Admitting Officer I - Diagnostic Services

Admitting Officer I

Serve as an Admitting Officer I in the Diagnostic Services Department. The overall function is to provide, monitor and assure high quality service to our patients.

Duties & Responsibilities

• Serves as liaison between patients, healthcare providers, billing departments, and insurers. Contacts patients to explain healthcare benefits and healthcare facility policies.
• Enters, updates, reviews and verifies patient health information within EPIC.
• Verifies insurance coverage, determines eligibility and estimates financial liability for outpatient services at UI Health.
• Contacts insurance providers to obtain pre-authorizations for applicable health procedures; coordinates with insurance providers to obtain authorizations for imaging and diagnostic procedures.
• Manages authorizations for health procedures in EPIC which include documenting communications with insurance providers, monitoring pre-authorization expirations and requesting extensions.
• Complete medical necessity screening on all Medicare orders.
• Research and / or locate missing information regarding managed care payer requirements. Work with denial committee on denial related issues.
• 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 applicable authorization activities, as necessary.
• Obtains and / or coordinates with third-party payers authorizations for services.
• Documents and updates all authorizations obtained in UI Health systems.
• If necessary, contacts patient / guarantor to notify of denial or financial risk.
• Informs patient of cancellation / rescheduling options and completes appropriate workflow. If necessary, informs patient of UI Health self-pay policy.
• Ability to complete registration and coverage verification, as necessary.
• Determines if patient is eligible for intended care at UI Health.
• 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.
• Manages multi-step patient cases in an electronic health record (EHR) system which could include monitoring outstanding tasks, investigating insurance issues, and / or cancelling or rescheduling services.
• Investigates and resolves insurance denials which could include responding to documentation requests, communicating with patient / providers to resolve insurance issues, and / or cancelling or rescheduling services.
• Assists with responding to patient inquiries concerning healthcare benefits, healthcare facility policies, and / or financial liabilities.
• Performs duties of the lower level; performs other related duties as assigned.

Minimum Qualifications

Preferred Qualifications

To Apply : For fullest consideration click on the Apply Now button, please fully complete all sections of the online application including adding your full work history with specific details of your duties & responsibilities for each position held. Fully complete the education, licensure, certification and language sections. You may upload a resume, cover letter, certifications, licensures, transcripts and diplomas within the application.

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.