Patient Service Representative I

Advocate Health • Rome, GA

2d • $20 - $30 • Onsite

About The Position

The Patient Service Representative I is responsible for greeting patients, monitoring patient flow, ensuring patient information is accurate, completing the registration process, verifying insurance, collecting payments, and assisting patients with financial clearance and referrals. This role also involves performing visit closure tasks, maintaining knowledge of payer requirements, communicating issues to management, meeting productivity and accuracy standards, and maintaining positive public relations.

Requirements

• High school diploma or GED required.
• Ability to identify and understand issues and problems.
• Ability to examine data and draw logical conclusions based on information available.
• Knowledge and ability to articulate explanations of Medicare, HIPAA, and EMTALA rules and regulations.
• Ability to comply with updates on insurance pre-certification requirements.
• Mathematical aptitude.
• Effective oral and written communication skills.
• 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.
• Experience with ADT software.
• Ability to write routine correspondence.
• Ability to calculate figures and amounts such as discounts and percentages.
• Must be able to work with minimal supervision.
• Ability to problem solve in a high profile and high stress area.
• Ability to interact positively with all internal and external customers.
• Possesses the ability to determine priority of work.

Nice To Haves

• Patient access (scheduling, registration and financial clearance) experience preferred.
• Insurance verification experience preferred.
• Billing experience preferred.
• Certified medical assistant experience preferred.

Responsibilities

• Greets patients arriving for their appointments and monitors patient flow.
• Ensures all patient demographic and insurance information is complete and accurate.
• Completes the registration process on walk-in patients, verifies and/or updates patient demographic and insurance information.
• Obtains, calculates, and collects the patient’s out-of-pocket financial liability, including past due and present balances.
• Follows the Financial Clearance policy for non-urgent patient services.
• Refers patients in need of financial assistance to a Financial Counselor.
• Performs visit closure, including checking out patients, scheduling follow-up appointments, collecting patient responsibility, and providing necessary documents.
• Maintains knowledge of Medicare, Medicaid, third-party payer requirements, and insurance plans.
• Proactively communicates issues involving customer service and process improvement opportunities to management.
• Meets productivity requirements to ensure excellent service.
• Meets or exceeds performance expectations of 98% accuracy rate and established department productivity measurements.
• Maintains excellent public relations with patients, families, and clinical staff.
• Demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information.

Benefits

• Comprehensive suite of Total Rewards: benefits and well-being programs
• Competitive compensation
• Generous retirement offerings
• Programs that invest in your career development
• Base compensation listed within the listed pay range
• Premium pay such as shift, on call, and more
• Incentive pay for select positions
• Opportunity for annual increases based on performance
• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

What This Job Offers

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