Patient Service Representative | AHWFB

Department:
13348 Enterprise Revenue Cycle - Wake Forest Lexington NC Arrival
Status:
Part time
Benefits Eligible:
No
Hours Per Week:
8
Schedule Details/Additional Information:
Work an 8-hour schedule for unplanned and planned vacancies, including every other weekend.
Pay Range:
$20.80 - $31.20
EDUCATION/EXPERIENCE: High school diploma or GED required. Patient access (scheduling, registration and financial clearance), insurance verification, billing or certified medical assistant experience preferred.
LICENSURE, CERTIFICATION, and/or REGISTRATION: N/A
ESSENTIAL FUNCTIONS:
1. Greets patients arriving for their appointments. Monitors patient flow to ensure patients are cared for in the most efficient and courteous manner.
2. Ensures all patient demographic and insurance information is complete and accurate
3. Completes the registration process on walk-in patients, verifies and / or updates patient demographic and insurance information if changes or additions have occurred
4. Verifies insurance benefits. Obtains, calculates and collects the patient's out of pocket financial liability. Requests and collects past due and present balances or estimates due
5. Follows the Financial Clearance policy for non-urgent patient services if financial clearance has not been completed or authorization has not been obtained, when appropriate
6. Identifies patients in need of financial assistance and refers patients to Financial Counselor
7. Performs visit closure, including but not limited to checking out patients, scheduling follow-up appointment(s), collecting additional patient responsibility (when applicable) and providing patient with appropriate documents.
8. Maintains knowledge of and reference materials of the following: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral and a list of current accepted insurance plans.
9. Proactively communicates issues involving customer service and process improvement opportunities to management
10. Meets productivity requirements to ensure excellent service is provided to customers
11. Meets or exceeds performance expectations of 98% accuracy rate and established department productivity measurements.
12. Maintains excellent public relations with patients, families, and clinical staff as well as demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information
SKILLS & QUALIFICATIONS:
Ability to identify and understand issues and problems.
Examines data and draws logical conclusions based on information available
Knowledge and ability to articulate explanations of Medicare, HIPAA, and EMTALA rules and regulations and comply with updates on insurance pre-certification requirements
Mathematical aptitude, effective oral and written communication skills and critical thinking skills
Understanding of basic human anatomy, medical terminology and procedures for application in the patient referral, pre-certification and authorization processes.
Ability to speak effectively to customers or employees of the organization; presents a pleasant, professional demeanor and image during telephone conversation
Ability to handle sensitive and confidential information according to internal policies
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals
Experience with Microsoft Outlook, Word and Excel and ADT software
Ability to write routine correspondence, calculate figures and amounts such as discounts and percentages
Must be able to work with minimal supervision, to problem solve in a high profile and high stress area and interact positively with all internal and external customers while possessing the ability to determine priority of work
WORK ENVIRONMENT:
Exposed to a normal office environment.
Must be able to sit the majority of the workday.
Occasionally lifts up to 10 lbs.
Operates all equipment necessary to perform the job
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs