Patient Service Representative (PSR) - Family Practice

American Addiction Centers • West Allis, WI

2d • $20 - $30 • Onsite

About The Position

The Patient Service Representative (PSR) position is a full-time role, 34 hours per week, located on-site at the Six Points Clinic. This role supports the check-in and check-out processes for the collaborative care clinic. The schedule is Monday through Wednesday from 9:00 AM to 5:30 PM, and Thursday and Friday from 9:00 AM to 2:00 PM. The pay range for this position is $19.80 to $29.70 per hour.

Requirements

• High School Diploma
• 3-4 years office experience.
• Understanding of third party payors, including Medicare, Medicaid and private insurance companies.
• Strong Data Entry ability
• Strong Organization Skills
• Strong Detail Orientation
• Strong Customer Service Skills
• Able to work independently with minimal supervision

Nice To Haves

• Knowledge of medical terminology preferred.
• Home care experience preferred.

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.
• Identification, investigation and verification of sources of reimbursement.
• Proficient in the use of computerized resources and data entry programs involving proper processing and qualifying of patients with clients 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 item dispensed, using the Care Connection visit information, or as provided on the delivery transaction form.
• Reviews billing system to determine if patient has an existing account or creates a new account by entering demographic and insurance information.
• Completes insurance eligibility check within billing system for payers that system allows (BCBS, Medicare, Medicaid, HMOI).
• Enters charges through Direct Billing entry.
• Completes monthly bulk billing to hospital cost centers for Direct Bill items that were not billed to insurance due to payer being out-of-network with AHCP.
• Works weekly Open Orders Report and investigates reason for delay in confirmation and revenue not being collected according to pre-defined process.
• Confirms or deletes open orders after thorough investigation and confirmation that service was provided.
• Completes daily patient record retention and archive processes.
• Prepares all documents received during the confirmation process for scanning and indexing into the electronic medical record of the patient's account.
• Operates and monitors scanning/imaging equipment.
• Reviews output copies to ensure and validate continuing resolution quality of printed images, informing management or IS Department if unable to correct faulty resolution issues.
• Indexes scanned documents by accurately selecting proper patient, document type and other descriptors.
• Storage and destruction of scanned documents per pre-defined instructions.
• Prepares and works various reports in an effort to maintain accurate account information and status.
• Works monthly discharge reports to inactivate accounts with no active rentals and no activity in over one year.
• Works monthly Medicare Continued Use report for documentation of patients' use per Medicare guidelines.
• Follows up on lost/stolen equipment by sending letters to patients and facilities when equipment can not be retrieved.
• Provides customer service support to both internal and external customers by resolving delivery, equipment, documentation and/or reimbursement issues with appropriate parties.
• Responds to customer equipment questions and refers to appropriate distribution associate and follows up to ensure resolution.
• Works with Intake and Distribution to answer questions concerning customer deliveries.
• Back up phone support for all AHCP departments, as well as assistance with walk-in patients.
• Runs, collects and tabulates data and submits to management selected, assigned reports such as the Daily Order Report.
• Other duties as assigned by manager.

Benefits

• Comprehensive suite of Total Rewards: benefits and well-being programs
• Competitive compensation
• Generous retirement offerings
• Programs that invest in your career development
• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance
• 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