Patient Service Representative (PRN)- Per Diem-Bariatric Department

Advocate Aurora Health • Downers Grove, IL

113d • $19 - $29

About The Position

The position is part-time and operates on a PRN (as needed) basis to fill in for the clinic front desk at the Bariatric Program located at 2801 Finley St., Downers Grove. The office hours are Monday to Thursday from 7:30 AM to 7 PM, Friday from 7:30 AM to 5 PM, and Saturday from 8 AM to 12 PM on a rotating schedule (every 5th Saturday when fully staffed).

Requirements

• High School Diploma
• 3-4 years office experience
• Understanding of third party payors, including Medicare, Medicaid and private insurance companies
• Knowledge of medical terminology preferred
• Home care experience preferred

Nice To Haves

• Strong Data Entry ability
• Strong Organization Skills
• Strong Detail Orientation
• Strong Customer Service Skills
• Able to work independently with minimal supervision

Responsibilities

• Completes patient order confirmations and modifications for item changes occurring after initial order ticket printing to begin revenue recognition and billing processes.
• Reviews all paperwork submitted with equipment set up packets to ensure all forms are complete, signed and dated appropriately.
• Follows up on any safety issues documented by drivers with appropriate correspondence to patients, physicians or management.
• Processes service maintenance tickets and resets the schedule for future service and maintenance of rental equipment.
• Maintains knowledge of Medicare, Medicaid, HMO, Managed Care, PHO's and Advocate contract procedures and guidelines.
• Verifies that current and appropriate authorizations are in place for all managed care clients for supplies and for purchased items.
• Identifies, investigates and verifies sources of reimbursement.
• Be proficient in the use of computerized resources and data entry programs involving proper processing and qualifying of patients with HME/RT needs.
• Completes daily update by running the Confirmed Orders for Billing Report to identify and correct errors in order entry.
• Completes Direct Bill entry for supply closet items dispensed at off site Advocate locations.
• Obtains payable diagnosis codes for items dispensed.
• Reviews billing system to determine if patient has an existing account or creates a new account.
• Completes insurance eligibility check within billing system for payers that system allows.
• Enters charges through Direct Billing entry.
• Completes monthly bulk billing to hospital cost centers for Direct Bill items that were not billed to insurance.
• Works weekly Open Orders Report and investigates reasons for delay in confirmation and revenue not being collected.
• Completes daily patient record retention and archive processes.
• Prepares and works various reports to maintain accurate account information and status.
• Provides customer service support to both internal and external customers by resolving delivery, equipment, documentation and/or reimbursement issues.
• Runs, collects and tabulates data and submits to management selected, assigned reports.

Benefits

• 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: Part-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED