Patient Service Representative 1

Advocate Health • Rome, GA

7d • $20 - $30 • Onsite

About The Position

The Patient Service Representative 1 welcomes patients, supports efficient and courteous patient flow, and completes patient registration and visit-closure activities. The role verifies and updates demographic, insurance, and financial information; explains and collects patient financial responsibilities; and follows financial-clearance procedures for non-urgent services when clearance or authorization has not been completed. The representative refers patients who need financial assistance to a Financial Counselor and maintains current reference information on payer requirements and accepted insurance plans.

The position also communicates customer-service concerns and process-improvement opportunities to management, meets accuracy and productivity expectations, and works collaboratively with patients, families, and clinical staff. The role is based in a normal office environment at the Pulmonary office in Rome, with cross-training to provide coverage at the Pulmonary office in Cartersville as needed. The schedule is Monday through Friday, 8 a.m. to 5 p.m., 40 hours per week.

Requirements

• High school diploma or GED required.
• Ability to identify and understand issues, examine data, and draw logical conclusions from available information.
• Knowledge of and ability to explain Medicare, HIPAA, and EMTALA rules and regulations, and to keep up with insurance pre-certification requirements.
• Mathematical aptitude, effective oral and written communication, and critical-thinking skills.
• Understanding of basic human anatomy, medical terminology, and procedures relevant to referrals, pre-certification, and authorization.
• Ability to communicate effectively and professionally with customers and employees, including by telephone.
• Ability to handle sensitive and confidential information according to internal policies.
• Ability to read and interpret safety rules, operating and maintenance instructions, and procedure manuals.
• Experience with Microsoft Outlook, Word, Excel, and ADT software.
• Ability to write routine correspondence and calculate figures and amounts such as discounts and percentages.
• Ability to work with minimal supervision, problem-solve in a high-profile and high-stress area, interact positively with internal and external customers, and prioritize work.
• Must be able to sit for most of the workday and occasionally lift up to 10 pounds.
• Must be able to operate all equipment necessary to perform the job.

Nice To Haves

• Patient access experience, including scheduling, registration, or financial clearance.
• Insurance verification experience.
• Billing experience.
• Certified medical assistant experience.

Responsibilities

• Greet patients arriving for appointments and monitor patient flow to support efficient, courteous service.
• Ensure patient demographic and insurance information is complete and accurate; register walk-in patients and verify or update information as needed.
• Obtain, calculate, and collect patients’ out-of-pocket financial liability, including past-due and current balances or estimates.
• Follow financial-clearance policy for non-urgent services when clearance or authorization has not been completed, when appropriate.
• Refer patients needing financial assistance to a Financial Counselor.
• Complete visit closure, including checking out patients, scheduling follow-up appointments, collecting additional patient responsibility when applicable, and providing appropriate documents.
• Maintain knowledge and reference materials concerning Medicare, Medicaid, third-party payer requirements, insurance policies, preauthorization and referral requirements, and accepted insurance plans.
• Proactively communicate customer-service issues and process-improvement opportunities to management.
• Meet department productivity requirements and performance expectations, including a 98% accuracy rate.
• Maintain positive public relations with patients, families, and clinical staff, and collaborate to support timely information flow.
• Cross-train to cover the Pulmonary office in Cartersville on an as-needed basis.

Benefits

• Paid time off programs.
• Medical, dental, vision, life, and short- and long-term disability benefits.
• Flexible Spending Accounts for eligible health care and dependent care expenses.
• Adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match and other financial wellness programs.
• Educational Assistance Program.
• Competitive compensation, premium pay for select circumstances, incentive pay for select positions, and opportunity for annual performance-based increases.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED