Patient Service Representative I

Advocate Health • Rome, GA

4d • $20 - $30

About The Position

The Patient Service Representative I works in the Dermatology department at the HC Specialty Center MOB in Redmond. The role welcomes patients, supports efficient and courteous patient flow, and handles registration, insurance and financial-clearance tasks. It also completes patient checkout and follow-up scheduling, maintains information about payer requirements and accepted insurance plans, and communicates service or process-improvement issues to management. The position requires accuracy, productivity, professionalism, discretion with confidential information, and collaborative communication with patients, families, clinical staff, and other customers.

The role is full-time, 40 hours per week, with a Monday–Friday schedule from 8 a.m. to 5 p.m. The work takes place in a normal office environment and involves sitting for most of the workday, occasional lifting of up to 10 pounds, and operating equipment needed to perform the job.

Requirements

• High school diploma or GED.
• Ability to identify and understand issues and problems, examine data, and draw logical conclusions.
• Knowledge of and ability to explain Medicare, HIPAA, and EMTALA rules and regulations, and to keep up with insurance pre-certification requirement updates.
• Mathematical aptitude, effective oral and written communication, and critical-thinking skills.
• Understanding of basic human anatomy, medical terminology, and procedures relevant to patient referrals, pre-certification, and authorization.
• Ability to communicate effectively with customers and employees while maintaining a pleasant, professional demeanor, including on telephone calls.
• 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, solve problems in a high-profile, high-stress area, interact positively with internal and external customers, and determine work priorities.
• Meet the role’s performance expectations, including a 98% accuracy rate and established productivity measurements.
• Able to sit for the majority of the workday and occasionally lift up to 10 pounds.
• Able to operate all equipment necessary to perform the job.

Nice To Haves

• Experience in patient access (scheduling, registration, and financial clearance), insurance verification, billing, or as a certified medical assistant.

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 the Financial Clearance policy for non-urgent services when clearance or authorization has not been completed, as appropriate.
• Identify patients who may need financial assistance and refer them 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 plans requiring pre-authorization or referral, and currently 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 and established productivity measurements.
• Maintain positive relations with patients, families, and clinical staff, and collaborate to support concise, timely information flow.

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.
• Career development programs.
• Potential premium pay, incentive pay for select positions, and annual increases based on performance.

What This Job Offers

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