Pre-Svc Support Rep

American Addiction Centers • Milwaukee, WI

9d • $23 - $34 • Remote

About The Position

Acts as front-line training support, focused on assisting team members at clinics and hospitals who have patients in front of them. Provides this support telephonically, with an emphasis on pre-service revenue cycle processes, particularly the more complex ones. Maintains detailed knowledge of patient, guarantor, coverage, and payment related workflows in order to provide support and partner with various teams. When not assisting team members, works in designated work queues, with special emphasis on complex guarantor situations that need resolution.

Requirements

• High School Graduate.
• Typically requires 2 years of experience in health care registration, insurance, and billing.
• Substantial knowledge base and understanding of health care scheduling, registration, payment collection, billing, and insurance follow-up procedures.
• Knowledge of Medicare, Medicaid, and Commercial payors.
• Proficiency in the in-scope electronic health record system(s).
• Strong analytic, organization, communication (written and verbal), and human relations skills.
• Ability to work both independently and as part of a team to troubleshoot and problem solve quickly and efficiently.
• Previous data entry experience and demonstrated proficiency with emphasis on speed with accuracy.

Nice To Haves

• Experience as a front desk team member strongly preferred.

Responsibilities

• Provides telephonic training support to assist team members with scheduling, registration and check-in related policies and procedures, including patient, account, and coverage level inquiries. This support is frequently offered when a patient is with the team member, necessitating both speed and accuracy in the assistance.
• Maintains particular expertise in insurance coverage and guarantors
• Provides advanced level of knowledge regarding creation and maintenance of specialty accounts (Workers Compensation, Third Party Liability (TPL), Special Programs, Direct Bill, etc.).
• Reviews and resolves guarantor account discrepancies, ensuring billing information is accurate and compliant with privacy regulations.
• Assists front line team members with inquiries regarding patient payments, ensuring they are applied to guarantor accounts accurately and any discrepancies are resolved appropriately using defined reconciliation processes.
• Receives Customer Relationship Management requests (CRM’s) from various departments containing requests from patients regarding insurance and guarantor discrepancies.
• Assists team members with advanced questions/issues regarding resolution of transactions in various work queues, including those relating to Schedule Order, Referral and Patient.
• Gathers information and trends to identify process improvement opportunities.
• Collaborates with leadership and Revenue Cycle Training, Quality & Systems, and Workflow Optimization to provide on-going education to team members.
• Supports and resolves MyChart inquiries regarding registration related questions and updates.

Benefits

• Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
• Compensation 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
• Benefits and more 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: 11-50 employees