Patient Advocate Jobs

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Patient Service Representative

Advocate Health•Two Rivers, WI
•$21 - $31

About The Position

The Patient Service Representative creates and maintains accurate initial electronic health records, verifies patient identity, and prevents duplicate medical records. The role registers patients, obtains and verifies demographic, guarantor, and insurance information, discusses and collects patient payments, and protects confidential information in accordance with HIPAA. The representative explains insurance coverage and financial obligations, identifies when referrals to Financial Advocates are appropriate, and follows applicable organizational, government, and regulatory requirements, including obtaining required patient or guarantor signatures. The role may schedule appointments and coordinate cancellations, rescheduling, wait lists, and recall requests. It provides patients with accurate information about preparation, arrival times, check-in, directions, and medication or food and beverage guidelines. The representative welcomes and assists patients and visitors, answers and screens phone calls, responds to routine information requests, and coordinates assistance such as transportation, wheelchairs, and interpreter services. The position also monitors and works assigned electronic health record work queues according to department processes. This position is part-time, with 28 hours per week. Its listed schedule includes weekday, evening, and weekend shifts and may change based on department needs. The work takes place in a normal office environment with significant patient and public contact, and may involve exposure to ill or contagious patients. Travel may be required. Physical activities include frequent transitions between sitting and standing, extended periods of sitting or standing, mobility throughout the workday, lifting and assisted pushing or pulling, escorting patients, and fine motor keyboard work.

Requirements

  • High school graduate.
  • Demonstrate Advocate Health's purpose, values, and behaviors.
  • Ability to work independently in a high-profile, high-stress area, set and meet deadlines, multitask, and prioritize work.
  • Ability to handle large workloads and frequent interruptions in a fast-paced environment without direct supervision.
  • Strong attention to detail and accuracy.
  • Excellent customer service and service recovery skills.
  • Independent thinking, problem-solving, and judgment to triage issues and concerns.
  • Excellent written and verbal communication and interpersonal skills; communicate professionally with patients, visitors, staff, and physicians.
  • Ability to educate patients about insurance coverage and discuss services that may not be paid for by their health plan.
  • Strong computer-system understanding and comfort; demonstrated technical proficiency with relevant computer and phone technology.
  • Understanding of basic medical and insurance terminology and abbreviations used in patient scheduling and registration.
  • HIPAA knowledge and ability to comply with applicable state and federal rules and regulations and handle sensitive information according to internal policies.
  • General understanding of Medicare, Medicaid, managed care, and commercial health insurance; ability to explain Medicare, HIPAA, and EMTALA rules and comply with updates to insurance pre-certification requirements.
  • Excellent organizational skills.
  • CPR certification may be required based on service location.
  • Notary training or licensure may be required depending on service line or facility.
  • Ability to operate equipment necessary for the job.
  • Ability to transition frequently between sitting and standing, remain seated or standing for extended periods, and be physically mobile throughout the workday.
  • Ability to lift up to 10 pounds frequently and 20 pounds or more occasionally, and to push or pull up to 50 pounds with assistance.
  • Ability to use vision, hearing, touch, clear speech, and fine motor skills for keyboard data entry.
  • May be required to work a flexible schedule to meet department needs.

Nice To Haves

  • Experience with insurance verification and eligibility tools, EPIC electronic medical records, patient liability estimation tools, electronic email, Microsoft Office, internet, and phone technology.

Responsibilities

  • Create accurate initial electronic health records and prevent duplicate medical records.
  • Verify patient identity before care is delivered, following organizational requirements.
  • Check in and register patients; obtain and verify demographic, guarantor, and insurance information.
  • Discuss and collect co-pays and other out-of-pocket patient responsibilities, and manage payments including cash in accordance with security procedures.
  • Maintain confidentiality of patient, personal, financial, and medical information in accordance with HIPAA and internal policies.
  • Understand insurance plans and financial responsibility requirements, discuss financial obligations with patients, and refer patients to Financial Advocates when appropriate.
  • Enforce applicable organizational, government, and regulatory rules, forms, and questions; obtain patient or guarantor signatures as required.
  • Schedule appointments as needed and coordinate cancellations, rescheduling, wait lists, and recall requests.
  • Provide accurate information about test preparation, arrival times, medication and food or beverage guidelines, check-in procedures, and facility directions.
  • Welcome and assist patients and visitors; respond to routine information requests; answer and screen phone calls and take messages.
  • Coordinate assistance such as transportation, directions, wheelchairs, and interpreter services.
  • Monitor and work assigned electronic health record work queues according to approved departmental processes.
  • Interact with physicians and their staff to resolve issues related to patient care.
  • Respond quickly to patient medical status changes and emergencies occurring in clerical areas.
  • Escort patients to nursing units or outpatient departments as necessary.
  • Serve as a resource to other staff when needed.

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.
  • Premium pay such as shift and on-call pay, based on teammate role.
  • Incentive pay for select positions.
  • Opportunity for annual increases based on performance.
  • Career development programs.

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