Endeavor Health
Healthcare
PatientServiceRepresentative-Pediatrics
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Patient Service Representative - Pediatrics at Endeavor Health. Skills: Patient registration, Financial functions, Data collection. Provide timely and accurate pre-registrations. Provide timely and accurate registrations”
Industry & Context.
Root cause analysis; Troubleshooting
Travel to other sites, Rotating Saturdays, Rotating Saturdays 8am – 12pm, Rotating Saturdays 8am – 12pm
What They're Looking For.
Must Have
Knowledge of physical and psychological needs of patients, Ability to respond appropriately to patient needs, Follows HIPAA, EMTALA, payer and other applicable regulations, Valid driver’s license required for off-site duties
Nice to Have
Bilingual skills
What You'll Do.
Provide timely and accurate pre-registrations
Provide timely and accurate registrations
Provide timely and accurate order management
Provide timely and accurate charge capture
Provide timely and accurate cash collection
Provide timely and accurate medical information systems
Collect demographic data
Analyze demographic data
Record demographic data
Collect insurance/financial data
Analyze insurance/financial data
Record insurance/financial data
Collect clinical data
Analyze clinical data
Obtain necessary information
Obtain necessary signatures
Screen for third-party eligibility
Enter medical necessity coding
Interact in a customer-focused manner
Ensure patient needs are met
Ensure families' needs are met
Explain hospital's revenue cycle expectations
Resolve personal liabilities
Demonstrate knowledge of patient age-specific needs
Demonstrate skills of patient age-specific needs
Collect required data for pre-registration
Analyze required data for pre-registration
Collect required data for registration
Analyze required data for registration
Interact with patients
Interact with patient representatives
Interact with employers
Review new recorded information
Review previously recorded information
Electronically record data
Process transactions into hospital computer system
Follow HIPAA regulations for registration
Follow EMTALA regulations for registration
Follow payer regulations for registration
Follow other regulations for registration
Use on-line physician ordering systems
Retrieve physician orders for service
Interpret physician orders for service
Retrieve physician orders for appointment schedules
Interpret physician orders for appointment schedules
Enter appropriate accommodation codes
Enter appropriate test codes
Contact physicians for additional clinical information
Contact physician office staff for additional clinical information
Clarify physician orders
Obtain physician orders for inpatient admission
Obtain physician orders for outpatient testing
Explain required signatures
Secure required signatures
Witness required signatures
Complete Medicare Secondary Payer questionnaire
Update billing information in accounts
Scan insurance referrals
Scan physician orders
Scan Medicare Advance Beneficiary Notice
Scan other regulatory paperwork
Prepare required forms
Prepare required documents
Prepare required reports
Produce required forms
Produce required documents
Produce required reports
Distribute required forms
Distribute required documents
Distribute required reports
Coordinate daily in-patient admissions
Coordinate bed placement
Notify appropriate nursing units of pending admissions
Maintain records for census control
Process generated paperwork
Match registration information with standard admission forms
Submit paperwork to appropriate nursing unit
Submit paperwork to appropriate department
Disassemble patient charts
Prepare logs of patient registrations
Prepare reports of patient registrations
Convert to manual processes for computer system downtimes
Convert to manual procedures for computer system downtimes
Organize data for recovery
Maintain data for recovery
Perform daily midnight census verification
Communicate with in-patient units
Receive written confirmation of admissions
Follow up with non-compliant units
Ensure data is received
Ensure data is reconciled
Update hospital computer system
Ensure match of patient statistics
Guarantee correct room and board charges are posted
Review physician orders against insurance payer coverage
Review physician orders against medical necessity criteria
Use insurance screening software
Determine if services meet third-party requirements
Explain insurance payer policies to patients
Obtain missing financial documentation for inpatients
Initiate electronic inquiries to insurance payers
Initiate electronic inquiries to claim administrators
Record appropriate data
Enter appropriate data electronically
Analyze available documentation
Use software to calculate expected charges
Explain expected charges to patients
Calculate amount expected from insurance payer
Explain amount expected from insurance payer to patients
Calculate amount owed by patient
Explain amount owed by patient to patients
Negotiate acceptable resolution of expected patient balance
Refer unsuccessful negotiations to Financial Counselor
How You'll Work.
Team & Collaboration
Coordinate with clinical staff; Coordinate with other staff
Communication Scope
Explain payment options
Full Job Description
**Hourly Pay Range:** $18.38 - $26.65 - 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 * Location: Chicago, IL * Full Time/Part Time: Full Time * Hours: Monday-Thursday 7am – 7pm, Fridays 7am – 5pm with rotating Saturdays between 8am – 12pm * Required Travel: Travel to other sites based upon department need **A Brief Overview:** Under general supervision and according to established policies and procedures, responsible for providing in-patient, out-patient, emergency room, immediate care and same day surgery patients with timely and accurate pre-registrations, registrations, order management, charge capture, cash collection functions 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 and that they understand the hospital's revenue cycle expectations, including resolution of personal liabilities through various payment options. **What you will do:** * Demonstrates the knowledge and skills necessary to provide care appropriate to the age of patients served. This includes knowledge of the physical and psychological needs of patients served and the ability to respond appropriately to those needs. * 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, including in treatment and hospital inpatien
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