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Patient Access Healthcare Associate II

Riverside Healthcare is seeking a dedicated and detail-oriented Patient Access Healthcare Associate II to join our team in Kankakee, Illinois. This role is essential for managing patient registration, insurance verification, and specimen processing within a fast-paced, patient-centered environment. The ideal candidate will have strong skills in customer service, registration, insurance compliance, and phlebotomy. They will demonstrate a mature, compassionate attitude and a professional demeanor while ensuring compliance with hospital policies and regulations while demonstrates flexibility with assignments within professional scope/duties/licensure.

• Patient Registration:
  Accurately collect, analyze, and record all required demographic, insurance/financial, and clinical data for scheduling, pre-registering, and registering patients from all payer classes. Ensure timely and accurate electronic entry of information into the system.
• Insurance and Compliance:
  Verify patient insurance coverage, including Medicare and Medicaid. Ensure compliance with payer requirements for medical necessity and precertification. Perform third-party eligibility and benefit verification to secure accurate payment.
• Customer Service:
  Provide exceptional customer service with a concierge-style approach. Interact compassionately with patients and their representatives, addressing their needs and explaining hospital revenue cycle expectations, payment options, and financial responsibilities.
• Specimen Processing and Phlebotomy:
  Perform phlebotomy, process drop-off specimens, and conduct routine EKG tracings as required. Verify specimen identification and labeling, ensuring specimens are delivered to the appropriate department within required time limits.
• Documentation and Record Management:
  Prepare and distribute required forms, documents, and reports. Maintain accurate patient records and ensure compliance with EMTALA, HIPAA, and other applicable regulations.
• Patient Flow and Coordination:
  Assist in managing patient flow for ambulatory care, pre-op testing, and clinics. Provide pre-test instructions, assist with documentation, and ensure proper preparation for tests/procedures.
• Problem Solving and Analysis:
  Analyze and resolve issues related to registration, insurance, and patient access. Use hospital resources to determine financial responsibilities and address any coverage concerns.
• Training and Support:
  Assist in the training of new personnel and support other healthcare staff as needed. Attend all advanced registration classes and mandatory department meetings.

• Administrative Support:
  Sort and distribute mail and faxes. Conduct reminder calls for patient appointments and pre-register scheduled patients. Manage transportation of patients within the hospital as needed.
• Community and Specimen Collection:
  Assist with community health screenings, employee health physicals, and other departmental needs. Confirm specimen acceptability requirements and ensure accurate collection and delivery.
• General Assistance:
  Escort patients to exam rooms, take vital signs, and assist with procedures and diagnostic tests. Maintain logs of patients and procedures and perform other duties as requested.

• Experience in a healthcare setting with a focus on patient access, registration, or insurance verification.
• Proficiency in using electronic health record (EHR) systems and healthcare software. Strong customer service skills, attention to detail, and the ability to handle sensitive information with confidentiality. Computer literate with a typing speed of 35 WPM minimum. Spelling accuracy and the ability to perform general arithmetic are essential.
• Ability to work independently in a fast-paced environment, with a commitment to accuracy and problem-solving. Demonstrated professionalism and a compassionate, customer-focused attitude.

• High school diploma or equivalent required.
• Certificate of completion from school for Phlebotomy course and practicum or 1 year of experience as a phlebotomist.

• Additional education or certification in medical terminology, healthcare administration, or a related field is preferred.
• Certifications in healthcare administration or patient access are a plus.
• Certified Phlebotomy Technician (CPT) preferred, but not required.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

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