Dupage Medical Group - Lisle, IL

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Responsible for the accurate, timely and comprehensive registration and insurance verification of DuPage Medical Group (DMG) patients.

Provides efficient, effective, quality customer service through a variety of duties including, but not limited to, the collection and entry of coverage, patient demographic and account demographic information.

Complies with established company polices and procedures and communicates those, in addition to patient status, to clinical departments.

Key Responsibility Areas:
Compiles, Generates and Verifies Patient Registration Records

Enters registration information into Epic obtained from patient interviews, paper registration forms, hospital admission sheets and other related documents.

Identifies health plan contract participation and enters coverage information in accordance with established protocols.

Researches each patient entry to insure that only one patient record exists by matching designated criteria in the Epic database.

Identifies duplicates patients and forwards completed paperwork to DMG HIM following established guidelines.

Works with clinical departments to answer patient registration/coverage questions and obtain all necessary registration information/paperwork.

Utilizes Epic’s Department Appointment Report to identify patients in the registration process across multiple departments.

Maintains confidentiality of all information as stipulated in the HIPAA Privacy Rules and DuPage Medical Group Confidentiality Policy.

Demonstrates an understanding of Service Areas as it relates to patients, accounts, and medical records.

Is able to answer patient questions based on this understanding.

Forwards name changes to the appropriate site/department.

Verification and Comprehension of Coverage

Demonstrates an understanding of coverage and registration guidelines as they apply to different insurances and product types.

Maintains current working knowledge of all health plan contracts, adapting quickly to changes in health plan participation, and is able to communicate this to patients.

Is proficient in interpreting insurance cards and populates related coverage and copay information accurately in Epic.

Determines filing order based on Coordination of Benefits (COB) guidelines. Verifies insurance coverage/benefits using established sources and protocols.

May utilize Internet as part of this process.

Maintains a working knowledge of Charge Review and Claim Edit Workqueues that capture registration based errors and maintains a 24-48 hour turnaround standard.

Applies Registration Statuses appropriately and in support of established policies and procedures.

Enters, Updates, and Verifies Account Information

Reviews accounts for accuracy and merges duplicate accounts when necessary following established guidelines.

Creates accounts and/or links patients to accounts in accordance with guidelines to insure an accurate patient to account link.

Knowledge of all account types, when they are to be used and how they are set up.

Determines if a DMG Waiver of Financial Responsibility is needed based on established guidelines.

Explains waiver to patient, completes required fields, and obtains patient (or parent/legal guardian) signature.

Working knowledge of the Self Pay Policy and when it applies.

Creates new Workers’ Compensation (W/C) accounts following established guidelines.

Reviews DMG W/C forms for completeness and verifies the information with the employer if time permits.

Assists patients and DMG Patient Financial Services Department with coverage entries and accounts (Delinquent, Dismissed, and Collection account status).

Assumes Customer Service Responsibilities

Answers telephone and assists callers with questions and/or problems.

May direct calls to other departments when an issue is outside of the scope of registration.

Is familiar with workings of the site/location.

Assists in overall department work that may include, but is not limited to, post conversion registrations, after-hour registrations, and overflow from other registration departments and/or locations.

Attends meetings as required.

Responsible for maintaining accurate and current resource material.

Utilizes materials appropriately when making registration decisions.

Participates in the rotation of department responsibilities and performs other projects and duties as related to the organization’s objectives.

Includes travel to other sites as needed.

**Performs all other duties/responsibilities as assigned

Education and/or Training Required:
High School diploma or equivalent (GED).

Experience Required:
One to two years of medical office experience desired.

Key Competencies:
Able to provide order and structure to daily processes and work environment.

Demonstrates good organizational skills and ability to prioritize daily work.

Verbal Communication:
Capable of interacting with, and relating to, people of varying educational levels and backgrounds, conveying information clearly and succinctly, applying listening, tact, responsiveness, empathy


and confidentiality.

Effective in communicating verbally with other staff and departments related to the registration of patients including their accounts and coverage.

Problem Sensitivity:
Effective in identifying and analyzing problems.

Communicates findings along with possible solutions to Registration Coordinator.

Has the ability to tell when something is wrong or is likely to go wrong.

Attention to Detail


Maintains skills efficiency and consistently meets skill verification and quality requirements. Strong attention to detail and thorough in completing tasks.

Team Work:
Must be able to get along with others, work as part of a team, accept constructive criticism, adapt behaviors quickly, and consistently follow and apply work rules. Works effectively with others to accomplish objectives and goals.

Willingly offers assistance to others when the need arises.

Fosters teamwork and positive rapport within all departments to maximize achievement of goals.

Computer Proficiency:
Able to learn and become proficient in EPIC software as well as have basic knowledge of Microsoft applications, i.e. Outlook, Word, Excel, and demonstrate keyboarding speed and accuracy, minimum 30 wpm.

Typical Environmental/Working conditions:
The work environment characteristics described here are representative of those an employee encounters while performing the essential function of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


Front office station with public access and view.


Working with and around other people.


High level of computer work.


The noise level in the work environment is usually moderate.

Typical Physical/Mental demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

May require sitting for long periods of time, standing, walking, stooping, bending and stretching for files and/or supplies.

Vision must be corrected to 20/20 and hearing must be in the normal range for telephone and patient contact.

Person must be able to move throughout and between departments.

While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle or feel; and talk or hear.

The employee frequently is required to reach with hands and arms.

The employee must occasionally lift and/or move up to 10 pounds.

Attends meetings as required.

Includes travel to other sites as needed.

Dupage Medical Group - 2 years ago - save job
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