• Knowledge of Microsoft Office Suite preferred. Manual dexterity to operate various office machines required.
• Basic level of analytical ability is required in order to read and understand simple instructions, enter date into logs, charts, and records, maintain files and the like.
• Significant level of interpersonal and verbal communication skills are required in using tact and sensitivity to conduct interviews for the exchange of information on factual matters, understand and transmit instructions, and interact with patients, physician offers, various administrators, other hospital personnel and external contacts.
• Work is performed in accordance with detailed hospital and department policies and procedures but it does require technical knowledge or in-depth, experience-based knowledge in order to analyze and interpret information.

Physical Demands:

Work requires the ability to walk or stand for an hour or extended periods at a time, lift or carry objects weighing more than 20 pounds, push or pull supply carts, gurneys or wheelchairs, closely examine images or reports, proofread and check documents for errors, use a keyboard to enter, retrieve or transform words or data.

Benefits (For full time or part time positions):

• Eligibility for our Annual Incentive Plan, which offers the potential to earn a certain percentage amount of your base salary based on organizational performance. (For AIP eligible positions)
• Premium pay such as shift, on call, holiday and more based on an employee’s job (For eligible positions)
• Incentive pay for select positions
• Opportunity for annual increases based on performance
• Career Pathways to Promote Professional Growth and Development
• Various Medical, Dental, Pet and Vision options
• Tuition Reimbursement
• Free Parking
• Wellness Program Savings Plan
• Health Savings Account Options
• Retirement Options with Company Match
• Paid Time Off and Holiday Pay
• Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.  

When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to “help everyone in our communities be their best”. 

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

At Endeavor Health, we are united by a shared commitment to working together to create a culture of connection and belonging—each of us bringing different skills and experiences as we deliver safe, seamless, and personal care. Every person, every time. We are committed to fostering an environment where all team members can be their best, learn, and pursue excellence together.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.