Patient Service Specialist I PFS

Advocate Health and Hospitals Corporation • Wake Forest, NC

2d • Onsite

About The Position

This full-time position is within the Enterprise Revenue Cycle - PreArrival department. The Patient Service Specialist I PFS is responsible for collecting patient critical data elements, registration information, and completing documents. They ensure accurate patient identification, handle sensitive information with confidentiality, and obtain necessary authorizations, pre-certs, and referrals. The role involves communicating insurance benefits and liabilities to customers, collecting payments, and advising customers of their financial responsibility. Providing excellent customer service, resolving complaints promptly, and working effectively both independently and as part of a team are key aspects of this role. The specialist will access hospital systems, office technology, and payer websites to perform their duties, adhering to Medical Center values and policies while meeting departmental productivity goals. Effective communication with internal and external healthcare team members, attending required training, and performing additional tasks as requested are also essential.

Requirements

• High School diploma or GED equivalent.
• Computer skills to include word processing required.
• Evidence of good interpersonal skills with customer service focus
• Effective communication skills (oral and written) and creative problem solving
• Ability to work with Web-based programs to review insurance eligibility and benefits
• Ability to multi-task
• Strong math and analytical skills
• Attention to detail

Nice To Haves

• Work experience in a healthcare setting (receptionist, registration, financial assistance, etc.) preferred.
• Working knowledge of applicable rules, regulations and guidelines governing insurance payers and reimbursement preferred.
• Bilingual (Spanish) strongly preferred.

Responsibilities

• Collects patient critical data elements, registration information, and completes documents, prioritizing workload.
• Ensures accurate patient identification and addresses sensitive information with confidentiality.
• Obtains authorizations, pre-certs, documentation when applicable, referrals, reviews and requests medical record information as necessary.
• Communicates insurance benefits and liabilities with customers.
• Collects past, current and future payments due and advises customers of financial responsibility and resources.
• Provides excellent customer service through all interactions and resolves complaints promptly.
• Works well independently and as part of a team.
• Accesses hospital systems, office technology, payer websites and other resources for assigned responsibilities.
• Adheres to the Medical Center's Values and policies while meeting departmental productivity goals and standards.
• Communicates effectively with various internal and external healthcare team members.
• Attends required training classes, seminars and meetings.
• Performs additional tasks and responsibilities as requested by department management.

Benefits

• Competitive compensation
• Generous retirement offerings
• Programs that invest in your career development
• 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