Patient Service Representative (PSR) - Primary Care Clinic

American Addiction Centers • Gurnee, IL

1d • Onsite

About The Position

The Patient Service Representative (PSR) in the Primary Care Clinic is responsible for creating the initial electronic health record, ensuring patient safety through proper identification, and managing patient registration. This role involves collecting and verifying demographic and insurance information, discussing and collecting co-pays, and maintaining patient confidentiality in accordance with HIPAA. The PSR must understand insurance basics, AAH contracts, and financial obligations, referring patients to Financial Advocates when necessary. They also ensure compliance with government regulations and obtain required signatures. Additionally, the PSR may schedule appointments, provide patient education on preparations and procedures, perform visit closures, and assist patients with the patient portal. They are responsible for creating a welcoming environment, handling routine requests, answering telephones, and maintaining public relations. Proactive communication with management regarding customer service and process improvement is expected. The role may also involve e-scanning documents, managing faxes and in-basket messages, and assisting with orientation and training.

Requirements

• High School Diploma or GED.
• Demonstrate the Advocate Health purpose, values and behaviors.
• Ability to work in a high profile and high stress area.
• Ability to work independently to set and meet deadlines.
• Ability to multitask and prioritize work.
• Must be able to manage high-volume workloads with many interruptions in a fast-paced environment without direct supervision.
• Strong attention to detail and accuracy.
• Excellent customer service skills in a variety of situations.
• Must have excellent service recovery skills.
• Demonstrated independent thinking and problem-solving skills.
• Ability to exercise judgment to triage issues and concerns.
• Excellent communication (written & verbal), customer service and interpersonal skills.
• Ability to effectively communicate with a variety of patients, visitors, staff and physicians in a pleasant professional demeanor.
• Educate patients on the insurance coverage aspect of their care including managing the discussion for services that will not or may not be paid by their health plan.
• Interact with physicians and their staff to resolve issues related to the patient care.
• Collect and manage payments including cash payments, if applicable, and follow security related to cash handling.
• Strong understanding and comfort level with computer systems and proficient typing skills.
• Demonstrated technical proficiency including experience with electronic email, Microsoft Office, internet browser and phone technology.
• Ability to handle sensitive and confidential information according to internal policies.
• Excellent organizational skills.
• Demonstrated ability to effectively act as a resource to other teammates.

Nice To Haves

• May be cross-trained across various specialties and provide staffing support as needed.

Responsibilities

• Creates the initial electronic health record that serves as the foundation of the patient medical record.
• Prevents the creation of duplicate medical records.
• Uses identifiers to positively identify a patient prior to the delivery of patient care to ensure patient safety.
• Checks in and registers patients; obtains and verifies complete demographic, guarantor, and insurance information.
• Discusses and collects co-pays and other out-of-pocket patient responsibilities.
• Maintains complete confidentiality regarding patient personal/financial information and medical records in accordance with HIPAA.
• Understands insurance basics, AAH contracts, and financial obligations, and knows when to refer patients to Financial Advocates.
• Ensures compliance with government agencies and regulations (e.g., HIPAA, EMTALA, Consent for Treatment, Patient Rights and Responsibilities, IMM, MOON, Notice of Privacy Practices, MSPQ, ABN).
• Obtains patient or guarantor signatures as required.
• May schedule patient appointments, including virtual and procedural; may also coordinate cancellations, reschedules, wait list requests, and recall requests.
• May provide accurate, detailed information regarding test preparations, patient arrival time, medication/food/beverage consumption guidelines, check-in procedures, directions to facility, etc.
• May perform visit closure, including checking out patients after their visit, scheduling follow-up appointment(s), and providing patients with the after-visit summary.
• May educate and support patients with the patient portal/app.
• Creates a welcoming and professional environment for patients and visitors by demonstrating extraordinary customer service.
• Greets patients and visitors and responds to routine requests for information.
• Answers telephone, screens calls, and takes messages.
• 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.
• Proactively communicates issues involving customer service and process improvement opportunities to management.
• Offers various assistance to patients to include: arranging transportation needs, providing directions, locating a wheelchair, coordinating interpreter services, etc.
• May be responsible for e-scanning documents to Health Information Management (HIM), addressing incoming/outgoing fax, addressing in basket messages via the electronic health record, and following direction from the clinical team for emergent needs.
• Monitors and works assigned electronic health record work queues, following the department’s approved process.
• May assist department leadership with orientation and training.

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: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1-10 employees