PSR

Advocate Health and Hospitals Corporation • Rome, GA

1d

About The Position

The PSR greets patients arriving for appointments and monitors patient flow so patients are cared for efficiently and courteously. The role ensures patient demographic and insurance information is complete and accurate, completes registration for walk-in patients, and verifies or updates information as needed. The PSR verifies insurance benefits, calculates and collects patient out-of-pocket responsibility, and requests or collects past-due balances and estimates due. The position follows financial-clearance policies for applicable non-urgent services when clearance or authorization has not been completed, identifies patients who may need financial assistance, and refers them to a Financial Counselor.

The PSR completes visit closure, including checking out patients, scheduling follow-up appointments, collecting additional patient responsibility when applicable, and providing appropriate documents. The position maintains reference information on Medicare, Medicaid, third-party payer requirements, insurance plans requiring preauthorization or referral, and accepted insurance plans. The PSR communicates customer-service issues and process-improvement opportunities to management, meets productivity requirements, and meets or exceeds a 98% accuracy expectation and established productivity measurements. The role maintains positive relationships with patients, families, and clinical staff and collaborates to support concise, timely information flow.

This position is in a normal office environment, with a Monday–Friday schedule from 7:30 a.m. to 4:30 p.m. and 40 hours per week. It requires sitting for most of the workday, occasional lifting of up to 10 pounds, and operation of equipment necessary to perform the job.

Requirements

• High school diploma or GED.
• Ability to identify and understand issues and problems, examine data, and draw logical conclusions from available information.
• Knowledge of and ability to explain Medicare, HIPAA, and EMTALA rules and regulations and comply with updates to insurance precertification requirements.
• Mathematical aptitude, effective oral and written communication skills, and critical-thinking skills.
• Understanding of basic human anatomy, medical terminology, and procedures used in patient referral, precertification, and authorization processes.
• Ability to speak 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 and high-stress area, interact positively with internal and external customers, and determine work priorities.
• Ability to sit for most of the workday and occasionally lift up to 10 pounds.

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.
• Ensure patient demographic and insurance information is complete and accurate.
• Register walk-in patients and verify or update demographic and insurance information when needed.
• Verify insurance benefits and obtain, calculate, and collect patient out-of-pocket financial liability.
• Request and collect past-due and current balances or estimates due.
• Follow financial-clearance policies for applicable non-urgent services when clearance or authorization has not been completed.
• Identify patients who may need 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, insurance plans requiring preauthorization or referral, and currently accepted insurance plans.
• Communicate customer-service issues and process-improvement opportunities to management.
• Meet department productivity requirements and the stated 98% accuracy performance expectation.
• Maintain positive public relations with patients, families, and clinical staff and collaborate to support concise and timely information flow.

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, premium pay for select circumstances, incentive pay for select positions, and opportunity for annual performance-based increases.
• Career development and well-being programs.

What This Job Offers

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