What are the responsibilities and job description for the Admitting Officer I - Patient Access position at UNIVERSITY OF ILLINOIS MEDICAL CENTER?
Hiring Department: Patient Access
Location: Chicago, IL USA
Requisition ID: 1030958
FTE: 1
Work Schedule: Monday - Friday, 37.5 hours/week
Shift: Days
of Positions: 1
Workplace Type: Hybrid
Posting Close Date: April 6, 2025
Salary Range (commensurate with experience): $29.55 - 32.00 / Hourly Wage
About the University of Illinois Hospital & Health Sciences System (UI Health)
The University of Illinois Hospital & Health Sciences System (UI Health) provides comprehensive care, education, and research to the people of Illinois and beyond. A part of the University of Illinois Chicago (UIC), UI Health comprises a clinical enterprise that includes a Joint Commission-accredited tertiary care hospital and outpatient clinics, and the Mile Square Health Center network of federally qualified health centers. It also includes the seven UIC health science colleges: the College of Applied Health Sciences; the College of Dentistry; the School of Public Health; the Jane Addams College of Social Work; and the Colleges of Medicine, Pharmacy, and Nursing, including regional campuses in Peoria, Quad Cities, Rockford, Springfield, and Urbana. UI Health is dedicated to the pursuit of health equity. Learn more: https://hospital.uillinois.edu/about-ui-health
Benefits eligible positions include a comprehensive benefits package which offers: Health, Dental, Vision, Life, Disability & AD&D insurance; a defined benefit pension plan; paid leaves such as Vacation, Holiday and Sick; tuition waivers for employees and dependents. Click for a complete list of Employee Benefits.
Position Summary
The incumbent reports to the Assistant Director of Revenue Management, who reports to the Director of Revenue Management, Patient Access Services, who reports to the Associate CFO, who reports to Chief Financial Officer. Under direct supervision, performs basic insurance verification and pre-authorization for outpatient services. Assists to ensure services performed in clinic have met medical necessity guidelines of the insurance carrier and pre-authorization/referrals have been obtained per the payers requirements, maximizing reimbursement in the claim submission process.
Duties & Responsibilities
Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date. Illinois Residency is required within 180 days of employment.
The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify.
The university provides accommodations to applicants and employees. Request an Accommodation
Location: Chicago, IL USA
Requisition ID: 1030958
FTE: 1
Work Schedule: Monday - Friday, 37.5 hours/week
Shift: Days
of Positions: 1
Workplace Type: Hybrid
Posting Close Date: April 6, 2025
Salary Range (commensurate with experience): $29.55 - 32.00 / Hourly Wage
About the University of Illinois Hospital & Health Sciences System (UI Health)
The University of Illinois Hospital & Health Sciences System (UI Health) provides comprehensive care, education, and research to the people of Illinois and beyond. A part of the University of Illinois Chicago (UIC), UI Health comprises a clinical enterprise that includes a Joint Commission-accredited tertiary care hospital and outpatient clinics, and the Mile Square Health Center network of federally qualified health centers. It also includes the seven UIC health science colleges: the College of Applied Health Sciences; the College of Dentistry; the School of Public Health; the Jane Addams College of Social Work; and the Colleges of Medicine, Pharmacy, and Nursing, including regional campuses in Peoria, Quad Cities, Rockford, Springfield, and Urbana. UI Health is dedicated to the pursuit of health equity. Learn more: https://hospital.uillinois.edu/about-ui-health
Benefits eligible positions include a comprehensive benefits package which offers: Health, Dental, Vision, Life, Disability & AD&D insurance; a defined benefit pension plan; paid leaves such as Vacation, Holiday and Sick; tuition waivers for employees and dependents. Click for a complete list of Employee Benefits.
Position Summary
The incumbent reports to the Assistant Director of Revenue Management, who reports to the Director of Revenue Management, Patient Access Services, who reports to the Associate CFO, who reports to Chief Financial Officer. Under direct supervision, performs basic insurance verification and pre-authorization for outpatient services. Assists to ensure services performed in clinic have met medical necessity guidelines of the insurance carrier and pre-authorization/referrals have been obtained per the payers requirements, maximizing reimbursement in the claim submission process.
Duties & Responsibilities
- Contacts insurance providers to obtain any applicable authorization types prior to service.
- Obtains and / or coordinates with third-party payers authorizations for services.
- Monitors expirations of authorizations and initiates requests for extensions.
- Documents and updates all authorizations obtained in UI Health systems.
- Obtains and scans all appropriate documents, as applicable.
- Maintains applicable assigned work queues and expected lead times.
- Within UI Health work queues, documents and closes tasks upon completion.
- Updates work in progress on outstanding tasks.
- Maintains expected lead times and organization while completing tasks.
- Consistently performs and exceeds departmental minimum expected productivity goals.
- Ability to complete registration and coverage verification, as necessary.
- Determines if patient is eligible for intended care at UI Health.
- If necessary, contacts patient to obtain correct insurance information, or informs patient of UI Health self-pay policy.
- May perform patient estimates, as necessary.
- Updates all demographic / coverage / eligibility information in UI Health system.
- Provides excellent customer services to patients, providers, and clinic staff in person and via telephone.
- Completes interactions with respect and courtesy.
- Provides general information regarding UI Health when appropriate.
- Continues education on payers / payer requirements and UI Health contracts.
- Maintains technical knowledge of items necessary for financial clearance at UI Health for intended services.
- Stays up to date as policies and necessary documentation and payer requirements change.
- Maintains competence and technical knowledge.
- Maintains a working knowledge of necessary registration and eligibility systems.
- Perform other related duties and participate in special projects as assigned.
- High school diploma or equivalent.
- Any one or combination totaling one (1) year (12 months) from the categories below:
- College coursework or training from a vocational, technical, or armed forces program in business, communication, health care administration, health information technology, health sciences, public health, social sciences, or a closely related field, as measured by the following conversion table or its proportional equivalent:
- 30 semester hours equals one (1) year (12 months)
- Associate's Degree (60 semester hours) equals eighteen months (18 months)
- 90 semester hours equals two (2) years (24 months)
- Bachelor's Degree (120 semester hours) equals three (3) years (36 months)
- Work experience in a medical setting which could include business administration (office administration, billing, collections), customer service, health information technology, medical insurance, patient admission/registration, patient services, or closely related experience.
- One (1) year (12 months) of work experience in a medical setting obtaining preauthorization approval from medical insurance.
- Demonstrated experience in healthcare (hospital or medical office) registration and/or financial clearance processes and/or completing payer authorization processes
Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date. Illinois Residency is required within 180 days of employment.
The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify.
The university provides accommodations to applicants and employees. Request an Accommodation
Salary : $30 - $32
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