Patient Service Representative I

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

Benefits offered by this job

Health benefits

Paid time off

Retirement plan

Job summary

Advocate Health seeks an organized patient access specialist to manage front-desk duties and patient flow. Responsibilities include greeting patients, verifying demographics and insurance, and completing registrations for walk-ins.

You will communicate financial responsibilities, collect balances, and assist with pre-certification and referrals while maintaining compliance with payer rules. A team-oriented, fast-paced environment awaits.

Qualifications

• High school diploma or GED required with medical office exposure preferred.
• Ability to understand Medicare, HIPAA and EMTALA rules and apply them.
• Strong written and verbal communication and data accuracy.

Responsibilities

• Greets patients and manages flow for efficient, courteous service.
• Verifies insurance and demographics; completes registration for walk-ins.
• Resolves financial responsibilities and assists with pre-certifications.
• Schedules follow-ups and closes visits, providing required documents.
• Maintains knowledge of payer requirements and communicates issues to management.

Skills

Medicare knowledge

HIPAA knowledge

EMTALA rules

Effective communication

Analytical thinking

Education

High school diploma or GED

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

ADT software

Job description

Department:

02281 HC Chiropractic Care 406 E 2nd Ave - Chiropractic

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Monday 7am-5pm
Tuesday-Friday 8am-5pm

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

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.

Our Commitment to You:

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, lif