Patient Access Specialist - Marianjoy, Casual, Days

Northwestern Medicine Wheaton , IL 60189

Posted 1 month ago

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, youll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?

Description

Pre-Admission/On boarding of potential patients

  • Partners with Referral Liaisons, Physicians, Insurance Verification, Bed board coordinator, and other members of the interdisciplinary team to ensure necessary documentation is collected for potential admissions as required by Medicare guidelines and hospital policy. This includes utilization of systems such as All scripts and Right Fax for receipt of this information.

  • Completes Meditech data entry applying appropriate Rehab Impairment Code (RIC) and medical diagnosis as obtained through review of information provided to them by Referral Liaisons. Forwards this information to appropriate hospital personnel.

  • Enters planned admission date into Meditech and updates the scheduling system.

  • Enters Referred Not Admitted data into meditech.

  • Collects accurate demographic and financial data.

  • Advises patient/family of inpatient requirements (i.e., items to bring, visiting hours, etc.) as requested

  • Prepares final admission packet and brings to the nursing units.

  • Works with Patient Financial Services Department and Insurance Verifier to provide new patients with communication regarding payer source, benefits, and services.

  • On an as needed basis, assists with benefit eligibility check and preliminary insurance on-line opens.

  • Partners with Tour Ambassador to provide hospital tours to potential patients and families as needed.

Admission

  • Greets new patients within in the first days of admission.

  • Assists new patients with completion of Admissions paperwork. When necessary contacts and obtains signature from designated power of attorney.

  • Makes follow-up calls for missing signatures and / or documentation as needed.

  • Provides patient with general orientation of hospital and services including appropriate hospital policies and practices.

  • Secures or confirms receipt of necessary financial documentation (i.e., insurance cards, Community Care application, MSP, liability information, etc.

  • Scans documents into patients' electronic file On Base system. Obtaining hardcopy information when necessary.

  • Verifies Medicare Replacement policies via ECare and updates Meditech as appropriate

  • Assist in investigating insurance discrepancies discovered from patient or family member during admission process. Documents corrections and/or additions in the medical record.

Clerical/Administrative Support

  • Answers, screens and directs telephone calls.

  • Greets department visitors and provides assistance; provides information on Marianjoy programs and services.

  • Copies, faxes and distributes documents as needed

  • Maintains department filing systems.

  • Maintains and updates department lists and logs as assigned.

  • Submits work order requests on department equipment /machines with approval, as needed.

Consult Services

  • Notifies appropriate Marianjoy physician and Referral Liaison of consult request via phone or text-page.

  • Obtains confirmation of receipt by Physician and/or Referral Liaison.

Qualifications

Required:

  • High School or Equivalent (GED)

  • Strong customer service focus.

  • Proficiency in medical and insurance terminology

  • Working knowledge of insurance types and products.

  • Ability to effectively communicate financial information.

  • Strong computer skills

  • Well, organized, efficient, and able to prioritize tasks effectively.

Preferred:

  • Associates Degree

  • Three to four years' experience

  • Previous admitting / insurance verification experience is preferred.

  • Previous secretarial / clerical experience in healthcare setting preferred.

Proficiency in Word and Excel preferred.


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