Patient Service Representative 1

Carolinas Medical Center; Roma; On-site; EUR 24,000 - 36,000; Full time

Job summary

Carolinas Medical Center is seeking a full-time Medical Office Assistant for the Pulmonary Medicine department in Rome. The role involves greeting patients, registering them, verifying insurance, and handling financial clearance with patients’ out-of-pocket responsibilities.

Shifts are Monday–Friday, 8a–5p, with cross-training to the Pulmonary office in Cartersville as needed. Proficiency in ADT systems and Microsoft Office is required. High school diploma or GED is essential.

Qualifications

• Ability to greet patients and register them accurately, ensuring correct demographics and insurance details.
• Knowledge of Medicare, HIPAA, EMTALA rules and insurance pre-certification requirements.
• Proficiency with Outlook, Word and Excel; capable of using ADT systems.

Responsibilities

• Greets patients arriving for appointments and manages patient flow.
• Verifies and updates demographic and insurance information for accuracy.
• Completes registration for walk-ins and collects balances or estimates due.
• Follows financial clearance policy and refers to Financial Counselor when needed.
• Performs visit closure, schedules follow-ups, and provides required documents.
• Maintains knowledge of payer requirements and supports process improvements.
• Meets productivity and accuracy targets while providing courteous service.
• Works collaboratively with staff to ensure smooth information flow.

Skills

Customer service

Communication

Attention to detail

HIPAA/EMTALA knowledge

Education

High school diploma or GED

Tools

ADT software

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Department

02340 HC Rome MOB 1825 Martha Berry Blvd - Pulmonary Medicine

Status

Full time

Benefits Eligible

Yes

Hours Per Week

40

Schedule Details/Additional Information

Monday-Friday 8a-5p at Pulmonary in Rome. Will also cross train to cover at the Pulmonary office in Cartersville on an as needed basis.

Pay Range

$19.80 - $29.70

Major Responsibilities

• Greets patients arriving for their appointments. Monitors patient flow to ensure patients are cared for in the most efficient and courteous manner.
• Ensures all patient demographic and insurance information is complete and accurate
• Completes the registration process on walk-in patients, verifies and / or updates patient demographic and insurance information if changes or additions have occurred insurance benefits . Obtains, calculates and collects the patient's out of pocket financial liability . Requests and collects past due and present balances or estimates due
• Follows the Financial Clearance policy for non-urgent patient services if financial clearance has not been completed or authorization has not been obtained, when appropriate patients in need of financial assistance and refers patients to Financial Counselor
• Performs visit closure, including but not limited to checking out patients, scheduling follow-up appointment(s), collecting additional patient responsibility (when applicable) and providing patient with appropriate documents .
• Maintains knowledge of and reference materials of the following: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral and a list of current accepted insurance plans.
• Proactively communicates issues involving customer service and process improvement opportunities to management
• Meets productivity requirements to ensure excellent service is provided to customers
• Meets or exceeds performance expectations of 98% accuracy rate and established department productivity measurements.
• Maintains excellent public relations with patients, families, and clinical staff as well as demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information

Licensure, Registration, and/or Certification Required

NA

Education Required

High school diploma or GED required. Patient access (scheduling, registration and financial clearance), insurance verification, billing or certified medical assistant experience preferred.

Work Experience Required

NA

Knowledge, Skills & Abilities Required

• Ability to identify and understand issues and problems. Examines data and draws logical conclusions based on information available
• Knowledge and ability to articulate explanations of Medicare, HIPAA, and EMTALA rules and regulations and comply with updates on insurance pre-certification requirements
• Mathematical aptitude, effective oral and written communication skills and critical thinking skills
• Understanding of basic human anatomy, medical terminology and procedures for application in the patient referral, pre-certification and authorization processes.
• Ability to speak effectively to customers or employees of the organization; presents a pleasant, professional demeanor and image during telephone conversation
• 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 and Excel and ADT software
• Ability to write routine correspondence, calculate figures and amounts such as discounts and percentages
• Must be able to work with minimal supervision, to problem solve in a high profile and high stress area and interact positively with all internal and external customers while possessing the ability to determine priority of work

Physical Requirements and Working Conditions

Exposed to a normal office environment. Must be able to sit the majority of the workday. Occasionally lifts up to 10 lbs. Operates all equipment necessary to perform the job

Note

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

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Compensation

Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

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Opportunity for annual increases based on performance

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