Pre-Service Specialist- Repro Endo Infertility, F/T Days
Northwestern Memorial Hospital Chicago, IL
Northwestern Memorial Hospital Chicago, IL
3 weeks ago
See who Northwestern Memorial Hospital has hired for this role
Northwestern Memorial Hospital Chicago, IL
3 weeks ago
- Report this job
DescriptionThe Pre-Service Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines, and all other regulatory and accreditation standards.
The Pre-Service Specialist will schedule and pre-register patients for their upcoming service at Northwestern Medicine. This role includes scheduling the patient, updating the insurance information, performing medical necessity checks as appropriate, verifying the authorization was initiated by the physician’s office, check-in and check-out, and contacting the patient to notify them of any possible patient financial responsibilities.
Responsibilities
- Politely and promptly answers and appropriately triages department telephone calls in an efficient, professional manner.
- Correctly identifies and collects patient demographic information in accordance with hospital standards.
- Schedules appointment in centralized scheduling system, in accordance with AIDET service standards using scripted language for greeting the caller, reviewing the scheduling activity and summarizing the transaction at the end of the call.
- Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere.
- Is proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information and documenting order retrieval in notes for check-in person.
- Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations. Collects authorization numbers in appropriate systems as applicable
- Proactively obtain Email addresses and help enroll patients in Patient Portal
- Interacts with various hospital departments and physician’s offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner.
- Utilizes multiple online order retrieval systems to verify or print the patient’s order
- Reach out to patients to schedule an appointment as defined
- When necessary, requests interpreter services for patient’s visit with Patient Representative Department. Utilizes the language line of the hospital to schedule patients who require interpretation service.
- Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system
- Understands departmental and individual quality metrics, including– abandonment rates, average answer delay, RONA, AIDET scorecard, quality reviews, and not ready %.
- Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails.
- Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions
- Completes Check-in process including confirming identity, offering MyChart enrollment, obtaining signatures, colleting co-pay/deposit/outstanding balances, validating parking, distributing office specific forms to fill out.
- Completes Check-out process including scheduling/coordinating requested follow-up appointments, printing AVS for non-MyChart patients and answering patient’s questions.
- Responds to questions and concerns. Forwards, directs and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary.
- Evaluates procedures and suggests improvements to enhance customer service and operational efficiency.
- Verifies insurance eligibility and benefit levels through the use of online clearinghouse tools (NDAS, ASF, etc.) or over the phone as necessary.
- Facilitates the pre-authorization of diagnostic exams, between referring physicians and insurance carriers, through the use of online tools, worklists, and direct phone calls as necessary.
- Ensures that outpatient procedures have a valid ICD-9 code, and that for Medicare patients, medical necessity has been met. Communicates with physician offices to troubleshoot failing medical necessity for Medicare patients.
- Informs patients of any issues with securing the financial account for their encounter.
- Completes out-of-pocket estimations as requested by patients.
- Provides professional and constructive environment for communication across units/departments and resolves operational issues. May attend intra/interdepartmental meetings which involve walking within NM Campus.
- Provides training and education as needed.
- Completes other duties assigned by manager. Cross-training between various departments may take place to ensure coverage.
- Communicates customer satisfaction issues to appropriate individuals.
- Participates in departmental quality improvement activities.
- Provides ideas and suggestions for process improvements within the department.
- Monitors registration and scheduling, including insurance verification to ensure processing within prescribed quality standards.
- Adjusts processes as needed to meet standards.
- Participates in Quality Assurance reviews to ensure integrity of patient data information.
QualificationsRequired:
- High School diploma.
- 1-2 years customer service experience.
- Proficient in typing.
Preferred
- Bachelor’s degree.
- Healthcare Finance and/or Healthcare Insurance Knowledge.
- Experience in a healthcare setting, especially patient scheduling and/or registration.
- Coding Certification.
- Certified Healthcare Associate Designation (NAHAM).
Schedule
- Sunday: 7:00am – 2:00pm
- Monday: 6:30am–3:45pm
- Tuesday: 6:30am –3:45pm
- Wednesday: Off
- Thursday: Off
- Friday: 6:30am –3:45pm
- Saturday: 7:00am – 2:00pm
Equal OpportunityNorthwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
-
Seniority level
Not Applicable -
Employment type
Full-time -
Job function
Other -
Industries
Wellness and Fitness Services and Hospitals and Health Care
Referrals increase your chances of interviewing at Northwestern Memorial Hospital by 2x
See who you know
Get notified about new Service Specialist jobs in Chicago, IL.
