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Illinois Cancer Specialists
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Patient Services Rep.
$40k-51k (estimate)
Full Time | Ambulatory Healthcare Services 3 Months Ago
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Illinois Cancer Specialists is Hiring a Patient Services Rep. Near Elgin, IL

Overview:
Patient Account Specialist
Scope:
Under general supervisor, performs general business office functions that may include: billing and claim submissions, charge capture and payment positing, insurance verification and eligibility; obtaining pre-authorization; counseling patients and families on insurance and payment issues; and account follow-up and payment resolution. Supports and adheres to the US Oncology Compliance Programs to include the Code of Ethics and Business Standards.
Responsibilities:
ESSENTIAL DUTIES AND RESPONSIBILITIES:
  • Ensures all insurance, demographic and eligibility information is obtained from patients and entered into the system in an accurate and timely manner. Registers patients in the system as necessary.
  • Collects and reviews all patient insurance information and completes insurance forms.
  • Confirms patient insurance verification and eligibilty. Obtains pre-authorization of services and/or referrals. Assesses patient financial requirements and advises patients and families on insurance benefits, co-pays and financial obligation.
  • Posts line items and adjustments to patient accounts. Balances receipts, reconciles daily work batches and prepares audit trail. Prepares deposits for bank as needed.
  • Reviews Explanation of Benefits (EOB) for consistency.
  • Handles COB issues. Set up peer to peer calls.
  • Resolves patient questions and complaints regarding insurance billing and adjusts accounts as necessary. Resubmits claims and processes all insurance/patient correspondence. Provides all documentation to expedite payment.
  • Follows-up on assigned accounts.
  • Sets-up financial arrangements with patients as necessary.
  • As necessary, assists patients with researching and obtaining community resources including housing, transportation drugs and pharmaceutical supplies, and financial resources.
Qualifications:
MINIMUM QUALIFICATIONS :
  • H.S. Diploma or equivalent required.
  • Minimum 3 to 5 years medical business office experience.
  • Extensive knowledge of insurance, verifications, pre-authorizations and referrals.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$40k-51k (estimate)

POST DATE

02/02/2024

EXPIRATION DATE

04/29/2024

WEBSITE

illinoiscancerspecialists.com

HEADQUARTERS

GREENWOOD, IL

SIZE

25 - 50

FOUNDED

2010

CEO

C YESHWANT

REVENUE

<$5M

INDUSTRY

Ambulatory Healthcare Services

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The following is the career advancement route for Patient Services Rep. positions, which can be used as a reference in future career path planning. As a Patient Services Rep., it can be promoted into senior positions as a Patient Appointment Scheduler that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Patient Services Rep.. You can explore the career advancement for a Patient Services Rep. below and select your interested title to get hiring information.

If you are interested in becoming a Patient Services Rep, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Patient Services Rep for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Patient Services Rep job description and responsibilities

Coordinated and provided clerical and support activities within a multidisciplinary, patient care unit to facilitate the daily patient flow.

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A patient service or care specialist works at different medical facilities.

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A patient service representative needs to be able to analyze and synthesize data for the patient to solve these problems.

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They will also need to be able to communicate effectively with patients and understand what they are looking for.

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Patient Service Representatives help guide patients through the complex world of healthcare.

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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Patient Services Rep jobs

Patient Service Representatives who do attend college, typically earn either a Business degree or a Health Care Administration degree.

03/24/2022: Albany, NY

Authorization Specialists tend to reach similar levels of education than Patient Service Representatives.

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Have a clear escalation pathway.

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Ability to use positive language.

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Have patience to the customers

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Step 3: View the best colleges and universities for Patient Services Rep.

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