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JOB SUMMARY
Provides scheduling and determines need for medical triage for patients needing appointments or other services for Family Medicine, Internal Medicine or Pediatrics in the Swedish Medical Group at the Foster Medical Pavilion location. Verifies demographic information, insurance benefits and eligibility in order to ensure appropriate reimbursement for services. Refers patients to Biller to make arrangements and informs patients of financial assistance procedures as appropriate. Provides initial determination of those patients who require medical triage services and transfers calls appropriately. Provides outstanding customer service and satisfaction ensuring all patients feel welcome at SH and in the Swedish Covenant Medical Group. Enables easy, convenient access to the services they need in a friendly, efficient and timely manner. Functions within the Swedish Medical Group Call Center at the Foster Medical Pavilion as part of a team to provide superior service and satisfaction to all internal and external customers.
ESSENTIAL DUTIES AND RESPONSIBILITIES
The responsibilities listed below are representative of the position and are not all-inclusive.
* Demonstrates a commitment to the mission of Swedish Hospital and the Swedish Medical Group by demonstrating a customer service orientation and adheres to all responsibilities and standards of the hospital and Medical Group.
Primary Duties
Follows the AIDET model by consistently demonstrating professional and customer service focused behavior at all times, including manner of communication, responsibility and appearance.
Answers high volume of incoming calls promptly, courteously, and in a caring friendly manner, ensuring outstanding customer service at all times.
Accurately, appropriately and efficiently schedules appointments for multiple offices within the Foster Medical Pavilion's SCMG groups and adheres to specific department guidelines and protocols, ensuring service excellence at all times.
Responsible for entering appropriate diagnoses and ICD-9 codes in compliance with Local Medical Review Policies.
Gathers complete and accurate patient type, demographic and billing information. Pre-registers patients in a timely and efficient manner.
Advises patient of any insurance authorization and referral requirements and ensures timely transfer of registration information to ensure financial clearance and appropriate reimbursement.
Advises patients of the collections policy and explains payments, deposits and co-pays. Directs patient to the SCMG Biller when necessary.
Assists and supports new employees to make them aware of department policies and procedures, while emphasizing excellent quality and customer service excellence.
Attends meetings regarding community, hospital and SCMG events and classes.
Responsible for generating reports/letters in an accurate, efficient and timely manner.
Maintains accurate physician data for new doctors on staff, insurance information and other updates in the computer system. Maintains paper files and binders up to date as a back-up for computer down time, so that referrals can be done manually.
Performs other duties as requested by the Call Center Manager.
ALLOWABLE ACCESS TO PROTECTED HEALTH INFORMATIONNOTE: Computer system access is assigned based on Manager's access level request and on the minimum necessary as described in this job description. Approval for level of access is given by the system administrator or Manager of the department that has ownership of system/module. See Computer system Access controls policy.
PATIENT CARE/AGE SPECIFIC RESPONSIBILITIES AND QUALIFICATIONS
Not applicableQUALIFICATION/BASIC JOB REQUIREMENTS
Education & Experience
Knowledge & Skills
LICENSE/CERTIFICATION
N/A
INTERNAL AND EXTERNAL CONTACT
ENVIRONMENT
The above statements are intended to describe the general nature and level of work performed by employees assigned to this classification. They are not intended to be as an exhaustive list of all responsibilities, duties and skills required of personnel to classify.
What you will need:Benefits:
Full Time
Hospital
$39k-48k (estimate)
05/23/2024
05/26/2024
northshore.org
EVANSTON, IL
7,500 - 15,000
1891
MARK NEAMAN
$1B - $3B
Hospital
NorthShore is an integrated healthcare delivery system including Evanston, Glenbrook, Highland Park and Skokie Hospitals, a Medical Group, Research Institute, Home Health Services and Foundation. We are located in the northern Chicago suburbs.