Patient Service Representative

Trinity Health•Ann Arbor, MI

2d•Onsite

About The Position

Under general supervision, this role is responsible for the complete and accurate collection of patient demographic and financial information. The Patient Service Representative registers/checks-in patients, determines preliminary patient or insurance payment obligations, collects cash payments, and initiates billing and re-billings. This position requires a high school diploma or equivalent and at least 1 year of related experience. Key skills include basic accounting knowledge, demonstrated computerized keyboard experience, analytical and problem-solving skills, effective interpersonal communication, patience with patients, and proficiency in using telephones.

Requirements

High school diploma or equivalent.
1+ years of related experience.
Basic knowledge of accounting (debits and credits).
Demonstrated computerized keyboard experience.
Analytical and problem-solving skills.
Effective interpersonal communication skills.
Patience in dealing with ordinary, arduous or emotional patients.
Use of telephones.

Responsibilities

Interviews patients and gathers information to assure accurate and timely claims submission.
Interprets information collected to determine and create comprehensive visit-specific billing records.
Determines need for and obtains authorization for treatment/procedures and assignment of benefits as required.
Provides information to patients concerning hospital policies and regulatory requirements utilizing effective interpersonal and guest-relations skills.
Provides assistance to other Health System or physician offices staff regarding registration information and procedures.
Determines appropriate payment required at point of registration (deposits, co-pays, minimum charges and non-covered services.
Collects payment at time of registration or check-out.
Contacts patients to pre-register prior to clinical services.
Verifies insurance coverage for selected services to facilitate cash collection.
Obtains insurance benefit forms and completes as required; obtains signatures and approvals; verifies that information is complete and accurate.
Utilizes automated systems to obtain and process information (Registration, Medipac, Blue Cross/HART, Medicare/DDE, Care Choices).
Identifies opportunities to improve the quality of registration, billing or verification procedures.
Demonstrates accountability to follow-up with patients concerning requests for information of action regarding their account.
Maintains good rapport and cooperative relationships.
Approaches conflict in a constructive manner.
Helps to identify problems, offer solutions, and participate in their resolution.
Maintains the confidentiality of information acquired pertaining to patient, physicians, employees, and visitors to St. Joseph Mercy Hospital.