Patient Access Specialist I

600 Advocate Health, Inc.; Hickory (NC); On-site; USD 29,000 - 43,000; Full time

Benefits offered by this job

Paid Time Off

Health benefits

Educational Assistance Program

Employer retirement match

Job summary

Advocate Health in Hickory and Statesville is seeking a Patient Services Representative I to support patient registration, verify demographics and insurance, obtain pre-authorizations when required, and explain out-of-pocket responsibilities to patients.

You will help with financial clearance and assist patients needing financial counseling while maintaining courteous relations with patients and clinical staff.

Qualifications

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

Responsibilities

• Greets patients arriving for their appointments.
• 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
• Verifies 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
• Identifies 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

Skills

Patient registration

Insurance verification

Multitasking

Problem-solving

Communication

HIPAA knowledge

Customer service

Education

High school diploma or GED

Tools

ADT software

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Advocate Health in Hickory and Statesville is seeking a Patient Services Representative I to support patient registration, verify demographics and insurance, obtain pre-authorizations when required, and explain out-of-pocket responsibilities to patients.

You will help with financial clearance and assist patients needing financial counseling while maintaining courteous relations with patients and clinical staff.