Patient Service Representative - Clinic

Carolinas Medical Center; Mequon (WI); On-site; USD 27,000 - 41,000; Full time

Job summary

Carolinas Medical Center in Mequon, WI is seeking a Front End Staff member to support patient registration and the front desk workflow. You will create the initial electronic health records, verify patient information, and discuss financial responsibilities with patients while maintaining HIPAA compliance.

The role involves scheduling, coordinating reminders, and providing courteous service to patients and visitors in a fast-paced environment.

Qualifications

• High school diploma or GED required.
• Ability to perform in a high-stress, fast-paced environment.
• Excellent interpersonal and communication skills.

Responsibilities

• Create and manage the initial electronic health record to support patient care and prevent duplicate records.
• Register patients, verify demographics, guarantor and insurance information, and collect co-pays.
• Explain financial responsibilities to patients and refer to Financial Advocates as needed.
• Schedule appointments and coordinate cancellations, reschedules, reminders, and follow-ups.
• Provide exceptional customer service and maintain patient confidentiality per HIPAA.

Skills

Customer service

Attention to detail

Communication skills

Multitasking

Problem solving

Education

High School Diploma or GED

Job description

Department:

09122 AAH East Mequon - Front End Staff

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Monday through Friday - service hours can range from 7 am -5 pm Rotation of Saturday AM Chiro coverage from 730 a -12. (1x ~ every 4 weeks) for reg PSR PTO or Sick/Emergency call out.

Pay Range:

$19.80 - $29.70

Major Responsibilities:

• Creates the initial electronic health record that serves as the foundation of the patient medical record that is utilized by all members of the healthcare team . Prevents creation of duplicate medical records that can cause treatment safety issues and billing problems . Follows and ensures compliance with the mandate of the organization's accrediting bodies to use identifiers to positively identify a patient prior to the delivery of patient care to ensure patient safety.
• Checks in and registers patients; obtains and verifies complete demographic, guarantor, and insurance information; discusses and collects co-pays and other out-of-pocket patient responsibilities. Obtaining accurate information at the point of registration helps ensure timely payment to the organization and prevents billing issues and patient complaints. Maintains complete confidentiality regarding patient personal/financial information and medical records in accordance with the Health Insurance Portability and Accountability Act (HIPAA) .
• Knows insurance basics and recognizes commercial and government plans . Understands which plans AAH contracts with and when a statement of financial responsibility is needed. Understands and discusses financial information and obligations with patients . Knows how and when to refer patients to Financial Advocates.
• Has knowledge of which rules, forms and questions must be enforced to make sure AAH remains compliant with government agencies and regulations . Examples are: HIPAA, Emergency Medical Treatment and Active Labor Act (EMTALA), Consent for Treatment, Patient Rights and Responsibilities, Important Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), Notice of Privacy Practices, Medicare Secondary Payer Questionnaire (MSPQ), Advanced Beneficiary Notice (ABN) . Obtains patient or guarantor signatures as required .
• May schedule patient appointments , including virtual and procedural ; may also coordinate cancellations, reschedules, wait list requests, and recall requests. May p rovide accurate , detailed information regarding test preparations, patient arrival time, medication/food/beverage consumption guidelines, check-in procedures, directions to facility, etc. May perform visit closure, including checking out patients after their visit, scheduling follow-up appointment(s), and providing patients with the after-visit summary. May educate and support patients with the patient portal/app.
• Creates a welcoming and professional environment for our patients and visitors by demonstrating extraordinary customer service . Greets patients and visitors and responds to routine requests for information . Answers telephone, screens calls, and takes messages. 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. Proactively communicates issues involving customer service and process improvement opportunities to management. Offers various assistance to patients to include: arranging transportation needs, providing directions, locating a wheelchair, coordinating interpreter services, etc. May be responsible for e- scanning documents to Health Information Management (HIM), addressing incoming/outgoing fax, addressing inbasket messages via the electronic health record, and following direction from the clinical team for emergent needs.
• Monitors and works assigned electronic health record work queues, following the department's approved process.
• May assist department leadership with orientation and training.

Licensure, Registration, and/or Certification Required:

None Required.

Education Required:

High School Diploma or GED.

Experience Required:

None Required.

Knowledge, Skills & Abilities Required:

• Demonstrate the Advocate Health purpose, values and behaviors.
• Ability to work in a high profile and high stress area, working independently to set and meet deadlines, multitask and prioritize work . Must be able to manage high-volume workloads with many interruptions in a fast-paced environment without direct supervision. May be cross-trained across various specialties and provide staffing support as needed.
• Strong attention to detail and accuracy.
• Excellent customer service skills in a variety of situations . Must have excellent service recovery skills.
• Demonstrated independent thinking and problem-solving skills, ability to exercise judgment to triage issues and concerns .
• Excellent communication (written & verbal), customer service and int