Patient Service Representative I Med Ctr Pl B

Advocate Health • Mount Pleasant, SC

5d • $20 - $30

About The Position

The Patient Service Representative I greets and registers patients, confirms that patient demographic and insurance information is accurate, collects patient responsibility, and supports a smooth and courteous patient visit. The position verifies insurance benefits, communicates payment expectations, identifies patients who may need financial assistance, and coordinates with Financial Advocates when needed. It also schedules visits, completes visit closure, supports new caregiver onboarding, and works assigned EPIC work queues according to department processes.

The role requires professional, collaborative communication with patients, families, and clinical staff, along with proactive communication about service issues and process improvements. The representative maintains knowledge of Medicare, Medicaid, third-party payer requirements, insurance plans, and authorization or referral requirements. This per diem position requires at least 32 hours per month, may include additional shifts based on department needs, and requires schedule flexibility.

Requirements

• High school graduate.
• Typically requires 1 year of customer service or clerical/office experience, including answering phones and assisting customers.
• Demonstrated ability to identify and understand issues, examine data, and draw logical conclusions.
• Knowledge of Medicare, HIPAA, and EMTALA rules and regulations, and ability to articulate explanations and comply with insurance pre-certification updates.
• Mathematical aptitude, effective communication skills, and critical thinking skills.
• Understanding of basic human anatomy, medical terminology, and procedures used in patient referral, pre-certification, and authorization processes.
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
• Ability to communicate effectively and maintain a pleasant, professional demeanor.
• Ability to handle sensitive and confidential information in accordance with internal policies.
• Ability to problem-solve in a high-profile, high-stress area, work independently, meet deadlines, and prioritize work.
• Technical proficiency with insurance verification or eligibility tools, EPIC electronic medical record, patient liability estimation tools, Microsoft Office, Internet Explorer, and phone technology.
• Ability to work a flexible schedule to support department needs.
• Ability to sit, stand, walk, lift, carry, squat, bend, twist, rotate, and kneel as required; frequently lift up to 10 lbs. and occasionally lift 20 lbs. or more; and push or pull up to 50 lbs. with assistance.
• Functional speech and hearing, and fine motor skills for keyboard data entry.
• Ability to operate equipment necessary to perform the job.

Responsibilities

• Greet and check in patients, ensuring patient information is complete and accurate.
• Collect patient responsibility identified during pre-registration.
• Register walk-in patients and verify or update demographic and insurance information.
• Verify insurance benefits, calculate or obtain patient responsibility, request payment, and communicate payment expectations.
• Identify patients who may need financial assistance and refer them to a Financial Advocate.
• Coordinate with Financial Advocates regarding patient financial resources and responsibilities, including obtaining Financial Obligation Forms or Advance Beneficiary Notices when needed.
• Monitor patient flow and help ensure patients are served efficiently and courteously.
• Complete visit closure, including checking out patients, collecting additional patient responsibility when applicable, and providing appropriate documents.
• Schedule patient visits using established scheduling system guidelines.
• Assist with new caregiver onboarding.
• Work assigned EPIC work queues according to department workflow.
• Maintain positive relations with patients, families, and clinical staff, and collaborate to support timely information flow.
• Communicate customer service issues and process improvement opportunities to management.
• Maintain knowledge of and reference materials for Medicare, Medicaid, third-party payer requirements, insurance plans requiring pre-authorization or referral, and accepted insurance plans.

Benefits

• Paid time off programs.
• Medical, dental, vision, life, and short- and long-term disability benefits, subject to eligibility.
• Flexible Spending Accounts for eligible health care and dependent care expenses.
• Adoption assistance and paid parental leave, subject to eligibility.
• Defined contribution retirement plans with employer match and other financial wellness programs.
• Educational Assistance Program.
• Premium pay, such as shift or on-call pay, for eligible positions.
• Incentive pay for select positions.
• Opportunity for annual increases based on performance.

What This Job Offers

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