2 jobs found in Bradley, IL

Overview: Riverside Healthcare is seeking an organized and personable Front Desk Registration Staff member to join our team. The individual in this role will be the first point of contact for patients and visitors, responsible for ensuring a smooth and welcoming registration process. This position is critical in managing patient flow and providing excellent customer service and demonstrates flexibility with assignments within professional scope/duties/licensure. Essential Duties Administrative Tasks: Greet patients timely and courteously, escorting them to exam rooms and ensuring a positive experience. Answer telephone calls with a positive attitude, take accurate messages, and address customer questions and concerns efficiently. Assist patients with electronic registration within the clinic setting, ensuring all required information is accurately entered into the system. Perform accurate computer data entry of patient demographics and other essential information in the...

Overview: The Clinical Utilization Review (UR) Specialist is responsible for ensuring that clients receive appropriate care while optimizing the utilization of healthcare resources. This position involves evaluating medical necessity, ensuring compliance with insurance guidelines, and collaborating with healthcare providers to facilitate client care transitions. The Clinical UR Specialist will review client records, make determinations on the appropriateness of hospital admissions and continued stays, and ensure that clinical documentation supports billing processes. The role also involves communication with insurance companies and external review agencies to ensure proper reimbursement. Essential Duties Collaborate with other clinical team members in staffing, reviewing actual and proposed psychiatric care and services against review criteria.  Collaborates with providers to influence appropriate utilization of resources and transitions from one level of care to the next....