Responsible for completing the financial clearance process within Patient Access Services (PAS) and creating the first impression of OSF’s services to patients and families and other external customers.
Must be able to articulate information in a manner that patients, guarantors and family members know what to expect and have
an understanding of their financial responsibilities.
The Patient Access Representative I may be responsible for:
Scheduling and Transcribing
Pre-Service and Point of Service Collection
- Insurance and benefits verification
- Referral management
- Patient liability collections
- Medical necessity check
- Interviewing patients and guarantors to obtain information to screen for financial counseling, verifying eligibility and corresponding benefit levels, coordinating referrals and obtaining treatment authorizations.
This position impacts the clinical and financial risk to the organization when collecting and documenting information on behalf of the patient.
KNOWLEDGE SKILLS AND ABILITIES REQUIRED:
Completion of high school or its equivalent.
Minimum of one to two years in an office clerical setting or customer service environment is preferred.
Experience with office applications and Internet
Basic knowledge medical terminology is preferred.
Basic knowledge of Revenue Cycle principles.
Requires basic knowledge of standard office applications and website navigation.
Requires strong attention to detail and ability to obtain and record information accurately.
Requires communication skills to clearly and concisely communicate verbally and in writing with peers, supervisors, payers, physicians, patients, other departments, etc.
Ability to understand, interpret, evaluate and resolve basic patient service issues.
Basic problem solving skills to address payer and patient issues appropriately and know when to ask for assistance.
Requires conflict management skills, and time management skills.
It is the obligation of each employee of OSF Healthcare System to abide by and promote the Philosophy, Values, Mission and Vision of The Sisters of the Third Order of St. Francis.