Sign in to create job alert
Similar jobs
-
Visitor Services Representative (Full-Time)
Visitor Services Representative (Full-Time)
Field Museum
Chicago, IL
-
Customer Service Specialist
Customer Service Specialist
BBJ La Tavola
Greater Chicago Area
-
Associate Customer Service Manager
Associate Customer Service Manager
James Hardie
Greater Chicago Area
-
Area Customer Service Manager
Area Customer Service Manager
Georgia-Pacific LLC
Chicago, IL
-
Customer Service Representative
Customer Service Representative
Mavely
-
Client Support Specialist
Client Support Specialist
Advyzon
United States
-
Customer Service Specialist
Customer Service Specialist
Greif
Alsip, IL
-
Customer Service Specialist
Customer Service Specialist
Greif
Alsip, IL
-
Coordinator, Donor Services
Coordinator, Donor Services
Lyric Opera of Chicago
Chicago, IL $40,000.00 - $43,000.00
-
Client Service Specialist
Client Service Specialist
Mittera
Berkeley, IL
-
Service Team Member (Earn up to $1000/wk)
Service Team Member (Earn up to $1000/wk)
Hogsalt
Chicago, IL
-
Staff Assistant I, Airport Hub/Gateway
Staff Assistant I, Airport Hub/Gateway
American Airlines
Chicago, IL
-
Client Support Specialist
Client Support Specialist
Advyzon
Chicago, IL
-
Customer Service Manager
Customer Service Manager
Confidentiel
Melrose Park, IL
-
Concierge Coordinator
Concierge Coordinator
Insight Hospital and Medical Center
Chicago, IL
-
Client Service Manager
Client Service Manager
Moneta
Chicago, IL
-
Special Agent: Healthcare Services/Medical Background
Special Agent: Healthcare Services/Medical Background
Federal Bureau of Investigation (FBI)
Greater Chicago Area
-
Service Coordinator / Call Center
Service Coordinator / Call Center
KKT chillers Inc.
Wood Dale, IL
-
Concierge Coordinator
Concierge Coordinator
Insight
Chicago, IL $20.00 - $22.00
-
Customer Service Manager - State Farm Agent Team Member
Customer Service Manager - State Farm Agent Team Member
State Farm Agent
La Grange, IL
-
Order Services Specialist
Order Services Specialist
Board
Chicago, IL
-
Client Service Specialist- Itasca, IL (HQ)
Client Service Specialist- Itasca, IL (HQ)
KEYENCE CORPORATION
Itasca, IL $56,000.00 - $59,000.00
-
Service Desk Specialist, Team Lead
Service Desk Specialist, Team Lead
University of Chicago
Chicago, IL
-
Customer Service Specialist
Customer Service Specialist
Clae Solutions
Forest Park, IL $60,000.00 - $70,000.00
-
Customer Service Specialist
Customer Service Specialist
Ferrellgas
Melrose Park, IL
-
Customer Service Specialist
Customer Service Specialist
Clae Solutions
Forest Park, IL $60,000.00 - $70,000.00
-
Customer Service - Self Storage Manager
Customer Service - Self Storage Manager
Public Storage
Elmwood Park, IL
People also viewed
-
Customer Service Manager - State Farm Agent Team Member
Customer Service Manager - State Farm Agent Team Member
State Farm Agent
Bensenville, IL $38,000.00 - $55,000.00
-
Patient Concierge Coordinator
Patient Concierge Coordinator
Insight
Chicago, IL $17.00 - $22.00
-
CUSTOMER SERVICE & LOGISTICS SPECIALIST
JBS
Chicago, IL
-
Postal Mail Processor - Hiring Urgently
Postal Mail Processor - Hiring Urgently
Postal Source
Chicago, IL $24.63 - $39.27
-
Dispatcher - Felony Review - Bureau of Administrative Services
Dispatcher - Felony Review - Bureau of Administrative Services
Cook County State’s Attorney’s Office
Chicago, IL
-
Patient Concierge Coordinator
Patient Concierge Coordinator
Insight Hospital and Medical Center
Chicago, IL
-
Client Service Specialist
Client Service Specialist
Veterans Sourcing Group, LLC
Chicago, IL
-
Customer Service Manager
Customer Service Manager
Republic Bank Of Chicago
Chicago, IL
-
Customer Service Manager
Customer Service Manager
LifeSpice Ingredients
Chicago, IL
-
Customer Service - Self Storage Manager
Customer Service - Self Storage Manager
Public Storage
Skokie, IL
Similar Searches
- Guest Services Coordinator jobs 58,647 open jobs
- Home Services Specialist jobs 4,185 open jobs
- Network Services Specialist jobs 15,644 open jobs
- Patient Services Specialist jobs 69,871 open jobs
- Senior Field Service Technician jobs 10,535 open jobs
- Senior Relationship Banker jobs 81,513 open jobs
- Field Service Supervisor jobs 10,516 open jobs
- Sales Operations Intern jobs 137 open jobs
- Install Technician jobs 52,181 open jobs
- Internet Marketing Specialist jobs 6,221 open jobs
- Guest Services Associate jobs 85,476 open jobs
- Human Services Specialist jobs 59,427 open jobs
- Guest Services Specialist jobs 81,577 open jobs
- Bagger jobs 1,167 open jobs
- Warranty Coordinator jobs 1,525 open jobs
- Sales And Service Specialist jobs 74,440 open jobs
- Field Sales Trainer jobs 1,528 open jobs
- Service Mechanic jobs 20,236 open jobs
- Field Service Specialist jobs 32,694 open jobs
- User Support Analyst jobs 5,682 open jobs
- Field Service Technician jobs 47,905 open jobs
- Support Services Specialist jobs 82,275 open jobs
- Senior Claims Manager jobs 966 open jobs
- Assistant Chief of Police jobs 64 open jobs
- Senior Education Consultant jobs 667 open jobs
Explore collaborative articles
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
Explore More