PSR

Advocate Health • Rome, GA

2d • $20 - $30

About The Position

The PSR welcomes patients arriving for appointments and monitors patient flow to support efficient, courteous care. The role verifies and maintains accurate patient demographic and insurance information, registers walk-in patients, and handles insurance benefit and financial clearance processes. It obtains, calculates, and collects patient financial responsibility, including current and past-due balances, and refers patients who may need financial assistance to a Financial Counselor.

The PSR completes visit closure by checking out patients, arranging follow-up appointments, collecting additional patient responsibility when applicable, and providing appropriate documents. The position requires knowledge of payer requirements and accepted insurance plans, attention to productivity and accuracy expectations, and effective collaboration with patients, families, and clinical staff. The work is performed in a normal office environment, primarily seated, and may involve occasional lifting of up to 10 pounds.

Requirements

• High school diploma or GED.
• Ability to identify and understand issues and problems, examine data, and draw logical conclusions.
• Knowledge of and ability to explain Medicare, HIPAA, and EMTALA rules and regulations and comply with updates to insurance pre-certification requirements.
• Mathematical aptitude, effective oral and written communication, and critical-thinking skills.
• Understanding of basic human anatomy, medical terminology, and procedures used in patient referral, pre-certification, and authorization processes.
• 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 determine work priorities.

Nice To Haves

• Patient access experience, including scheduling, registration, or financial clearance.
• Insurance verification experience.
• Billing experience.
• Certified medical assistant experience.

Responsibilities

• Greet patients arriving for appointments and monitor patient flow to ensure efficient and courteous service.
• Ensure patient demographic and insurance information is complete and accurate.
• Register walk-in patients and verify or update their demographic and insurance information as needed.
• Obtain, calculate, and collect patient out-of-pocket financial liability, including past-due and current balances or estimates.
• Follow Financial Clearance policy for applicable non-urgent services when clearance or authorization has not been completed.
• Identify patients in need of financial assistance and refer them to a Financial Counselor.
• Complete visit closure, including checking out patients, scheduling follow-up appointments, collecting additional patient responsibility when applicable, and providing appropriate documents.
• Maintain knowledge and reference materials regarding Medicare, Medicaid, third-party payer requirements, pre-authorization and referral requirements, and accepted insurance plans.
• Communicate customer-service issues and process-improvement opportunities to management.
• Meet productivity requirements and achieve the stated 98% accuracy rate and department productivity measurements.
• Maintain positive public relations with patients, families, and clinical staff and collaborate to support concise, timely information flow.
• Operate equipment necessary to perform the job.

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.

What This Job Offers

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