Patient Service Representative Grand Rapids

Corewell HealthGrand Rapids, MI
17hOnsite

About The Position

Job Summary: Provides clerical support in complex matters to assist in the delivery of quality health care services. Essential Functions: Responsible for complex patient/customer problem solving, including high level discernment when registering patients in treatment rooms. Performs administrative functions, including, but not limited to: assists with patient check-out; schedules complex patient appointments, incoming/outgoing referrals, surgeries and tests, including medical record review of incoming referrals; builds provider schedule template; navigates external patient referral portals; reconciles multi-department deposit. Obtains insurance authorizations and/or verifies that prior authorization has been obtained; assists with retroactive insurance denials/appeals. Responsible for complex EMR/EHR scanning and Right Fax faxing and uploading to EPIC. Responsible for identifying and reminding patients of health maintenance gaps. Ability to perform the role of Patient Services Representative, Associate when necessary. Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis.

Requirements

  • High School Diploma or equivalent
  • 2 years of relevant experience insurance billing, access management, patient financial services, electronic health records, lab service support or other related experience

Responsibilities

  • Responsible for complex patient/customer problem solving, including high level discernment when registering patients in treatment rooms.
  • Assists with patient check-out
  • Schedules complex patient appointments, incoming/outgoing referrals, surgeries and tests, including medical record review of incoming referrals
  • Builds provider schedule template
  • Navigates external patient referral portals
  • Reconciles multi-department deposit.
  • Obtains insurance authorizations and/or verifies that prior authorization has been obtained
  • Assists with retroactive insurance denials/appeals.
  • Responsible for complex EMR/EHR scanning and Right Fax faxing and uploading to EPIC.
  • Responsible for identifying and reminding patients of health maintenance gaps.
  • Ability to perform the role of Patient Services Representative, Associate when necessary.
  • Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis.

Benefits

  • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here .
  • On-demand pay program powered by Payactiv
  • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
  • Optional identity theft protection, home and auto insurance, pet insurance
  • Traditional and Roth retirement options with service contribution and match savings
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