Patient Service Representative

Advocate Health • Rome, GA

8d • $20 - $30 • Onsite

About The Position

The Patient Service Representative supports patient access and clinic operations in Pulmonary Medicine. The representative greets patients, helps maintain an efficient and courteous flow, and ensures patient demographic and insurance information is complete and accurate. Responsibilities include registering walk-in patients, verifying or updating information, reviewing insurance benefits, and obtaining, calculating, and collecting patient financial responsibility, including past-due and current balances or estimates. The representative follows financial-clearance procedures when clearance or authorization has not been completed for non-urgent services, and refers patients who need assistance to a Financial Counselor.

The role also includes closing visits by checking out patients, scheduling follow-up appointments, collecting additional patient responsibility when applicable, and providing appropriate documents. The representative maintains current knowledge and reference materials on Medicare, Medicaid, third-party payer requirements, pre-authorization and referral requirements, and accepted insurance plans. The position calls for proactive communication about customer-service issues and process-improvement opportunities, meeting productivity and accuracy expectations, and maintaining positive, collaborative relationships with patients, families, and clinical staff.

This is a part-time position scheduled Monday through Friday, with variable days totaling three days and 24 hours per week. The position is based in a normal office environment. The job description notes that the role may become full-time in the future.

Requirements

• High school diploma or GED.
• Ability to identify and understand issues and problems, examine data, and draw logical conclusions from available information.
• Knowledge of and ability to explain Medicare, HIPAA, and EMTALA rules and regulations, and to comply with updates to insurance pre-certification requirements.
• Mathematical aptitude, effective oral and written communication, and critical-thinking skills.
• Ability to understand basic human anatomy, medical terminology, and procedures relevant to patient referrals, pre-certification, and authorization.
• Ability to communicate effectively with customers or employees and maintain a pleasant, professional demeanor during telephone conversations.
• 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, Excel, and ADT software.
• Ability to write routine correspondence and calculate figures and amounts such as discounts and percentages.
• Ability to work with minimal supervision, solve problems in a high-profile, high-stress area, interact positively with internal and external customers, and prioritize work.
• Ability to sit for the majority of the workday and occasionally lift up to 10 pounds.
• Ability to operate equipment necessary to perform the job.

Nice To Haves

• Experience in patient access (scheduling, registration, and financial clearance), insurance verification, billing, or as a certified medical assistant.

Responsibilities

• Greet patients arriving for appointments and monitor patient flow to support efficient, courteous service.
• Ensure patient demographic and insurance information is complete and accurate.
• Register walk-in patients and verify or update demographic and insurance information when needed.
• Review insurance benefits and obtain, calculate, and collect patients’ out-of-pocket responsibility, including past-due and current balances or estimates.
• Follow financial-clearance policy for non-urgent services when clearance or authorization has not been completed, as appropriate.
• Refer patients who need financial assistance to a Financial Counselor.
• Close patient visits by checking out patients, scheduling follow-up appointments, collecting additional patient responsibility when applicable, and providing appropriate documents.
• Maintain knowledge and reference materials concerning Medicare, Medicaid, third-party payer requirements, plans requiring pre-authorization or referral, and accepted insurance plans.
• Proactively communicate customer-service issues and process-improvement opportunities to management.
• Meet productivity requirements and established department performance measures, including a 98% accuracy rate.
• Maintain positive public relations with patients, families, and clinical staff, and collaborate to support concise and timely information flow.
• Perform other related duties as required.

Benefits

• Paid Time Off programs.
• Medical, dental, vision, life, and short- and long-term disability benefits.
• Flexible Spending Accounts for eligible health care and dependent care expenses.
• Adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match and other financial wellness programs.
• Educational Assistance Program.
• Competitive compensation, with potential premium pay and incentive pay for select positions.
• Opportunity for annual increases based on performance.
• Career development programs and well-being programs.

What This Job Offers

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